Palliative Care & End of Life Care

Pain Management

Fast Facts

Cultural Considerations

Nursing

NCLEX

100

True or False: It is estimated that up to 2.5 million people around the world die in pain each year

true

100

True or False: lack of hospices in Canada make it difficult to access care

true

100

True or False: All cultures view death the same way and will respond the same way

FALSE

100

True or False: Burnout is common in palliative care

true

100

The primary purpose of hospice is to

A) Allow patients to die at home.

B) Provide better quality of care than the family can.

C) Coordinate care for dying patients and their families.

D) Provide comfort and support for dying patients and their families.

200

Name 2 Common side effects of Narcotic pain management

-constipation

-Nausea

-Vomiting

-Decreased Respiratory Rate

-Sedation

-Euphoria

200

How many beds does the North Bay Serenity Hospice have?

200

_________ practice is important for health care providers when providing culturally competent care, so that no feelings of resentment may arise.

Reflective

200

Name 2 resources for palliative care nurses

Online support groups
1:1 peer support
Webinars
E-learning and educational resources
Psychoeducation
Individual or group counselling

200

The nurse explains to a patient with advanced cancer about the differences between hospice and palliative care. Which statement, if made by the patient, indicates that teaching was effective?

A) "Hospice care is not available if I am in the hospital."

B) "Palliative care provides better methods of pain control."

C) "Hospice care will help me and my family prepare for death."

D) "Palliative care does not include any advance directives."

C

Hospice care provides compassion, concern, and support for the dying. The emphasis of care at end of life is on symptom management, advance care planning, spiritual care, and family support, including bereavement. Hospice care may be delivered in a variety of settings, including home, inpatient settings, and long-term care facilities.

300

Name 3 Nonpharmacological Interventions for Pain

any of the following are correct

-meditation

-music therapy

-distraction therapy

-pet therapy

-emotional or spiritual support

-Reiki

-Aromatherapy

-Massage therapy

-Hypnotherapy

300

What percentage of deaths in Canada occur in hospital?

60%

300

Dying a “good death” implies that they are going to experience further in the afterlife or spiritual world is a cultural practice displayed by ______________ ____________

Indigenous People

300

Name 3 symptoms of nursing burnout

Constant tiredness
Compassion fatigue
Feeling unappreciated
Emotional detachment
Constant anxiety related to work
Lack of usual enjoyment to the job
Unexplained sickness
Dreading going to work
Loss of appetite
Loss of sleep
Lack of personal accomplishment

300

How should the nurse provide appropriate cultural and spiritual care for the patient and family to best be able to help them when nearing the end of the patient's life.

Assess the individual patient's wishes.
Call a pastor or priest for the family to help them cope.
Assess the beliefs and preferences of the patient and family.
Do not insult African Americans by suggesting hospice care.

400

A palliative client is expressing that "they have sinned in their life" and had many wrong-doings with their family. What type of pain may this be?

- spiritual pain

- psychological pain

400

What percentage of people die from chronic illness in Canada?

70%

400

Give an 2 examples of cultural and religious decisions talked about in the presentation:

Catholic, Christian, Hindu, Muslim values and beliefs sometimes contradict using MAID services
Buddhist families may request no medication to cloud the mind close to death
Some Asian cultures, and indigneous cultures may request that terminal diagnoses is not told to their loved one to prolong hope

400

The hospice nurse visits with the wife of a dying patient. The nurse is most concerned if the patient's wife makes which statement?

A) "I don't think that I can live without my husband to take care of me."

B) "I wonder if expressing my sadness makes my husband feel worse."

C) "We have shared so much that it is hard to realize that I will be alone."

D) "I don't feel guilty about leaving him to go to lunch with my friends."

A

Normal reactions to loss include the statements in options b, c, and d. Option a indicates an abnormal grief reaction and possible suicidal thinking.

400

An 80-year-old patient is receiving palliative care for heart failure. What are the primary purposes of her receiving palliative care (select all that apply)?
A. Improve her quality of life.
B. Assess her coping ability with disease.
C. Have time to teach patient and family about disease.
D. Focus on reducing the severity of disease symptoms.
E. Provide care that the family is unwilling or unable to give.

A, D

500

Total pain encompasses what four dimensions?

500

There are currently (as of 2017) only ___ residential hospice facilities in Canada.

500

While caring for his dying wife, the husband states that his wife is a devout Roman Catholic but he is a Baptist. Who is considered the most reliable source for spiritual preferences concerning EOL care for the dying wife?

A) A priest

B) Dying wife

C) Hospice staff

D) Husband of dying wife

500

A patient with terminal cancer tells the nurse, "I know I am going to die pretty soon, perhaps in the next month." What is the most appropriate response by the nurse?

"What are your feelings about being so sick and thinking you may die soon?"
"None of us know when we are going to die. Is this a particularly difficult day?"
"Would you like for me to call your spiritual advisor so you can talk about your feelings?"
"Perhaps you are depressed about your illness. I will speak to the doctor about getting some medications for you."

500

a, d