Chp 11

Question 1

Signs of imminent death

Answer 1

• Rapid, weak pulse
• Decline in blood pressure
• Dyspnea and periods of apnea
• Slower or no pupil response to light
• Profuse perspiration
• Cold extremities
• Bladder and bowel incontinence
• Pallor and mottling of skin
• Loss of hearing

Question 2

Qualities necessary for a nurse to have when giving EOL care

Answer 2

• Tolerance and Empathy
• Sense of humor
• Communication (is key)
• Good listening skills

Question 3

Essential Components of Hospice Care

Answer 3

• Serves patients, families, and the community with sensitivity to different cultures, values, and beliefs
• Provides interdisciplinary teams of palliative care experts educated to give competent, compassionate, highly skilled, state-of-the-art care to dying people
• Has a low patient to worker ratio
• Is responsive for 24 hours per day, 7 days a week
• Elicits and responds to patient and family need and wants and encourages involvement of patients own physician
• Produces accurate , reliable data about care, outcomes , costs
• Earns community of support

Question 4

5 stages of Grief by Kubler-Ross

Answer 4

• Denial
• Anger
• Bargaining
• Depression
• Acceptance

Question 5

Read over stages of grief

Answer 5

Starts on pg 200

Question 6

Grief

Answer 6

Is the normal reaction to a catastrophic loss

Question 7

Palliative Care

Answer 7

Is the term used to describe care that is no longer aimed at a cure or active treatment of a certain medical condition. Instead the goal is to provide comfort and to manage symptoms. The are and science of EOL care.

Question 8

Advance Directive

Answer 8

Documents that assist the health care team in making complex decisions in the EOL. Two types of advance directives are Living Will and durable power of attorney

Question 9

Durable Power of Attorney (health care proxy)

Answer 9

A person who has the authority to make health care decisions if the individual loses their ability to make decisions or communicate personal wishes

Question 10

Living Will

Answer 10

A legal document that allows individuals to share their opinions and wishes regarding their death

Question 11

Terminal Restlessness (TR)

Answer 11

Another term for delirium; this is a common occurrence for individuals nearing the end of their lives. It may appear as involuntary muscle twitching or jerks, thrashing or agitation, tossing and turning, or yelling and moaning. Clear sign of death.

Question 12

Hospice

Answer 12

Care for patients who have been giving a 6 month live expectancy