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Vascular Access: Ostomies and Drains Care in Palliative Medicine

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Essentials of Palliative Care

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Abstract

Palliative care focuses upon supporting the patient’s directed goals of care. Safety and relief of symptoms are important even if alternative measures are put into place. Palliative care manages the imminent dying patient, advanced disease, and catastrophic injury as well as the early stages of a curable disease. The bereavement period after the patient’s death is an extension of palliative care for the family.

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Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, Yale-New Haven Hospital, New Haven, CT, USA

    Patricia L. Devaney R.N., B.S., M.S.

Authors
  1. Patricia L. Devaney R.N., B.S., M.S.
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Corresponding author

Correspondence to Patricia L. Devaney R.N., B.S., M.S. .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University, New Haven, 06520, Connecticut, USA

    Nalini Vadivelu

  2. Citrus Road 278, River Ridge, 70123, Louisiana, USA

    Alan David Kaye

  3. Keck School of Medicine, Department of Anesthesiology, Pain Medic, of the University of Southern California, Los Angeles, 90035, California, USA

    Jack M. Berger

Appendices

Review Questions

  1.  1.

    Palliative care is an interdisciplinary collaboration focusing on patient-defined goals of care

    1. (a)

      True

    2. (b)

      False

  2.  2.

    Hospital palliative care programs are for nonterminal patients and hospice patients

    1. (a)

      True

    2. (b)

      False

  3.  3.

    Of all the symptoms experienced, pain is the most common and most feared

    1. (a)

      True

    2. (b)

      False

  4.  4.

    When using opioid analgesia, dosing is prescribed as only when needed

    1. (a)

      True

    2. (b)

      False

  5.  5.

    Failure to be weaned from the ventilator leads to:

    1. (a)

      Lengthy intubation

    2. (b)

      Be in an intensive care unit

    3. (c)

      Erosion of the trachea and/or vocal cord injury

    4. (d)

      All of the above

  6.  6.

    Esophageal and head and neck patients suffer from:

    1. (a)

      Anorexia and malnutrition

    2. (b)

      Oral candida, mucositis

    3. (c)

      Dehydration

    4. (d)

      All the above

  7.  7.

    Fecal and urinary diversions are always reversible

    1. (a)

      True

    2. (b)

      False

  8.  8.

    Patients who experience acute and chronic heart failure and are refractory to treatment are considered for left ventricular assist device implantation

    1. (a)

      True

    2. (b)

      False

  9.  9.

    Left ventricular assist device patient education must emphasize infection control and anticoagulation therapy

    1. (a)

      True

    2. (b)

      False

  10. 10.

    Recurrent pleural effusions are caused by malignancies

    1. (a)

      True

    2. (b)

      False

  11. 11.

    Psychological distress will worsen if the patient is informed about their advanced disease

    1. (a)

      True

    2. (b)

      False

Answers

  1.  1.

    (a)

  2.  2.

    (a)

  3.  3.

    (a)

  4.  4.

    (b)

  5.  5.

    (d)

  6.  6.

    (d)

  7.  7.

    (b)

  8.  8.

    (a)

  9.  9.

    (a)

  10. 10.

    (b)

  11. 11.

    (b)

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Devaney, P.L. (2013). Vascular Access: Ostomies and Drains Care in Palliative Medicine. In: Vadivelu, N., Kaye, A., Berger, J. (eds) Essentials of Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5164-8_13

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  • DOI: https://doi.org/10.1007/978-1-4614-5164-8_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5163-1

  • Online ISBN: 978-1-4614-5164-8

  • eBook Packages: MedicineMedicine (R0)

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