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Chapter 44

End-of-Life Care

QuestionAnswer
Your feelings about _______________ affect the care you give. Death
An illness or injury from which the person will not likely recover is a ___________ illness. Terminal
Persons with terminal illnesses can choose palliative care or _______________ care. Hospice
What type of care involves relieving or reducing the intensity of uncomfortable symptoms without producing a cure? Pallative
What type of care focuses on the physical, emotional, social, and spiritual needs of dying persons and their families? Hospice
Pain relief and comfort measures are stressed during ____________ care. Hospice
Experiences, culture, religion, and age influence attitudes about ___________. Death
What is the belief that the spirit or soul is reborn in another human body or in another form of life? Reincarnation
Infants and ___________ do not understand the nature of meaning of death. Toddlers
Children between 2-6 years old believe that death is _______________. Temporary
Children between the ages of 2-6 years old often blame ____________ when someone or something dies. Themselves
Children between the ages of 2-6 years old often believe that death is a __________________ for being bad. Punishment
Adults often _______________ death because it affects plans, hopes, dreams, and ambitions. Resent
Older person usually have fewer _______________ about death because they know it will occur. Fears
The first stage of dying is _______________ in which the person refuses to believe that they are dying. Denial
The second stage of dying is ____________ in which the person blames others and finds fault with those who are loved and needed the most. Anger
The third stage of dying is ________________ when the person will often bargain with God or a higher power for more time. Bargaining
When a person is in stage three of the dying process the person usually makes ________________ in exchange for "just one more" request (for example seeing a child get married, a grandchild be born, one more Christmas, or other event). Promises
The fourth stage of dying is _________________ in which the person is very sad and may cry and talk about people and things that will be left behind. Depression
The fifth and final stage of dying is _______________ in which the person has said their goodbyes and completed any unfinished business. Acceptance
It is important that you ______________ and let the person talk and share worries and concerns. Listen
Let the person express feelings and _______________ in their own way, you may not need to say anything. Emotions
Some people may want to see a _______________ leader or take part in religious practices. Spiritual
Provide _______________ during prayer and spiritual moments. Privacy
Good _________________ helps to promote comfort. Alignment
What position is usually best for breathing problems? Semi-Fowler's
Because of failing ____________, it is important to explain who you are an what you are doing to the person or in the room. Vision
What is one of the last functions lost? Hearing
A person's skin may feel _____________ but only light bed coverings are needed because blankets may make the person feel too warm and restless. Cool
Urinary and fecal _______________ may occur as death nears so you need to give good perineal care. Incontinence
Family will often want to stay with the person as death nears, the family can stay as long as ______________ wish. They
Respect the person and families right to ______________ and allow time together. Privacy
What the name of the document that states a person's wishes about their health care when they cannot make his or her own decisions? Advance directive
Common advance directives are ____________ __________ and durable power of attorney orders. Living wills
What is a document about measures that support or maintain life when death is likely (for example feeding tubes, ventilators, and resuscitation efforts)? Living wills
A durable power of ________________ for health care is a directive that give the power to make health care decisions to another person. Attorney
When a person is terminally ill, they may not want to be __________________. Resuscitated
When a person does not want to be resuscitated the doctor will write a "Do Not Resuscitate" or __________ order. DNR
You may not ______________ with the person's care of resuscitation decisions but you must follow the wishes of the person, family, and the doctor's order. Agree
Signs that death is near may be a ________________ expression on the face. Peaceful
Signs that death is near include failing circulation and a blood ____________ that starts to fall. Pressure
Signs of death include no pulse, no ___________________, and no blood pressure. Respiratations
Care of the body after death is called __________-__________ care. Post-mortem
Post-mortem care is given to maintain a good ________________ of the body. Appearance
What is the stiffness or rigidity of skeletal muscles that occurs after death? Rigor mortis
The body is positioned in normal _______________ before rigor mortis sets in. Alignment
What is the examination of the body after death? Autopsy
Moving the body can cause remaining air in the lungs, stomach, and intestines to be _________________. Expelled
When remaining air is expelled, it is normal and expected that ______________ will be produced. Sounds
When assisting with post-mortem care position the person in _______________ position. Supine
When assisting with post-mortem care put dentures in a labeled denture cup it they are not ________________. Inserted
The person has the right to _______________ before and after death. Privacy
Do not ___________ the person's body unnecessarily. Expose
Properly ____________ and screen the person when giving care before and after death. Drape
Some health team members avoid being around dying persons making _____________ a possibility. Neglect
Dying persons have the right to a ____________ and home-like setting. Safe
Created by: na3