Week 4

Question 1

What are the 4 ethical principles of palliative care?

Answer 1

• justice for all
• clinical integrity
• respect for the persons
• benefit to the person (pain free)

Question 2

There are 5 palliative care phases. List them.

Answer 2

Stable = symptoms controlled
Unstable = increasing challenges
Deteriorating= functional status decreases
Terminal = death is likely
Bereavement and support stage = death has occurred

Question 3

What is SPIKES?

Answer 3

It is the steps to breaking bad news.

Question 4

What does SPIKES stand for?

Answer 4

Setting
Pt's perceptions - pt understanding
Invitation
Knowledge - explain medical facts, explore denial
Explore emotions and Empathize 
Strategy and summary

Question 5

Palliative Care Intervention Support consists of 3 tiers of support. List them.

Answer 5

1. Primary carer and informal community support
2. generalist health provider and formal community support services
3. specialist palliative services

Question 6

what is the general aim for developing a model of care?

Answer 6

To ensure people get the right care, at the right time, by the right team and in the right place.

Question 7

The Palliative Care Model consists of 8 areas. List them.

Answer 7

1. Disease management
2. Physical
3. Psychological
4. Social
5. spiritual
6. Practical
7. End of life care
8. Loss and bereavement