end of life matters family feud

informal caregiver.

A family member or friend who gives assistance for emotional needs

palliative care.

The act of providing total care for patients whose diseases are no longer curable

Patient Protection and Affordable Care Act (ACA)

The law that ensures people age 26 or younger are covered and protects pre-existing conditions

subjective pain.

Whatever the patient says they are experiencing is considered

Neuropathic pain

initiated or caused by lesion/disease in the nervous system

hospice care

A well-coordinated set of services to relieve suffering at the end of life

self-determination.

The right to choose what happens in your life is

Kolcaba’s Comfort Theory includes four types of comfort

• Physical

• Psychological

• Spiritual

• Social
  It also considers internal and external factors

living will or advance directive

A written statement describing what a patient wants when they can no longer speak for themselves

PULSE/POLST (Physician Orders for Life-Sustaining Treatment)

used to determine what happens to a patient later regarding medical treatment decisions.

Non-opioids and opioids are both part of pain management in the

WHO pain ladder.

beneficence.

The ethical principle involving actions taken to promote good

caregiver

Someone who provides holistic assistance

functional status assessment

The type of assessment that identifies how well a person is coping or functioning with an illness

power of attorney.

The legal right given to another person to make decisions

Negligence

failure to provide proper care resulting in harm

Three uses for opioids

• Cough suppressant

• Treat diarrhea

• Balance anesthesia

Denial of impending death, fear of upsetting patients, and family history of not sharing information are reasons related to

truth telling

Nancy Cruzan case

A landmark legal case in end-of-life care

Five Wishes

Questions about who will make decisions and what medical treatments are wanted/not wanted are part

suicidal thoughts

Personality changes and giving away possessions may indicate

statutory laws.

Laws that protect fairness and equitable treatment when civil wrongs occur

misdemeanor

A criminal action causing injury but not serious harm

felony

A criminal action causing serious harm

False imprisonment

an intentional tort.

Three types of euthanasia:

• Voluntary

• Non-voluntary

• Involuntary

ethics

The study and conduct of moral character

utilitarianism

The greater good”

Common opioid side effects:

• Constipation

• Nausea

• Infusion/sedation

30. Sleep hygiene

• Often underestimated

• Lack of sleep impacts:

  • Concentration

  • Fatigue

  • Judgment

  • Depression

• Keeping a sleep diary can help.

The four parts of the nociceptive pain pathway:

• Transduction

• Transmission

• Perception

• Modulation