Pain
Opioid Adverse Effects
Care of the Dying Patient
The Family Meeting
Palli-Potpourri
100
Wrinkled forehead, sighing, changes in normal pattern of activity, tense body posture
What is non-verbal pain behaviors
100
Patient does not develop tolerance to this side effect
What is constipation
100
Sense of hearing
What is the last sense to be lost
100
Amount of time spent doing this relates to satisfaction in the family meeting.
What is listening
100
Disconnect, disassatisfaction, discord, distress, delay and depression.
What is a barrier to goal setting and result of poor communication.
200
Described as shooting, burning or tingling
What is neuropathic pain
200
Stimulation of chemoreceptor trigger zone
What is one of the causes of opioid induced N/V
200
Can cause a burden to patient when given artificially
What is artficial hydration and nutrition
200
Unresolved family issues and disagreement
What is a reason for a family meeting.
200
25% of Medicare dollars are spent on this
What is 5% of people who die
300
Directly correlates to QOL
What is pain intensity
300
Precedes respiratory depression
What is sedation
300
Medication considered gold standard for the treatment of SOB
What is morphine
300
Ambivalance about when to let go
What is a need for a family meeting
300
Would you like us to do everything possible, there is nothing more we can do, would you like us to restart your heart
What are words not to say
400
Adjuvant analgesics
What is the first line treatment of neuropathic pain
400
Jerking or twitching of muscles d/t accumulation of morphine metabolite M-3-G
What is myoclonus
400
Requires 24 hours to reach steady state
What is the scopolamine patch
400
Rushing ahead to the medical explaination in a family meeting.
What is not following meeting format.
400
Perfer a natural death
What is the majority of people
500
Goal used to measure effectiveness of pain management treatment plan as it relates to desired activity
What is the comfort-function goal
500
Opioid antagonist that works in the gut to treat constipation
What is Methylnaltrexone or Relistor
500
Exhibiting empathy and focused attention
What is a compassionate presence
500
"It appears that you are angry, can you tell me what is upsetting you?"
What is how to acknowledge anger.
500
Do not have to stop curative treatment
What is palliative care
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