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concepts 2 chapt 10
concepts 2 unit 1
| Question | Answer |
|---|---|
| What is the main goal of end-of-life care? | Dying with dignity, comfort, and peace |
| What is prioritized at end of life—comfort or cure? | Comfort |
| What forms of distress should be relieved at end of life? | Fear, pain, spiritual distress, unresolved relationships |
| Is pain control a right for dying patients? | Yes |
| Is addiction a concern in terminal care? | No |
| Is euthanasia allowed? | No |
| What is the goal of curative care? | Cure the disease |
| What is the focus of palliative care? | Comfort and quality of life |
| Can palliative care be used with curative treatment? | Yes |
| What defines hospice care? | Terminal illness with ≤ 6 months to live |
| Hospice priority? | Comfort > cure |
| What are key hospice team roles? | Pain relief, emotional support, reduce fear, include family, caregiver respite |
| What does a living will specify? | What treatments patient wants/does NOT want |
| What does DPOA determine? | Who makes decisions. durable power of attorney, |
| When is DPOA used? | When patient loses capacity |
| What does DNAR mean? | No resuscitation efforts |
| Define grief. | Emotional response to loss |
| What is role reversal? | Children become caregivers |
| How should children be told about death? | Honestly and age-appropriately |
| What are the 5 stages of grief? | Denial Anger Bargaining Depression Acceptance |
| Are stages linear? | No |
| What are the 5 key statements? | Forgive me I forgive you Thank you I love you Goodbye |
| What must nurses do regarding cultural preferences? | Always assess, never assume |
| Examples of cultural preferences? | Location of death, family presence, rituals, spiritual leaders |
| Common psychological changes? | Withdrawal, sleep increase, confusion, life reflection |
| Common physical changes? | Irregular breathing, ↓ vitals, ↓ activity, skin changes |
| What is reduced at end of life? | Labs, diagnostics, routine vitals |
| What is emphasized? | Comfort, presence, touch, family support |
| Top priorities? | Pain Dyspnea Nausea Moist mucous membranes Positioning Spiritual distress |
| What is the main principle? | Dignity and respect |
| If NO autopsy? | Remove tubes |
| If autopsy REQUIRED? | Leave tubes in place |
| Key steps to remember? | ID band stays Supine position Dentures left in Family unlimited time Document everything |
Created by:
muvamayi