Exam 25: Chronic Care, Long-Term Care, and Palliative Care

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The World Health Organization defines palliative care as an approach focused on improving quality of life for both the patient faced with a life-threatening illness and their family. Discuss palliative care from this perspective

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Palliative care:
-Provides relief from pain and other distressing symptoms
-Affirms life and regards dying as a normal process
-Intends neither to hasten nor postpone death
-Integrates the psychological and spiritual aspects of patient care
-Offers a support system to help patients' life as actively as possible until death
-Offers a support system to help the family cope during the patient's illness and in their own bereavement
-Uses a team approach to address the needs of patients and their families, including bereavement counselling if indicated
-Will enhance the quality of life, and may also positively influence the course of illness
-Is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such a chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications

Sally is a community health nurse who works to provide a seamless transition among various types of interventions and services based on the needs of patients. What type of care is Sally providing?

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C

Discuss when it is appropriate for a patient to consider hospice palliative care.

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-Hospice palliative care is appropriate for any person and/or family living with or at risk of developing a life-threatening illness due to any diagnosis, with any prognosis, regardless of age, and at any time they have unmet expectation and/or needs and are prepared to accept care. Hospice palliative care may complement and enhance disease-modifying therapy or it may become the total focus of care.

In 2012, how many family caregivers were there in Canada?

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Over the next 20 to 30 years, the number of Canadians living with and dying from chronic diseases will increase. Why is this the case?

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What is the best definition for the term "chronic care"?

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List the three components of facility-based long-term care.

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What are the three aims of hospice palliative care?

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How many Canadians are known to live with Dementia in 2016?

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What term is used to describe a variety of services that are necessary for the physical and psychological needs of patients who are no longer able to function independently?

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Which concept is used to describe integrating palliative care principles into any setting of care?

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Which of the following statements is true?

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Jesse is a community health nurse working in palliative care with Mrs. Wang's family. Jesse is assessing the level of care-giver burn out. Which term below best describes Jesse's?

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Jason is providing excellent palliative care to his patients with the goal of implementing a comfortable dying process. Which term below best describes Jason's work?

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What type of long-term care services are the most intense type of service delivery on the long-term care continuum?

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What are the reasons why people decide to move from their own homes into a collective dwelling? Select all that apply.

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The goal of hospice care is quality end-of-life care in any setting. Where and when did the first hospice open?

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Why was the Expanded Chronic Care Model developed in Canada?

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What is the best term used to describe the largest component of community-based long-term care services in Canada?

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Which of the following models is the best-known comprehensive model to address chronic care needs of patients?

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