Chpt. 55 End-of-life care Flashcards
end of life care
support and care given during the surrounding death
rigor mortis
stiffness or rigidity of skeletal muscles that occurs after death
advanced directive
doc. stating a person’s wishes about health care when that person can’t make their own decisions
post-mortem care
care of the body after death
terminal illness
illness or injury for which there is no reasonable expectation of recovery
reincarnation
a belief that the spirit or soul is reborn after another human body or another form of life
autopsy
examination of the body after death
Palliative care
care that involves relieving or reducing the intensity of uncomfortabe symptoms w/o producing a cure
when someone has a terminal illness can the person live longer than expected?
with a strong will to live…yes
whats the focus when palliative care is done
on relieving symptoms
what does hospice care stress?
stresses pain relief and comfort
what are some practices and attitudes of people in India
needing a time and place for prayer and for the family and the person
what may children between 2-6 see death as…
punishment for being bad
older persons see death as…
freedom from pain, suffering, and disability
in which stage of dying does the person make promises and make “just one more” request
bargaining
if dying begins to talk about worries and concerns you should..
listen quietly and use touch
care given when a person is dying should be done to promote what…
physical and psychological comfort
because vision fails as death approached, you should..
explain what you’re doing to the person when in the room
hearing is one of last senses lost, so its important to…
prove reassurance and explanation about care
as death comes, oral hygiene is given how frequently
more frequent when taking oral fluids is difficult
whar occurs when death nears
circulation fails
body temp rises
skin is cool, pale, mottled
help dying person by allowing family members to do what
come and visit as long as they wish
if a erson has a living will, it might instruct docs. to
not start measures that prolong dying
when the fam wishes to see body after death, it should
be positioned to look comfortable and natural
when assiting with post-moretm care you should..
gently pull eyelids over the eyes
what the does the dying person’s rights include…
right to be in denial,touch and be touched, angry and sad
when you understand the dying process you can approach the dying person with…
care,kindess,respect
whats all the focuses of hospice care
physical, emotional, spiritual, social needs
religious beliefs strengthen when a person is dying b/c it provides…
comfort for person and fam
adults fear death because they fear what 5 things
pain and suffering dying alone invasion of privacy loneliness separation from loved ones care and support of those left behind
name 5 stages of dying
denial anger bargaining depression acceptance
whats the 2 goals of comfort needs
prevent relieve suffering to extent possible
respect and follow endlife wishes
when caring for a dying person, dont ask questions that need long answers because
they’ll probably die on you
jk
they may have speech and comprehension issues
because crusting and irritation of the nostrils can occur, you should..
carefully clean around nose and apply lubricant
what kinds of elimination probs can occur in a dying person
urinary and fecal incontinence
constipation
urinary retention
what the 2 rights the patient self-determination and OBRA gave a dying person
right to accept treatment and right to refuse
what does a living will instruct docs to do
not to start measures that prolong dying
remove measures the prolong dying
whats the signs of death
no pulse, BP, Rx, puplis fixed or dilated
a dying patient’s bill of last rights give the person what 9 rights
1- be in control 2- have a sense of purpose 3- touch and be touched 4- laugh 5- be angry and sad 6- respect spirituality 7- hear the truth 8- prominence 9- be in denial
