Complex Exam 4 - Grief and Loss; Spirituality; End-of-Life Care Flashcards
What is the diet for Judaism?
Kosher (no animal products/pork/dairy)
What death requests does Judaism have?
- rabbi
- bury w/in 24 hours
What do people who practice Islam request when they are in the hospital?
a nurse of the same gender
What dietary considerations should be used for Islam?
- NO pork
- fasting during ramadan
Who participates in the Anointing of the Sick?
Roman Catholics
Who administers the last sacrament for Roman Catholics?
the priest
What methods do people who practice Hinduism use?
alternative
- yoga
- homeopathic remedies
What religion/culture does not eat meat or use medications derived from animals?
Hinduism
What religion/culture does not believe in organ donation?
Hinduism
What religion/culture believes illness can be cured through the mind and herbs?
Buddhism
What care will Jehovah’s Witnesses not accept?
blood transfusions
What should be determined about a patient’s religion?
- what their religion is
- how their religion affects healthcare decisions
What should you never do regarding a patient’s culture/religion?
- attempt to sway their decisions
- preach your own beliefs/practices
What disease processes can require palliative care?
- children: cystic fibrosis, haemophilia, muscular dystrophy
- adults: stroke, MI, end-stage dementia, liver/kidney failure, terminal cancer
When is palliative care used?
- when the client has > 6 months to live
- chronic or acute life-threatening disorders
What is the goal of palliative care?
- decrease symptoms of the disease
- prevent/relieve suffering
- improve quality of life
- regard dying as a natural process
- support the dying patient to live life to the fullest
What is important to determine with palliative care?
- sources of strength and hope
- desires and expectations of the client and family
When is hospice care used?
6 months or less to live
What type of care is hospice care?
non-curative
Where is hospice care done?
at home or inpatient
What is the goal of hospice care?
- comfort and support
- symptom management
- advanced care planning
- spiritual care
- family support during/after
What pharmacological therapy is done for hospice care?
- pain management: opioids
- stool softeners, laxatives
- anti-emetics
- disease-specific meds
What affects the decision-making process with hospice care?
- lack of information
- cultural influences
- viewing decline as giving up or personal failure
What cultural influences affect decision-making in hospice care?
- where the patient should die
- who should be present at the time of death
- what should be done with the body at the time of death
What clinical manifestations show brain death?
- unresponsive coma
- apnea
- pupils fixed and dilated (unresponsive to light)
- absent ocular responses to head-turning
- flat EEG
- no cerebral blood circulation
What should be maintained for vital organ retrieval?
ventilatory and cardiovascular support
Who performs euthanasia?
physician
How is euthanasia usually done?
intentional drug OD
How does assisted suicide work?
- physician provides medication
- patient administers medication
Can nurses be involved in euthanasia or assisted suicide?
NO
What is a DNI order?
prohibits endotracheal intubation
What is a DNR order?
prohibits cardiopulmonary resuscitation
