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J2 - Med Surg > Ch. 9 - End Of Life Care > Flashcards

Ch. 9 - End Of Life Care Flashcards

1
Q

When is death viewed as a relief ?

A

When the dying process is long or painful

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2
Q

What are the Kubler-Ross’ stages of grief ?

A
  • Denial
  • Anger
  • Depression
  • Bargaining
  • Acceptance
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3
Q

What are some key identifiers of the Denial stage of grief ?

A
  • Avoidance
  • Confusion
  • Elation
  • Shock
  • Fear
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4
Q

what are some key identifiers in the Anger stage of grief ?

A
  • Frustration
  • Irritation
  • Anxiety
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5
Q

What are some key identifiers in the Depression stage of grief ?

A
  • Overwhelmed
  • Helplessness
  • Hostility
  • Flight
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6
Q

What are some key identifiers in the Bargaining stage of grief ?

A
  • Struggling to find meaning
  • Reaching out to others
  • Telling one’s story
  • Support groups
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7
Q

What are some key indentifiers in the Acceptance stage of grief ?

A
  • Exploring options
  • New plan in place
  • Moving on
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8
Q

When does Dying begin ?

A

At the moment called “crisis knowledge of death”

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9
Q

When does dying end ?

A

At the moment of physiologic death

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10
Q

the Living-dying interval is the time between what two points ?

A

Crisis knowledge of death THROUGH physiologic death

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11
Q

The __________ phase is when the speed of physical dying is accelerated, and the person no longer has the energy to maintain the activities of everyday life

A

Terminal phase

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12
Q

What is the six C’s approach during the dying period ?

A
  • Care
  • Control (help keep self control/independence, etc.)
  • Composure
  • Communication
  • Continuity (perserve as normal life as possible)
  • Closure
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13
Q

Palliative care can be provided along with what ?

A

Curative treatment

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14
Q

_________ care is appropriate at any age and at any stage in a serious illness ?

A

Palliative care

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15
Q

Palliative care is made up of what two things ?

A

Care & Comfort

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16
Q

What is the Focus of palliative care ?

A

Focus is on care and comfort (treatment of symptoms) versus cure.

17
Q

What is the goal of palliative care ?

A

To improve quality of life for both the patient and the family

18
Q

_________ care may progress to hospice care ?

A

Palliative

19
Q

Types of Hospice care ?

A
  • Inpatient
  • Hospice facility
  • Long-term care
  • Home (most common)
20
Q

What is the average length of stay in Hospice ?

A

22 days

21
Q

Is there a time frame for palliative care ?

A

There are NO time restrictions

22
Q

What is the typical time frame for Hospice ?

A

Considered to be terminal or within six months of death

23
Q

Euthanasia definition

A

Is the client’s right to refuse life-sustaining medical measures

????????

24
Q

What is Xerostomia ?

A

Sensation of oral dryness

25
Q

Xerostomia _____________ with age ?

A

increases

26
Q

What assessment is crucial when dealing with anorexia/decreased swallowing ?

A

ASSESS ABILITY TO SWALLOW pills and/or food bolus

27
Q

Ascites definition ?

A

Accumulation of vascular fluid in the peritoneal space resulting from altered capillary dynamics

28
Q

Comfort measures for Ascites treatment ?

A
  • Small frequent meals
  • Positioning
  • Skin care
29
Q

Initial drug treatment for Ascites ?

A
  • Diuretics
  • Eventually not responsive
  • Paracentesis : may be intermittent or placement of catheter
30
Q

What is the only reliable indicator of Dyspnea ?

A

The subjective report by the patient

Similar to pain

31
Q

Increased Dyspnea is common in which age group ?

A

The elderly

32
Q

Nebulized opioids have no benefit compared to _______/________ delivery ?

A

Oral/Parenteral

33
Q

What are end of life medications used to treat dyspnea ?

A
  • benzodiazepines
  • opioids
  • corticosteroids
34
Q

When should an opioid infusion be considered ? (ex: morphine drip)

A

If actively dying with respiratory distress

35
Q

Respiratory secretions occur most commonly when ?

A

In the last hours of life

36
Q

What is Myoclonus ?

A

Sudden, uncontrollable, non-rhythmic jerking, usually of the extremities

37
Q

Cause of Myoclonus in palliative care ?

A

Often related to opioid use

38
Q

As a nurse, what should you do when you suspect imminent Death ?

A

start calling the family

- Imminent = About to happen

39
Q

As a nurse, what is one rule you should abide by when engaging in a family meeting ?

A

Listen twice as much as you speak

J2 - Med Surg (16 decks)

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