End of Life/Laryngectomy
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| what is health care profs attitudes towards death | hope pt would discover on own
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| what is closed awareness? suspected awareness? mutual presence awareness? open awareness? | closed: guard secret, pt not able to cope suspected: pt suspects mutual: all aware but pretend otherwise open: acknowledge pt is dying
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| what is key factor in pt and family accepting and planning for death | prognosis
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| what are barriers to end of life care | cure focused by health care, money, culture, pshychological coping responses, denial
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| what is assisted suicide | providing person means to end his own life. Oregon(Death wtih Dignity Act)/Washington only states. Nurses can't assist violate Code for Nurses
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| what is interdisciplinary collaboration? Multidisciplinary are? | comm and cooperation among disciplines to single care plan. Multi: w/o coordination and integration
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| All hospice care is | palliative, but not all palliative is hospice
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| what is hospice vs palliative care | hospice: in home to terminally ill and fams, pt have irreversible illness and must opt for palliative, not cure care. Last 6mos of life Palliative: can be in hospital/long term/ hospice
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| what are 4 levels of hospice care covered by medicare/caid | routine home care, inpatient respite care(5 day inpt stay), continuous care(mg med crisis), general inpt care(symptom mgmt)
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| Spiritual assessment FICA | Faith/belief Importance/influence Community Address in care: addressing spirituality, maintain hope
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| what are advance directives | written docs allow competent people to document prefs of med tx at end of life. Pt Self-Determination Act: requires health care ask if pt has adv directives
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| what is durable power of atty | signer appoints/authorize ind to make med decisions on behalf
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| what is living will | type of adv directive which pt documents tx prefs
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| Nsg response to "Am I dying?" | eye contact and say, "This must be very difficult for you." "Tell me more about what's on your mind."
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| Breaking bad news SPIKES | S-setting: private, sit down P-perception: identify with I-Invitaiton: to share K-Knowledge: give news in small chunks, warn, tailor rate given E-Empathy S-Strategy/Summary: ck for understanding
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| what are hope fostering categories? Hope-hindering? | fostering: love of fam/friends, spiritual/faith, goals, maintain ind, humor, memoris Hindering: isolation, pain, devalue
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| Signs of approaching death | refuse food/fluid, decr UO, week, confused, impaired vision/hearing, secretions in throat, incontinence, decr temp control
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| what is palliative sedation | eliminate signs of discomfort
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| how help noisy gurgling, breathing, moaning | reposition, fam reasurrance
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| how does body change on death? | dusky/bluish, waxen, cool
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| What is the Kubler Ross stages of grieving | denial, anger/bargaining, depression, acceptance
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| what are six key processes to allow people to accept loss | recognition, reaction, recollection, relinquishing, readjustment, reinvestment
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| What kind of cells is usually associated wtih head and neck Ca? what are categories: supraglottic, glottic, subglottic? | sqamous cell supra- false vocal cords above vocal cords, aspiration, preserves voice glottic- true vocal cords sub- below vocal cords
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| what is early sign of larynx cancer | affected voice, not enlarged cervical nodes
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| what should be included in nsg planning for larynx ca? | teaching for post op communication, humidification,
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Created by:
palmerag
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