California Physician Ebook Continuing Education

___________________________________________ Palliative Care and Pain Management at the End of Life

35. Palliative sedation should A) never be carried out.

38. The issue of perhaps greatest importance regarding palliative care for older individuals is improving care for patients A) with dementia.

B) be initiated as soon as a patient requests it. C) be considered when the family asks to relieve the patient’s suffering. D) be considered after consultation with a psychiatrist and pastoral services, if appropriate. 36. Which of the following is considered to be physician- assisted death? A) Using high-dose opioids to relieve pain B) Administration of a lethal agent with a merciful intent C) Deactivation of an implantable cardioverter- defibrillator D) All of the above

B) with polypharmacy. C) who are unconscious. D) with multiple comorbidities.

39. Which of the following is TRUE regarding end-of-life care for children? A) The WHO ladder is not effective for pain management. B) Psychosocial issues are uncommon for family members and the child. C) The most common symptoms among children are similar to those among adults. D) The child should not be allowed to participate in discussions about the direction of care.

37. Which of the following is TRUE regarding grief, mourning, and bereavement?

40. In end-of-life care for critically ill patients,

A) Grief counseling should begin when the patient is alive. B) Mourning is composed of sequential stages that occur in order. C) The physician’s attendance at the patient’s funeral would be inappropriate. D) The healthcare team should extend bereavement services for no more than one month after the death of the patient.

A) the illness trajectory is usually similar to that for other populations. B) surrogate decision making has correlated well with patient preferences. C) a comprehensive palliative care assessment does not need to be a priority. D) the psychosocial needs of the family peak earlier than in other palliative care settings.

Course Code: MDCA1525

69

MDCA1525

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