Assignment task: Mr. Brown has been a patient in your practice for many years. Two years ago, he was diagnosed with lung cancer and has been undergoing treatment. His oncologist recently told him that his cancer was no longer responding to the current treatment regime and had metastasized to his bones. Mr. Brown and his wife and daughter have scheduled an appointment with you to discuss palliative care and what can be expected. Although Mr. Brown's death is not imminent, his care needs will continue to increase, and his condition will eventually lead to death. His disease process is typically accompanied by an increasing level of pain, which is of great concern to Mr. Brown and his family. The meeting today is intended to determine whether palliative care is appropriate.
Questions:
Q1. What are some open-ended questions you can ask to assess the need for palliative care?
Q2. What are some of the approaches to ensure therapeutic communication?
Q3. What evidence-based clinical guidelines would you discuss with the family to determine the qualifications for palliative care?
Q4. How to prioritize Mr. Brown's care?
Q5. How should Mr. Brown's spiritual well-being be evaluated?
Q6. Are there any screening tools that could be used in this situation?
Q7. How might we serve God through upholding Mr. Brown's dignity during the dying process?
Q8. What are the strategies to promote person-centered compassionate end-of-life care with respect for determinants of health, differences, diversity, needs, preferences, and values?
Q9. What members of the interprofessional team will be important to include to coordinate culturally sensitive, patient-centered, and family focused palliative care?
Q10. What are the strategies to optimize the care coordination and transitions of care for this patient and patient's family?
Follow up question:
Q11. As the only FNP in the office. The practice will be opening another office location. How should the FNP develop a new palliative care program and incorporate telehealth technologies as an option for improving access to care?
Q12. What are two legal concerns with telehealth?
Q13. What are the implementation costs and telehealth delivery platforms to consider?
Q14. What are the differences in billing for a telehealth appointment versus an in-person clinic appointment.