11 - The Final Hours

Question 1

A social institution that unites people in a faith in God, a higher power and in common rituals and worship.

Answer 1

Religion

Question 2

A broader more comprehensive concept and involves the person’s search for meaning, relationships with a higher power, nature & people.

Answer 2

Spirituality

Question 3

The 5 R’s of Spirituality

Answer 3

Reason 
Reflection
Religion
Relationships
Restoration

Question 4

Four Central Spiritual Domains @ End of Life?

HMRT

Answer 4

Hope
Meaning
Reconciliation
Transcendene

Question 5

In spiritual assessment, we want to have a dialogue about spiritual concerns @ end of life. We should discuss (3)

Answer 5

Concept of god/spiritual reality
Sources of Hope & Strength
Religious Practices

Question 6

As a person approaches death they often go into..

Answer 6

Multi-organ failure

Question 7

_____________ failure is always the final cause of death.

Answer 7

Cardiopulmonary failure

Question 8

Symptoms displayed during final days/hours:

Answer 8

SoB
Anxiety
Ineffective airway clearance

Question 9

Signs of death drawing close:

Answer 9

Redux LoC
Redux urine output
Death rattle (saliva accum in throat/gargling)

Question 10

Dx of death?

Answer 10

Cessation of breath or heartbeat

Question 11

Death can be expected if extremeties are…(3)

Answer 11

Cold
Cyanotic
Mottled

Question 12

Death can be expected if breathing is:

Answer 12

Irregular c apnea

Question 13

Deatch can be expected if pulse & BP

Answer 13

are very weak or cannot be heard

Question 14

After death?

Answer 14

Family should do what they feel is comfortable and appropriate at time of death

Question 15

Nurse encourages…

Answer 15

Staying @ bedside