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Pallative
| Question | Answer |
|---|---|
| Fill in the blank. Adults and older people usually have a fear of dying____________? | Alone |
| What is the last sense to be lost as death nears? | Hearing |
| What is there no chance of happening when an illness is terminal? | Recovery or Remission |
| What are the five stages of facing emotions of death? (Dr. Elizabeth-Kubler Ross) | Denial, Anger, Bargaining, Depression, Acceptance |
| How often should teeth and mouth be cleaned when someone is dying? | Every 2 hours |
| What are the psychological factors that can influence living or dying? | Hope & Will |
| What is it call when a client has a "Do Not Resusitate" order in place. | DNR order |
| What is a child's understanding of the process of death and separation? | 0-2yrs-no concept 3-5yrs- curious & blames themselves 5-7 yrs- know's it's permanent and won't happen to them |
| What are some attitudes about death that are influenced by culture? | Reincarnation To be reborn as another person or life form Rituals Embalming Spirits & Souls |
| When the client is willing to accept death it is called __________? | Acceptance |
| When the client can't believe they are dying is called___________? | Denial |
| When a client is sad this is called_____________? | Depression |
| When a client say "You never do anything right". This is the client showing______________? | Rage & Anger |
| When a client say " I won't complain if I can just see my grandchildren". The client is doing what? | Bargaining |
| List some measures to assist with the pain and disomfort management (Physical)? | Medication, breathing exercises, repositioning using pillows, resolving a conflict, music, not to many blankets, massage |
| List some measure to employ that can provide comfort to the sying client? | music, lighting, listening,laughter,noise level, room temperature, touch |
| Define the term "Pallative Care" | Services for people with progressive life threatening illnesses or conditions. Service aim to relieve suffering and improve comfort. |
| List some signs of approaching death? | decreased food intake, Dyspnea(breathlessness) sleeps a lot, mottling skin, cold feet & cool skin, unresponsiveness, Death Apnea, gurgling in lungs, loss of muscle tone, dry sore mouth, dehydration |
| What belief is it when the spirit or sould is reborn in another human or life form? | Reincarnation |
| List signs of death? | No pulse, fixed & dilated pupils, Loss of movement, no respitory breathing, mottled skin |
| How long should you wait after giving meds and giving care to a client? | 1/2 hour |
| What is Creating and focusing on an image called? | Guided Imagery |
| What is a "Phantom Pain" caused from? | A body part that is no longer there |
| What is pain that is felt suddenly from an injury, disease, trauma of surgery called? | Accute Pain |
| What is it called when someone is free from mental & physical stress? | Relaxed |
| How many hours of sleep does a 10 yr old child require? | 10-11 |
| What is the definition of "Sleep Deprivation"? | The amount & quality sleep declines. Illness & hospital care are common causes. Physical & mental health effects sleep |
| True or false? A major goal of palliative care is to maintain quality of life in a holistic manner for people living with or dying from a life threatening illness. | True |
| Describe a hospice | A place where care is given usually for End of Life Care. |
| Care that involves someone going to a facility for a short duration is called? | Respite |
| "DNR" stands for what? | Do Not Resuscitate |
| What does "Do Not Resuscitate mean? | That a client does not what CPR performed . no live saving measures. Wants to die with diginity & respect |
| When circulation starts to shut down, you will notice that the external body temperature is cool? | True |
| Mottling is a sign of the respiratory system shutting down and it is when the toes and fingers turn purple? | False |
| Vision is the last sense to be lost in the dying process? | False |
| Explain what should happen after a client dies in a nursing home? | Call RPN to access, Notify Physician, let family have time with loved one, clean and prepare body and put in good alignment. RPN will call funeral home |
| Circulation decreases from the feet up? | True |
| Dentures should be put in the mouth of the client after death has occurred if it the policy of the facility? | True |
| Rigor Mortis is a stiffened condition that occurs 2-3 hours after death? | True |
| The dying person has the right to maintain their individuality? | True |
| The "POA" is someone who executes the will after death? | False |
| The executor is the person that executes the will after death? | True |
| A living will is the same as an advance care directive, both outline's a person's personal care? | True |
| Cheyne-Stokes respirations is a sign that the respiratory system is shutting down? | True |
| A shroud is the wrap used on a person after death, in some facilities? | True |
| Anticipatory grief is when a person experiences loses and sorrow before death? | True |
| A dying person should have their questions answered honestly? | True |
| It is comforting for a person's family to know what to expect in the dying process? | True |
| The Purpose of Edmonton System "Assessment" system (ESAS) is to identify symptoms a a person's experiencing? | Trueq |
| What is Dyspnea? | A feeling of breathlessness |
| What are Opiods? | One of the main functions of opioids is to produce sedation and pain relief and they have been used for pain relief over thousands of years. |
| What are common side effects when using "Opiods"? | Constipation & Nausea |
| What are non verbal behviours when a person is in pain? | Resisting Care, facial grimacing & changes in behaviour |
| The purpose of Hospice Carepalliative care is__________? | Care & support to help individuals live as actively as possible thru to death |
| What does the Acronym "SBAR" stand for? | Situation, Background, Assessment(Observe & Report) .Recommend or Report |
| List the 3 key concepts of loss & grief? | 1. Loss in normal 2.greif is natural 3. People grieve in different ways |
| Describe what an "appropriate" death is? | Consideration of and individuals life experieinces, what there preferences are and doing things there own way and making there own choices |
| What is dying? | A journey taken to the end of your life |
| What are some challenges for someone who is dying? | 1. Not knowing when death will occur 2.when to stop active treatment 3.experiencing near death episodes 4.dyspnea & delerium are common 5. not knowing if the latest episode "IS IT" |
Created by:
Lindasbell
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