Chapter 24 Palliative & End-of-life Care Flashcards

1
Q

adjuvant drugs

A

medication used along with analgesics to increase the effectiveness of the drugs to treat pain and associated symptoms

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2
Q

advance directives

A

documents signed by a person indicating his or her choice or wishes for medical treatment or naming of another to make choices if the person is unable to

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3
Q

bereavement

A

peroid of time or state of mind where feelings of loss, grief, or mourning are expected by the survivor after the death of a loved one

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4
Q

breakthrough pain

A

pain that is experienced despite the fact that a person is receiving scheduled pain relief medication

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5
Q

comfort measures only

A

a plan of care that specifies nursing intervention designed not to treat disease but to improve pain function or quality of life

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6
Q

grief

A

feelings of despair, sadness, and remorse in response to the loss of a loved one

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7
Q

healthcare proxy

A

a person designated to make healthcare designs for another in the event that he or she is unable to make such decisions beacuse of illness or disability

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8
Q

hospice care

A

care of persons and families who have 6 months or less to live in what they consider their home

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9
Q

mourning

A

the outward social expressions of loss often dictated by cultural norms, customs, rituals and tradition

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10
Q

palliative care

A

interdisciplinary team-based care for persons and family members experiencing life threateing illness or injury that addresses their physical, emotional, social, and spiritual needs

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11
Q

post mortum care

A

care provided by nurses to the body after death

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12
Q

hospice and palliative nurses acknowledge and accept

A

death as a natural process

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13
Q

10 components of quality in hospice care

A

patient and family centered care
ethical behavior and consumer rights
clinical excellence and safety
inclusion access
organizational excellence
workforce
standnards
compliance with laws and regulations
stewardship and accountability
performance measurment

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14
Q

hospice tiem peroid

A

less than 6 mo

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15
Q

stages of dying

A

denial
anger
bargaining
acceptance

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16
Q

will a dying person exhibit all stages of death

A

no
they may move quickly though a stage only to return to a later time

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17
Q

palliative care

A

relief of suffering for persons with serious illness

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18
Q

3 people that are competent expert and evidence based care

A

florence wald
dame Cicely saunders
Jeanne quint benoliel

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19
Q

common fears and concerns of the dying

A

death itself
thoughts of a long or painful deaht
facing death alone
dying in a nursing home, hospital, or rest home
loss of body control

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20
Q

community nurse acts

A

autonomously

21
Q

neuropathic pain

A

nerves has been damaged
- burning, electrical, tingling
difficult to relieve with pain meds

22
Q

nociceptive

A

resolves when injury heals
- acetaminophen
- NSAID

23
Q

nonpharm pain management

A

glass of water
back rub
change of position
music
TV

24
Q

model of pain

A

WHO
stepwise approach for pain treatment on the basis of the presence of mild, moderate, and severe or unrelenting pain

25
Q

neuropathic pain or mild (1-3)

A

adjuvant drugs

26
Q

moderate pain

A

low does opioid
nonopiod
adjuvant

27
Q

severe pain

A

high opioid dose

28
Q

persons with severe pain should receive what doses intially

A

severeh

29
Q

how should pain meds be administered

A

routinely

30
Q

PRN pain meds are used for

A

breakthrough

31
Q

constipation

A

profphyaltic bowel regimen

32
Q

if you have constipation what should we avoid

A

buling agents (psyllium) to avoid impaction

33
Q

myoclonus

A

jerking
- change opoids

34
Q

pruritus

A

common with morphine
- Benadryl

35
Q

we should avoid what so they do not irritate mucosal

A

alcohol, perfume lemon or glycerin

36
Q

watch for thrush

A
37
Q

are anorexia and dehydration common and normal at the end of life

A

yes

38
Q

should we have catheters in

A

no because it is distressing an dpainful

39
Q

buildup of what

A

saliva and oropharyngeal secretions

40
Q

changes in what pattern

A

resp

41
Q

skin appernce

A

dusky or grey
cold or clammy

42
Q

eyes

A

discolored, deeper set or bruised

43
Q

greif

A

emotion felt after the loss

44
Q

mourning

A

recovery form the loss

45
Q

numb shock

A

cannot believe
shock
emotional dullness

46
Q

emotional turmoil or depression

A

alarm or panic type reactions

47
Q

reorganization or resolution

A

coping strategies

48
Q
A