Palliative Care
Assessments and interventions
Roy's Adaption model
Grief
100

the tool that measures the progressive decline of a palliative patient

What is the palliative performance scale

100

at the end of life pain management is an essential assessment the nurse must complete. This medication is an integral part of effective pain management 

What is opioid medication

100

The goal of nursing according to RAM

What is Adaptation
100

The five stages of grief include 

Denial, Anger, Bargaining, Depression and acceptance 
200

The person experiences the development of a new problem or a rapid increase in the severity of existing problems, either of which requires an urgent change in management or emergency treatment

What is unstable stage of palliative care

200

A common symptom at end of life, also known as terminal restlessness

Delirium

200

Internal or external environment which immediately confronts the person

What is focal stimuli

200

This type of grief may be experienced before an actual loss.

Anticipatory Grief

300

Further interventions to maintain symptom control and quality of life have been planned

What is stable stage of palliative care

300

A common symptom at the end of life, is an experience of difficult or uncomfortable breathing

What is dyspnea

300

This mode is associated with relationships and interactions with others 

What is interdependence mode 

300

Feelings of loss are debilitating and do not improve after a long amount of time passes

Complicated grief

400

The process where an individual makes decisions about their future healthcare

What is advanced care planning 

400

This type of care planning is central to delivery of end of life care

What is Collaborative care planning

400

Stimuli are closed factors affecting the current situation

What is Residual stimuli 

400

Guilt is often associated with this stage of the grieving process 

Bargaining 

500

Common signs of imminent death, may include



- progressive weakness
- bedbound state
- sleeping much of the time
- decreased intake of food and fluid
- darkened and/or decreased urine output
- difficulty swallowing (dysphagia)
- delirium not related to reversible causes
- decreased level of consciousness not related to other causes;
- noisy respiration/excessive respiratory tract secretion
- change in breathing pattern (Cheyne-Stokes respiration, period of apnea)

-mottling and cooling extremities


500

The primary goal of supporting patients' quality of life

What is symptom management
500

RAM sees the humans as what type of person

A biopsychosocial being in constant interaction with the changing environment 

500

Grief may affect individuals differently but can be exhibited through signs and symptoms such as

What is altered immune responses, distress, anger, sleep disturbances, withdrawal, pain, panic, and suffering