Chapter 15 LECTURE 14 PART II Flashcards
Planning For The End of Life
FAMILY BEHAVIORS RELATED TO THE DYING PROCESS
-What two things are key?
-The health-care worker needs to _____ and ____ family members about the ____ ____ & allow what?
-Preparation and education
-educate and inform
-dying process
-the family to assist in providing care
FAMILY BEHAVIORS RELATED TO THE DYING PROCESS
-What two things should be recognized?
-Why do these feelings tend to occur?
-helplessness and guilt
-because you want to help the person but you can’t
FAMILY BEHAVIORS RELATED TO THE DYING PROCESS
-What techniques can be used to make the person as comfortable as possible?
-We don’t want the patient going through what? (3)
-pain-relieving techniques
-pain, agony, or crying
ACUTE CARE OF THE DYING PATIENT
-Continuation of what?
-What does this mean?
-Life support
-Deciding whether or not to continue life support
ACUTE CARE OF THE DYING PATIENT
-Full _____ _____ (____)
-What happens with this?
-Full cardiopulmonary resuscitation (CPR)
-Bringing the person back to life and putting them on a ventilator after
ACUTE CARE OF THE DYING PATIENT
-Removing what two things?
-What kind of choice is this?
-What should we do as nurses?
-all life support or life-sustaining equiptment
-a personal choice
-talk to the family about the quality of life on life support & the impact of it
ACUTE CARE OF THE DYING PATIENT
-Stopping all ____, except those that can provide ____ and ____ of pain
-drug
-sedation and relief
DYING PERSON’S BILL OF RIGHTS
I have the right to…
1. Be treated as a ____ ____ ___ until I ____
2. Remain a sense of _____, however its ____ may change
3. Be _____ for by those who can maintain a sense of ______, however its ____ may change
4. Express my _____ and ____ about my _____ ____ in my own way
5. Participate in _____ concerning my _____
6. Expect continuing _____ and _____ attention even if “____” goals must be changed to “____” goals
7. Not to ____ ____
8. Be ___ from ____
- living human being; die
- hopefulness; focus
- cared; hopefulness; focus
- feelings and emotions; approaching death
- decisions; care
- medical and nursing; cure; comfort
- die alone
- free; pain
DYING PERSON’S BILL OF RIGHTS
I have the right to…
9. Have my ______ answered _____
10. Not to be _____
11. Have ____ from and for my ____ in _____ my _____
12. Die in ____ and with ___
13. Retain my _____ and not to be ____ for my ____, which may be contrary to the _____ of others
14. _____ and ____ my ____ and ____ experiences, regardless of what they may mean to others
15. Expect that the _____ of the ___ ___ will be respected after death
16. Be cared for by ____, _____, _____ people who will try to understand my ____ and will be able to ____ some _____ in helping me face my ____
- questions; honestly
- deceived
- help; family; accepting; death
12. peace; dignity - individuality; judged; decisions; beliefs
- Discuss; enlarge; religious; spiritual
- sanctity; human body
- caring, sensitive, knowledgeable; needs; gain; satisfaction; death
OPTIONS FOR END-OF-LIFE CARE
-How would you end up in acute care?
-When may they leave?
-If some emergency brought you there
-If you don’t die or if you go into hospice care
OPTIONS FOR END-OF-LIFE CARE
-What does hospice care do?
-Where can this be done?
-offers comfort to patients and families who have limited life expectancy of 6 months or less
-at home or at a hospice care facility
HOSPICE CARE
-What does palliative care do?
-What does it focus on?
-It offers support for people with serious illnesses
-Relieving pain and stress & improving quality of life for the patient and their family
HOSPICE CARE
-Is there a death date for palliative care?
No
HOSPICE CARE
-What does hospice care do?
Supports the patient and family through the dying process
HOSPICE CARE
-Is there a death date for hospice care?
Yes
HOSPICE CARE
-What do palliative and hospice care help survivors through?
the period of bereveament
HOSPICE CARE
-What are the types of settings? (3)
- Home
- Nursing facilities
- Long-term care facilities
ETHICAL AND LEGAL ISSUES
-Ethical issues concerning death are influenced by what three things?
- Values
- Culture
- Religion
ETHICAL AND LEGAL ISSUES
-What should healthcare workers be familiar with? (2)
The law and cultural needs of the patient
ETHICAL AND LEGAL ISSUES
-What should the healthcare worker make the family aware of?
The options
ETHICAL AND LEGAL ISSUES
-Informed consent is based on _____ for the ____ and ____ of individuals and their right to make _____ about _____ and their ____ ___
-respect
-dignity
-rights
-decisions
-themselves
-health care
ETHICAL AND LEGAL ISSUES
-In basic terms, informed consent is a legal document that what?
-They are signing to make sure what?
-the patient signs that tells them any risks that come with a particular treatment
-they understand
ADVANCE DIRECTIVES
-What does DPOH stand for?
-What does it do?
-Durable Power of Attorney for Health Care
-It transfers the health-care decisions-making power to a person designated by the patient
ADVANCE DIRECTIVES
-What is a living will?
-When is it usually drawn up?
-A legal document
-before a patient is terminally ill or incapacitated
ADVANCE DIRECTIVES
-A DNR is what?
-It can only be writen by who? On the basis of what?
-Do Not Resuscitate Order
-by a physician
-on the basis of the patient’s living will or DPOH
ADVANCE DIRECTIVES
-A DNR order means what?
That if a patient stops breathing or the heartbeat is incompatible with life, resuscitation (like CPR) should NOT be attempted
ADVANCE DIRECTIVES
-If a patient has a DNR order, what should happen?
Everyone taking care of the patient should know about it
ADVANCE DIRECTIVES
-If advance directives are NOT known, what should healthcare providers do?
Save their lives until there is nothing they can do
ASSISTED SUICIDE & EUTHANASIA
-What is assisted suicide?
-The action of a person other than the patient to facilitate suicide
ASSISTED SUICIDE & EUTHANASIA
-In assisted suicide, the person knowingly does what?
Takes lethal drugs provided by a doctor
ASSISTED SUICIDE & EUTHANASIA
-What is euthanasia?
An intentional act which causes death
ASSISTED SUICIDE & EUTHANASIA
-What occurs with euthanasia?
-Is it natural or induced death?
-lethal injection of a drug
-induced death
ASSISTED SUICIDE & EUTHANASIA
-Nurses can participate in anything related to euthanasia (T/F).
False; Nurses CANNOT participate in anything related to euthanasia
ASSISTED SUICIDE & EUTHANASIA
-What is passive euthanasia?
removing life-sustaining treatments
ASSISTED SUICIDE & EUTHANASIA
-Is passive euthanasia natural or induced death?
Natural death
ASSISTED SUICIDE & EUTHANASIA
-Assisted suicide and euthanasia involve _____, _____, and _____ issues that have been tested in _____ through the years & remain ____
- legal, moral, and ethical
-courts
-controversial
