Term
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Definition
Denial
Anger
Bargaining
Depression
Acceptance |
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Term
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Definition
Earth element
External sign -body becomes thin
Internal sign- mirage-like appearance to the mind
Water element
External sign- very dry mouth and tongue ; liquids of the body decrease
Internal sign- smoke-like appearance to the mind
Fire element
External sign- reduced warmth of the body
Internal sign- sparkling-fireflies-like appearance.
Wind element
External sign- reduced power of movement
Internal sign- candle-flame-like |
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Term
| Different Religious Beliefs: |
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Definition
Judaism emphasis on this life
Christians and Moslems emphasize preparation for eternal life
Hindus view life as circular rebirths.
Some Native American tribes believe there are parallel worlds of the living and the dead. |
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Term
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Definition
-The disease/illness itself
-Side effects of treatment or medication
-Prolonged bed rest or inactivity
-Loss of role (s) |
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Term
| 3 typical illness trajectories: |
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Definition
SHORT PERIOD OF DECLINE LEADING TO DEATH
Typical progression of certain types of cancer
LONG-TERM LIMITATIONS WITH INTERMITTENT SERIOUS EPISODES (across 2-5 yrs)
Typical of heart, lung, and other organ failure
PROLONGED DWINDLING OF HEALTH
Dementia, generalized frailty |
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Term
| What does this definition refer to? "Place where shelter, food, and care were offered to religious pilgrims and travelers who were on a long journey to the holy land." |
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Definition
History of Hospice:
Originally was a medieval term meaning: |
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Term
| What happened in London in 1968? |
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Definition
Dame Cicely Saunders, MD established the first modern hospice, St. Christopher's -
-Inpatient intervention for terminally ill
-Palliative care approach |
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Term
| What happened in 1845-Dublin & 1905-London? |
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Definition
| Irish Sisters of Charity opened hospices that included many long-stay clients, their focus became working with the dying |
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Term
| What happened in 1971- England? |
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Definition
Eric Wilkes, MD opened St. Luke’s
Added home and day services to hospice care |
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Term
| What happened in 1971- U.S.? |
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Definition
Connecticut Hospice of New Haven
- 1st U.S. program
- 1980-Free standing unit offering free inpatient and home care services
- Hospice programs now exist in every state in the U.S. |
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Term
| 3 Major Hospice Criteria under Medicare hospice benefit: |
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Definition
Medical prognosis of ≤ 6 months to live
No longer undergo curative treatment
Client and family must be made aware of diagnosis and the difference between palliative and curative care |
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Term
| 5 basic tents of hospice care: |
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Definition
Symptom and pain control
Diagnostic honesty and care giver support
24-hour care as appropriate
Promote the client’s quality of life
Provide bereavement services to family members up to 1 year |
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Term
| Who does hospice provide care to? |
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Definition
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Term
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Definition
| Medicare, Medicaid, and insurance covers the cost of hospice |
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Term
| End-of-life care service provision in the predicted six-month interval prior to death is covered under: |
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Definition
| the Medicare Hospice Benefit. |
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Term
| Payment system for hospice is based on what type of structure: |
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Definition
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Term
| What is this the definition of? "an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification, impeccable assessment, treatment of pain and other problems; physical, psychosocial, and spiritual.” |
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Definition
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Term
| How much can you buy medicare for? |
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Definition
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Term
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Definition
A. Coverage for: Hospital insurance, hospice, home health -Does not include room/board if that’s where you reside.
- OT, grief counseling, & pays 5% of in-patient respite care for care giver to have a break ( 5 days/per period). |
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Term
| This is a federal & state funded program: |
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Definition
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Term
| Covers nursing home, home health: |
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Definition
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Term
| Includes home & community-based programs (waiver programs): |
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Definition
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Term
| T or F: palliative care and hospice both Provide day-to–day comfort care |
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Definition
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Term
| T or F: palliative care and hospice both provide care at any stage of illness |
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Definition
| FALSE – PC DOES, NOT HOSPICE |
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Term
T or F: palliative care and hospice both Provide needed equipment
and symptom care |
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Definition
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Term
| T or F: palliative care and hospice both have equal programs in the US |
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Definition
| FALSE – MORE HOSPICE PROGRAMS THAN PC |
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Term
| T or F: palliative care and hospice both try to prolong life. |
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Definition
| FALSE – when people are on hospice they cannot receive curative care. |
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Term
| T or F: palliative care and hospice both offer Bereavement counseling |
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Definition
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Term
| T or F: palliative care and hospice both have the same team members |
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Definition
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Term
| T or F: palliative care and hospice both have the same payment |
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Definition
FALSE - Payment
PC more coverage as In-Pt. |
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Term
| T or F: palliative care and hospice both help with home support household tasks. |
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Definition
| FALSE – ONLY PC DOES THIS |
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Term
| Four domains of occupation in dying |
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Definition
1. Continuing life
- “Doing the things that matter”
2. Preparation for death
- “ Getting everything in order”
3. Waiting
- “ It takes so long to die”
4. Death and after-death
- “ A gentle Good-bye” |
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Term
| 2 forms of advanced directives: |
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Definition
| living will and/or durable power of attorney. |
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Term
| 1991 : Patient self-determination act |
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Definition
| required all health care institution receiving federal Medicare or Medicaid funds inform clients of their rights to refuse treatment and to execute an advance directive. |
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Term
| Intended for while alive: |
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Definition
| living wills, power of attorney and durable power of attorney |
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Term
| Intended upon one’s death: |
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Definition
| Organ and tissue donation, disposition of one’s body or distribution of one’s estate. |
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Term
| “Originally dev. in 1970s: Competent persons to express their wishes to health care professionals, family members and friends.” |
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Definition
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Term
| “Authorization to act in place of another individual.” |
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Definition
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Term
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Definition
| an attorney, the principal, two other witness and notarized. |
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Term
| Two types of durable POA: |
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Definition
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Term
| When was DPOA 1st authorized? |
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Definition
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Term
| Used for specific circumstances or period of time & only when the authorizer is competent. |
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Definition
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Term
| What will happen to a pregnant patient’s Texas Directive? |
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Definition
| will not be honored due to restrictions in the state law. |
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Term
| If you appoint your spouse as your agent, and your marriage is dissolved or annulled: |
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Definition
| your agent’s authority is automatically revoked, unless your Texas Medical Power of Attorney provides otherwise. |
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Term
| T or F: In Texas you do not need to notarize your Texas Directive to Physicians. |
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Definition
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Term
| Ways to revoke the Texas directive: |
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Definition
- Canceling
- Defacing
- Obliterating
- Burning
- Tearing or destroying it
- Signing and dating a written revocation
- Orally stating your intent to revoke the directive. |
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Term
| T or F: You or someone acting on your behalf must notify your doctor of the revocation. |
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Definition
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Term
| What does ( OOHDNR) stand for? |
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Definition
Out-of-Hospital Do-Not-Resuscitate:
-Do not resuscitated outside the hospital setting (Bracelet or necklace) |
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Term
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Definition
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Term
Name the Model of Grieving:
Denial
Anger
Bargaining
Depression
Acceptance |
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Definition
| Stages of Grieving and Dying – kubler-ross |
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Term
Name the model of grieving:
-Shock
-Awareness of loss
-Conversation and withdrawal
-Healing
-Renewal |
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Definition
| Sanders Integrative Theory of Bereavement |
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Term
Name the model of grieving:
- Accept the reality of loss
- Experience the pain associated with grief
- Adjust to circumstances created by loss
- Emotionally relocate the person who has died and progress with life |
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Definition
| Tasks of Mourning – Worden |
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Term
Name the model of grieving:
-Satisfy bodily needs and minimize physical distress
-Maximize psychosocial security, autonomy, and richness in living
-Sustain and enhance interpersonal attachments significant to person concerned and to address the social implications of dying
-Identify, develop, or reaffirm sources of spiritual energy to foster hope |
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Definition
| Corr - Task-based approach |
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Term
| The Quality of Dying and Death Instrument (Curtis et al., 2002; Patrick et al., 2003) measures 3 domains: |
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Definition
1) Quality of care
2) Quality of life
3) Quality of death & dying
Client &/or care givers complete items #1 and #2 over one month prior (if pt. unconscious) or the final seven days prior to death. Family only completes item #3 |
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Term
| Occupational History-Occupational Inquiries by Tigges (1996) addresses the following: |
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Definition
-Employment /homemaking/family histories
-Leisure, sport, & recreation interests
-Temporal adaptation
-Functional evaluation |
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Term
| What is the def. of emotional regulation? |
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Definition
| “Actions or behaviors a client uses to identify, manage, and express feelings while engaged in activities or interacting with others. (OTPF, 2008)” |
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Term
| What an OT should clinically Observe, Treat & Document: |
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Definition
– Responding to feelings….
– Persisting in task despite frustration
– Controlling anger and reducing aggressive acts
– Recovering from hurt or disappointment (suffering)
– Displaying the emotions |
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Term
| • What % of those who sustain a stroke have some form of psychological diagnosis? |
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Definition
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Term
| • What % of stroke victims have significant psychological disorders? |
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Definition
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Term
| T or F: Psychological Factors Affecting Medical Conditions is a recognized diagnostics category |
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Definition
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Term
1. Which of these are signs that you may need to seek professional help for depression?
a. Feeling a little blue
b. Constant fatigue
c. Difficulty with concentration and memory
d. Both B & C |
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Definition
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Term
What is the best way to treat a depressed friend or family member?
a. Ignore them
b. Encourage them to spend time alone
c. Be upbeat and cheerful
d. Be a good listener |
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Definition
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Term
1. Mood disorders cost U.S. employers how much in lost work time?
a. 10 million dollars
b. 16 million dollars
c. 10 billion dollars
d. 16 billion dollars |
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Definition
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Term
| T OR F: most elderly experience a clinically significant depression. |
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Definition
FALSE
When they do, it is rarely a result of the normative life events encountered during aging. |
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Term
| T OR F: Depression is the most common psychiatric syndrome in older adults. |
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Definition
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Term
| Criteria for dx of traditional depressive d/o: |
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Definition
Presence of at least 5 sx
Presence of these sx for at least 2 weeks
Clinically significant distress or impairment in daily functioning |
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Term
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Definition
B. Coverage for: Medical insurance, out-patient care, home health -Monthly premium & deductibles
-DME, orthotics, mental health
-OT (20% of Medicare approved amount) |
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Term
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Definition
| C. Is an Advantage Plan (HMO/PPO) |
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Term
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Definition
| D. Covers prescription drugs |
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