Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
end life
| Question | Answer |
|---|---|
| What is end life? | When a disease or illness is deemed incurable by health care provider |
| What is the goal of end life? | -maintain comfort -maintain quality of life -provide all means for a dignified death (respect their wishes) |
| What does DNR stand for? | Do Not Resuscitate |
| Full code | aka code blue; do anything to resuscitate |
| Chemical code | no cpr, meds are administered |
| What are the two types of loss? | -actual loss -anticipatory loss |
| What is actual loss? | -can be recognized by others (i.e. death, amputation, job loss) |
| What is anticipatory loss? | Loss that has yet to take place (i.e. hospice care, terminal illness) |
| Grief | emotional reaction to loss |
| Bereavement | state of grieving during which a person goes through the grief process (normal, essential for good health) |
| Mourning | acceptance of loss and grief during which a person learns to deal with the loss |
| What are Kubler-Ross' five stages of Grief? | 1) Denial & Isolation 2) Anger 3) Bargaining 4) Depression 5) Acceptance |
| Definitions of death | irreversible cessation of respiration & circulation, functions of entire brain, loss of all "higher" brain function |
| Clinical signs of impending death: Cardiovascular | -Hypotension -Change in pulse (increase, decrease,irreg, weak) -Poor circulation |
| Clinical signs of impending death: Respiratory | -Change in breathing patterns (agonal, cheyne stokes, irregular, -death rattle (accumulation of secretions) -dyspnea |
| Clinical signs of impending death: Gastrointestinal | -decreased GI motility -nausea, bloating, flatus, anorexia -bowel incontinence |
| Clinical signs of impending death: Genitourinary | -decreased urinary output (oliguria-->anuria) -Incontinence |
| Clinical signs of impending death: CNS | -confusion/delirium -out of body experiences |
| Clinical signs of impending death: Sensory system | -decreased sensation -pain -glazed eyes -eyelids remain half open -hearing believed to be last sense to disappear |
| Clinical signs of impending death: Musculoskeletal | -difficulty speaking -sagging of jaw from loss of facial muscle tone -gradual loss of ability to move |
| Interventions for Dyspnea | -provide oxygen -nebulized medications (morphine, bronchodilators -place in comfortable position -suction as needed |
| Interventions for pain | -meds (around the clock and breakthrough) -massage, aromatherapy, music therapy, relaxation techniques -minimize irritants (wetness, cold, pressure) -do not deny pain relief measures |
| Interventions for nutrition/hydration | -ice chips, sips of fluids, mouth swabs, moist cloths to suck -assess nausea: c/o, contributing causes -provide frequent mouth care -provide antiemetics before meals -offer culturally appropriate foods |
| Restlessness | -assess for spiritual distress as a cause of restlessness and agitation -do not restrain -use soothing music, slow soft touch & voice -limit persons at bs |
| Confusion/disorientation/delirium | -reorient -keep personal and familiar items within reach -clock -comfort pt, speak in soft soothing voice -family members at bs -identify cause if possible (pain, discomfort, urinary retention) |
| Elimination | -keep skin clean from incontinence -urinary catheters may be used |
| Therapeutic communication | -open environment for expression -nonjudgmental -just be there -life review -be yourself -empathize -show human kindness -keep it simple |
| Advance directives | documents that state end of life wishes specifically or designate the person who will make those decisions (i.e. living will, durable power of attorney) |
| Living will | this document states specific wishes regarding kinds of healthcare that should be delivered or withheld in certain situations |
| Durable power of Attorney | designates someone to make any decisions for you, when you are no longer to make those decisions for yourself |
| Hospice care | concept of care when disease is no longer curable ( less than 6 months to live) |
| Palliative care | symptom management (appropriate across lifespan of disease prognosis) no time frame, kind of like home health |
| End of life care | time frame is last few weeks of life |
Created by:
kimtu05
Popular Nursing sets