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End of Life
Terms from Iggy
| Term | Definition |
|---|---|
| death | when the lungs and heart cease to function |
| multiple organ dysfunction syndrome (MODS) | dramatic changes in vital organs lead to release of toxic metabolites and destructive enzymes |
| MODS occurs first in | liver, heart, brain, and kidney |
| MODS caused by septicemia | in lungs |
| clinical death | the short interval after the cessation of heartbeat and breathing when no evidence of brain function is present |
| Almost 80% of people who die are | 65 years or older |
| palliative care | a philosophy that provides a compassionate and supportive approach to clients and families who are living with life-threatening illnesses |
| palliative care is a holistic approach that | neither hastens nor postpones death, but provides relief of symptoms experisnced by the dying client |
| advance directive | a written document prepared by a competent individual that specifies what, if any, extraordinary actions a person would want when he or she can no longer make decisions about personal health care |
| Durable Power of Attorney (DPOA) | a legal document in which a person appoints someone else to make his or her health care decisions in the event he or she becomes incapable of making decisions |
| living will | a legal document that instructs physicians and family members about what life-sustaining treatment one does or does not want at some future time if a person becomes unable to make decisions |
| The goals of care for a client near the end of life are as follows: | -control symptoms -identify client needs -promote meaningful interactions between the client and significant others -faciliate a peaceful death |
| hospice synonymous with | care of the terminally ill |
| hospice care | seeks to use an interdisciplinary appraocj to facilitate both quality of life and a "good" death for clients who are neating the end of their lives |
| Common problems at the end of life | pain, dyspnea, agitation, nausea, and vomiting |
| other symptoms common at the end of life | fatigue, weakness, constipation, anorexia, delirium |
| when first recognized, a symptom of distress is assessed in terms of: | intensity, frequency, duration, quality, exacerbating and relieving factors, and effect on the client's sleep and ability to participate in activities of daily living |
| Dyspnea related to primary diagnosis | lung cancer, breast cancer, coronary artery disease |
| dyspnea secondary to the primary diagnosis | pleural effusion, metastasis to the lung or pleura |
| dyspnea related to treatment of the primary disease | heart failure cause by chemotherapy, constrictive pericarditis due to radation therapy, anemia related to chemotherapy |
| dyspnea related to an etiology unrelated to primary disease | pneumonia |
| possible causes of dyspnea | obstructive, restrictive, or vascular disturbances in the airways with tumor or nodal involvement |
Created by:
ajakubisin
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