Death and dying Flashcards

1
Q

Death

A

irreversible loss of the capacity for consciousness, combined with irreversible loss of the capacity to breathe

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2
Q

Apoptosis

A

Planned cell death
* Stressed, damaged, unnecessary
* Genetically controlled
* Replaced by mitosis
* Parts recycled

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3
Q

Necrosis

A

Unplanned cell/tissue death
* Caused by extremes in cells environment
* Can cause build up of debris and fluid

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4
Q

NICE identified the following symptoms to be recognised alongside professional judgement

A
  • Agitation
  • Cheyne–Stokes breathing
  • Deterioration in level of consciousness
  • Mottled skin
  • Noisy respiratory secretions
  • Increasing fatigue
  • Loss of appetite
  • Changes in communication
  • Deteriorating mobility or performance status
  • Social withdrawal
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5
Q

Post-death care - practical

A
  • Documentation (time, persons present, nature etc.)
  • Relevant devices
  • Packing belongings
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6
Q

Post-death care - Previously stated wishes

A
  • Spiritual/religious/cultural
  • Repatriation
  • Whole body donation
  • Organ/tissue donation
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7
Q

Post-death care - Personal care

A
  • Drain bladder
  • Medical devices
  • Cover wounds
  • Remove jewellery, secure rings
  • Washing
  • Dressing (shroud)
  • Wrapping
  • Body bag (if needed)
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8
Q

Post-death care - Significant persons

A
  • Key contacts
  • Mementoes
  • Care of persons present
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9
Q

Post-mortem physiological changes types - PARL

A
  • Pallor Mortis
  • Algor Mortis
  • Rigor Mortis
  • Livor Mortis
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