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365 Exam 1
365 CH End of Life
| Term | Definition |
|---|---|
| palliative care | interdisciplinary specialty focused on improving quality of life |
| palliative care principles | decrease pain and suffering, increase adherence to advanced directives, increase patient and family satisfaction |
| who can make decisions | patient as long as they are alert and oriented, can communicate wishes |
| durable power of attorney | named by patient |
| surrogate decision maker | who can make a decision, follow state guide |
| living will | the patient's wishes |
| allow natural death (DNR) | do not resuscitate, allow natural death is an order written in the hospital or on a legal form to respect wishes of patient; can be revised or revoked at any given time |
| hospice care | provides service to patients in their last phase of terminal disease; helps in preparation of death; prognosis of survival is 6 months or less |
| end of life | there is no typical death, unique to culture; rule out reversible or treatable causes of distress; focus on patient how they feel |
| physiological signs of approaching death | cool, mottled extremities, increased sleeping, inability to regulate temperature, fluid and food intake decrease, incontinence, congestion and gurgling, apnea |
| apnea | patterns of breathing and not breathing |
| bereavement | state of loss |
| grief | reaction to loss |
| anticipatory grief | starts ahead of time, knowing death is coming |
| adaptive grief | over time, healthy grief response, realistic coping |
| prolonged grief | more than 6 months, seek referral |
| shock stage | initial paralysis of the news |
| denial stage | avoid inevitable |
| anger stage | frustrated outpouring of bottled up emotion |
| bargaining stage | seeking in vain for a way out |
| depression stage | final realization of the inevitable |
| testing stage | seeking realistic solutions |
| acceptance stage | finding a way to move forward |
| post mortem care | after patient is deceased; turn off monitors, notify physician they must examine |
| death | irreversible cessation of cardiovascular, respiratory and brain function |
| brain death | irreversible loss of all brain function |
| comfort focused care | mouth swabs, adjust room temperature, avoid distressing actions |
Created by:
ahommel
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