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Chapter 45
End-of-Life Care
Question | Answer |
---|---|
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 |