Term
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Definition
| interdisciplinary collaboration that focuses on patient-defined goals of care & relief of pt and family's distress & extends into bereavement period following patient's death |
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Term
| Primary Goal of Palliative Care Therapy |
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Definition
| prevent & relieve suffering, enable the best quality of life |
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Term
| Patient types appropriate for Palliative Care |
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Definition
| chronic illness, conditions, or injury that: adversely affects daily function & shortens life expectancy (ex: endstage HF, COPD, terminal cancer, "failure to thrive") |
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Term
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Definition
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Term
| palliative care DOES NOT = |
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Definition
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Term
| Goals of Therapy: PEACE Tools |
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Definition
| P = Physical Symptoms, E = Emotive/Cognitive Symptoms, A = Autonomy related issues, C = Communication, and/or closure of life affairs, E = Economic burden & other practical affairs, T = Transcendent & existential issues |
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Term
| Treatment of Physical Symptoms |
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Definition
| PAIN RULES! pain management, anorexia/oral intake issues, incontinence, nausea & GI symptoms, respiratory symptoms, ulcerations, level of function, energy levels (fatigue, asthenia), side effects of treatment |
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Term
| Treatment of Emotive/Cognitive Symptoms (SAD) |
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Definition
| treat these conditions: S = sadness, grief; A = anxiety; D = depression and/or delirium |
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Term
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Definition
| reflects pt's sense of control in decision-making process related to his/her illness, MUST consider pt specific goals |
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Term
| Treatment of Closure of Life Affairs |
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Definition
| treatment of closure of relationships, reflection of accomplishments, preparedness for path ahead |
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Term
| Treatment of Economic Burden |
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Definition
| help identify worries over burden placed on family; insurance claim assistance |
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Term
| Treatment of Transcendental/Existential Issues |
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Definition
| help pt with spiritual/religious concerns: faith - what are the patient's beliefs, Importance - how important is spirituality to patient, Community - what defines his/her "spiritual community", Address - how should the providers address patient's spiritual issues |
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Term
| Pharmacist's Responsibilities in Palliative Care |
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Definition
| assess appropriateness of medication orders, ensure timely provision of effective medication for symptom control, counsel & educate hospice team about therapy, ensure patients/caregivers understand medication directions, provide efficient mechanisms for extemporaneous compounding of nonstandard dosage forms, address financial concerns, enzure safe & legal medication disposal after death, establish/maintain effective communication with regulatory agencies |
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Term
| "Ideal" Palliative Medication |
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Definition
| multiple palliative effects, no drug interactions, versatile route of administration, wide therapeutic window, low cost, simple dose scheduling, high (or no) therapeutic ceiling |
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Term
| Optimal # of medications for most palliative care patients |
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Definition
| use 5 to 7 medications to minimize total # of meds, minimize chance of drug-drug interactions, minimize burden of medication administration on patient & family, optimally reduce symptoms of illness & increase comfort |
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Term
| Most commonly used medication groups |
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Definition
| analgesics, anti-emetics, laxative/anti-diarrheal, antianxiety, sleep aides, appetite stimulant |
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Term
| Opioids used in Palliative Care |
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Definition
| morphine (normal- & controlled-release), methadone, transdermal fentanyl, codeine, tramadol |
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Term
| Nonopioid analgesics used in palliative care |
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Definition
| paracetamol (acetaminophen), diclofenac, ibuprofen |
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Term
| antipsychotics used in palliative care |
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Definition
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Term
| Antiemetics used in palliative care |
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Definition
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Term
| corticosteroids used in palliative care |
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Definition
| dexamethasone, prednisone |
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Term
| antidepressants used in palliative care |
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Definition
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Term
| benzodiazepines used in palliative care |
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Definition
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Term
| laxatives used in palliative care |
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Definition
| lactulose, senna, docusate sodium |
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Term
| Antispasmodics used in palliative care |
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Definition
| hyoscine butyl (glycopyrrolate) |
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Term
| anticonvulsants used in palliative care |
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Definition
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Term
| progestin used in palliative care |
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Definition
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Term
| antifungals in palliative care |
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Definition
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Term
| antihistamine in palliative care |
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Definition
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Term
| histamine-2 antagonist in palliative care |
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Definition
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Term
| psychostimulants in palliative care |
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Definition
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