While caring for a PMV patient in a subacute care facility, which ...

[Collmarie]

While caring for a PMV patient in a subacute care facility, which of the following palliative care components must the therapist address? I. maintaining appropriate ETT cuff care II. relieving dyspnea III. mitigating anxiety IV. anticipating patient thirst
 
  A. I, III only
  B. II, IV only
  C. II, III, IV only
  D. I, II, III, IV

Question 2

Approximately, how long after the initial critical care experience does a PMV patient succumb to death?
 
  A. 3 months
  B. 12 months
  C. 18 months
  D. 24 to 36 months

[Liamb2179]

Answer to Question 1

ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: PMV patients report a sobering array of symptoms that providers often under appreciate. Effective symptom palliation, therefore, is an essential component in the care of PMV patients. This entails awareness of commons symptoms, such as thirst, dyspnea, pain, and anxiety. It is a special challenge to provide adequate palliation using sedatives, analgesics, and other pharmacologic interventions without compromising wakefulness, airway clearance, and strength.
D. Incorrect response: See explanation C

Answer to Question 2

ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Although many persons who survive prolonged mechanical ventilation report good or excellent quality of life in long-term follow-up, the fact remains that most PMV patients will have died within 1 year after their initial critical care provision (i.e., after cycling through multiple care facilities).
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.