10- Managment of Non-Pain

Question 1

As care givers we do not truly know the experience of our patients so it’s important that we:

Answer 1

Believe what they say!

Question 2

Before we do anything, tests or otherwise we must ask ourselves:

Answer 2

Will this assist me in providing comfort to pt?

Question 3

What becomes the priority when death is imminent?

Answer 3

Comfort

Question 4

This is a useful tool that documents severity of pain, fatigue, nausea, depression, anxiety, drowsiness, appetite, sense of well-being and shortness of breath.

Answer 4

The Edmonton Symptom Assessment System

Question 5

The initial assessment has 5 steps.

Answer 5

• Initial assess & prioritize comfort measures
• Realistic goals w/ pt and family
• Teaching occurs
• Nurse observes family dynamics
• Work to bring family members together to honor and comfort dying member

Question 6

What are the areas identified for management?

PF I III

Answer 6

Pharmacological Therapies
Fatigue & Impaired Mobility
Infection & Fever
Impaired Fluid Balance
Impaired Skin Integrity
Impaired Thought Process & Risk for Seizures

Question 7

In assessing for cognitive changes we must:

Answer 7

Listen carefully

Observe mental/behavioural changes

Question 8

In addition to pharmacologic treatment of cognitive changes we can also use what to sooth the pt?

Answer 8

Music therapy
Aromatherapy
Prayer

Question 9

The decision to hydrate a dying patient should be individualized or always done.

Answer 9

individualized