end of life care, grief, loss

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created 2 weeks ago by Akosua_Ruby
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updated 5 days ago by Akosua_Ruby
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1

palliative care focuses on what?

reducing severity of symptoms for patients with life-limiting illness

2

what does palliative Care do for patients?

pain management, reducing symptoms, supporting families, etc

3

what does hospice care do?

  • provide support and comfort during last stages of a terminal illness.
  • once a patient is no longer receiving curative treatments
4

how many physicians do you need in order for a patient to go on hospice care? can they withdraw at anytime

you need 2 physician certify that the patient has less than 6 months to live. patients can withdraw at anytime

5

what is the last sense to disappear? what are some physical manifestations of end of life

  • hearing.
  • decreased vision, taste, smell
6

respiratory decline during end of life

cheyne-stokes respirations, congested breathing

7

cardiac decline during end of life

decreased BP, HR, weak irregular pulse.

8

GI decline during end of life

slowing or cessation of GI tract due to opioids, difficulty swallowing and speaking

9

skin changed during end of life

mottling, cold clammy skin, cyanosis. decreased pain and touch perception

10

physiological manifestation during end of lief

  • anxiety, fear, helplessness
  • life review, peacefulness
  • restlessness
  • decreased socialization and withdrawal
  • vision-like experiences
11

advanced directive

documents about care and treatment and who can make decisions for them

12

directive physicians

documents with specific intervention to be used or withheld

13

DNR

  • physician's order not to do CPR
  • need to indicate specific interventions to be used
14

durable power of attorney for health are

document listing person who can make decision for patient if patient is unable to

15

what are some nursing management during end of life

  • pain management
  • reorient patient if needed
  • encourage patient to verbalize feelings
16

what are some things a nurse can do for a patient while nearing the end of life

  • suction as needed
  • oxygen therapy
  • position for comfort and optimal breathing
17

what do you need to do if a body is to be taken down for an autopsy?

  • do not remove anything from the body.
  • contact supervisor
  • allow family time with patient