| hospice is from the latin word | hospitium; meaning hospitality or lodging |
| what types of diseases does hospice serve | the most common being cancer 27.7%, dementia 18%, cardiac and kung disease 18.7% |
| the core interdisciplinary team consist of | medical director, nurse coordinator, social worker, spiritual coordinator |
| what is required for a patient to be admitted to hospice | healthcare provider must certify that then pt is terminally ill and pt has 6 months or less to live |
| who could the hospice caregiver be | immediate family member, significant other, friend, or hired care giver |
| when does caregiver services become vital | when the patient is no longer able to care for themselves |
| what other criteria is met when a patient is admitted to hospice | staff performs a complete physical, psychosocial, and spiritual assessment |
| what does the volunteer coordinator do | companionship, respite care, emotional support |
| appropriate services for the volunteer to provide are what are considered typical of a good neighbor such as | grocery shopping, yard work, reading to the patient, or keeping the patient company while the caregiver leaves the home for short periods |
| what medications are commonly used for hospice care | morphine sulfate immediate release , morphine sulfate controlled release, fentanyl transdermal patch, doperidol(inapsine). prochlorperazine, Senna(senokot), lorazepam (Ativan) |
| what is a priority in hospice and why | pain management; of all the symptoms that a dying patient experiences, pain is the most dreaded and feared |
| what does pain disrupt | activities as well as the quality and enjoyment of life |
| to a healthy person pain is usually temporary and tolerable but to a terminally ill patient it can be | Excruciating, constant and terrifying |
| pain takes unmanly forms such as | physical, psychosocial, spiritual, and addressing and alleviating it is correct and proper |
| the healthcare provider may find pain related to what and how do you remove with those types of pain | tumor invasion, compression of organs or nerves, erosion of tissue, or other pathologic factors; removing the cause is not always possible; the symptoms become central to successfully manage pain |
| what does OLD CARTS stand for | Onset, Location, Duration, Character of pain, Aggravating factors, Relieving factors, Treatments, and Severity |
| define somatic pain | arises from the musculoskeletal system and is described as aching, stabbing or throbbing |
| how is somatic pain typically treated | nonsteriodal antiinflammatory drugs, non opioid drugs, and opioid drugs |
| define visceral pain | pain that originates from the internal organs commonly described as cramping, pressure, dull or squeezing pains |
| how is visceral pain typically treated | healthcare provider typically prescribe an anticholinergic med alone or as an adjuvant to nonopioids or opioids |
| define neuropathy pain | arises from nerves and the nervous system; commonly described as tingling, burning, or shooting pains |
| how is neuropathy pain typically treated | healthcare providers sometimes order anticonvulsants as an adjuvant to assist with pain control |
| why are morphine derivatives often the drug of choice when dealing with hospice patients | because they can be delivered by all routes and the dosage can be titrated to control the pain |
| ineffective pain management is usually associated with | undermedication as a result of common myths and fears |
| what are the myths and fears of using pain meds such as opioids | addiction, tolerance, and respiratory depression |
| how is pain best managed | as an individualized approach |
| when giving pain meds lifestyle considerations are important in determining | the route and type of medication to administer for pain control |
| what is one of the most common problems with terminally ill patients | constipation; and an assessment is fundamental for finding the cause and treatment of constipation |
| constipation can cause more what then pain itself | anxiety and discomfort |
| constipation can cause other symptoms such as | abdominal pain, nausea, vomiting, |
| factors that contribute to constipation include | poor diet intake, poor fluid intake, hypercalcemia, hyponatremia, tumor compression of bowel, use of opioids for pain control, and decrease in physical activities |
| define the philosophy of hospice | provide care and support to patients with terminal illness and their families |
| in hospice the interdisciplinary team promotes | comfort, care, and support through compassion, interest and genuine concern to promote quality of life as the end approaches |
