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PALLIATIVE CARE PUZZLE #1: ANTICHOLINERGIC TOXIDROME

 CrosswordHobbyist.com/577648/PALLIATIVE-CARE-PUZZLE-1-ANTICHOLINERGIC-TOXIDROME
Across
Music, massage, reiki, essential oils, and pet are examples of this type of therapy that can be useful as part of a palliative plan of care
Side effect of opioids that does not go away with tolerance
Sign of anticholinergic toxicity - blind as a ___
Type of inpatient or rest home stay intended to give caregivers a break
___ Gawande, popular author of "Being Mortal"
Method of converting PO morphine to TD fentanyl that states that the fentanyl patch dose in mcg/h roughly equals 50% of the total 24 hour oral morphine dose in mg, or a right-wing US news agency
Sign of anticholinergic toxicity - dry as a ___
Palliative emergency that results in paralysis for 95% if left untreated. Managed with high dose steroids and radiotherapy
Fancy doctor term for dry mouth
Antibiotic that can be crushed and sprinkled in wounds to reduce malodour and drainage
Sign of anticholinergic toxicity - mad as a ___
Somatostatin analogue and growth hormone inhibitor used to treat carcinoid or palliate bowel obstruction
Popular benzodiazepine spray that one 2016 study showed works no better than placebo nasal saline for dyspnoea
NMDA receptor antagonist and general anesthetic used to produce dissociative analgesia and sedation. Can cause dysphoria and best avoided if cardiac disease
Down
Principles and guidance for end of life care. Translates to "The Unifying Path"
When converting PO oxycodone to SC oxycodone, the SC dose is ___% of the PO dose
Sign of anticholinergic toxicity - red as a ___
Dame who coined the term "total pain"
Dopamine agonist used at low doses to palliate nausea/vomiting, agitation/restlessness, itching, and hiccups. People tend to know this as an antipsychotic but it is an excellent antiemetic
Anxiety, depression, insomnia, and anger are examples of _____ suffering
Pain, dyspnoea, nausea, diarrhoea, and itching are examples of _____ suffering
Way to deliver SC meds at end of life. Make sure the drugs are compatible before mixing!
"How will I tell my children that I'm dying?" and "My family can't agree about how I should treat my cancer" are examples of _____ suffering
"Poor man's radiotherapy", corticosteroid commonly used to palliate pain, nausea, inflammation, low energy, and anorexia. Fewer mineralocorticoid effects than prednisone
Hospice New Zealand motto – “Living Every ____”
Device that may palliate dyspnoea by stimulating the trigeminal nerve, or a sporting event supporter
"What will happen to me after I die?" and "Why did God let this happen to me?" are examples of _____ suffering
Synthetic opioid thought to also act at NMDA receptors. Long and variable half life and potential for QT prolongation mean that careful patient selection and close monitoring are required
Immobility, poor nutrition, and weight loss can predispose to this type of injury, especially over bony areas, and may be associated with shear and/or friction
Sign of anticholinergic toxicity - hot as a ___
Abbreviation for the meeting at which all palliative team members come together to review plan of care for patients and families