Introduction to End-of-Life, Palliative, and Hospice Care

A set of vocabulary flashcards covering key terms, palliative care domains, manifestations of dying, advance directives, and grief concepts from the lecture.

Loss

An undesired change or removal of something valuable to an individual, such as health, income, or relationships.

Actual Loss

A loss that can be recognized and experienced by others, such as loss during a natural disaster or the death of a loved one.

Perceived Loss

An internal loss that is perceived by an individual but may not be recognized or perceived as a loss by others.

Physical Loss

A loss directly related to a loss of bodily function, removal of an organ, or loss of a limb.

External Loss

The loss of external objects that are important to an individual, such as losing a home in a tornado.

Environmental Loss

A loss caused by a change in a familiar environment, such as starting a new job or moving to a new home.

Palliative Care

Planned care focusing on pain and symptom management associated with severe chronic illness at any age or stage of illness to address end-of-life concerns.

Structure and Process of Care

The first domain of palliative care, involving a written plan of care based on patient and family goals, preferences, and values that is shared with all care providers.

Physical Aspects of Care

The domain of palliative care focused on assessing, treating, and documenting physical symptoms while evaluating interventions with measurable, time-stamped outcomes.

Psychological and Psychiatric Aspects of Care

The domain of palliative care that assesses and documents conditions like anxiety, depression, and delirium, while addressing caregiver emotional needs.

Social Aspects of Care

The domain of palliative care that includes scheduling goal-setting sessions with family and addressing cultural, legal, and financial concerns.

Ethical and Legal Aspects of Care

The domain of palliative care addressing a patient's legal capacity, surrogate decision-making, living wills, and advance directives.

Hospice Care

End-of-life care provided for patients who have been given an estimated lifespan of 6 months or less.

Cheyne-Stokes Breathing

A breathing pattern observed in dying patients characterized by labored breathing interspersed with periods of apnea.

Death Rattle

A rattling sound produced by chest congestion in a patient during the final hours before death.

Post-Mortem Care

Respectful care administered to a patient after death by the RN, including maintaining privacy, cleansing the body, placing fresh linens and absorbent pads, and attaching proper ID tags.

Advance Directive

A legal document detailing a patient's medical choices and preferences for care if they become unable to speak for themselves.

Power of Attorney for Health Care

A designated individual authorized to make all medical decisions on behalf of a patient when the patient is incapacitated.

Uncomplicated Grief

Natural and expected grief experienced in response to a loss.

Five Stages of Grieving

The stages of grief described by Kübler-Ross: denial, anger, bargaining, depression, and acceptance.