MEDRADSC 3DH3 Lecture Notes - Lecture 10: Familypc, Shortness Of Breath, The Book Of Lost Tales

• School: McMaster University
• Department: Medical Radiation Sciences
• Course: MEDRADSC 3DH3
• Professor: Lyndsay Simmons

Document Summary

Lecture #10: practical domain: end-of-life care & death settings. Need to weigh person"s values & beliefs with keeping him/her safe & comfortable. Acknowledging that dying is actually happening is difficult for all involved. Research using pps scores has determined that declining pps scores are indicative of earlier death & stable pps scores are consistent with longer survival. Data has demonstrated that a pps score of 10% - 50% of persons will die within 24 hrs & 97% will die within 7 days. Pps score of 30% - 50% of persons will die within 14 days, 98% by 6 months. The palliative prognostic index utilizes the pps score along with reduced oral intake, presence of edema, dyspnea at rest, & resnece of delirium as a tool for determining prognosis. The rate of change in the pps score is of greater importance than the amount of change.