Death + Rehab Flashcards
(T/F) We should sympathize, not empathize
FALSE, we should empathize only to maintain a clear objective head
Types of Loss (APPP)
Give an example for each
Actual: object/person
Perceived: subjective, not tangible to others
Physical: body part
Psychological: emotional loss, body image
A series of intense physical and psychological
responses that occur following a loss
Grief
If grief is experienced for beyond _ months, this can lead to depression
6
Are the stages of grief by Kubler-Ross applicable to those who did not witness the death itself?
YES
Stages of Grief (DABDA)
Denial Anger Bargaining Depression Acceptance
Give at least 3 ways to plan care for a dying patient
Be present Identify special concerns Protect self esteem and confidentiality Balance independence and assistance Meet physiologic needs Give factual information Contact spiritual leader
Summarize the dying person’s bills of rights: to die in ___ and ____
Comfort
Integrity
What is the 3 step approach in using pain medications? (NWS)
NSAIDS
Weak Opioids
Stronger Opioids
What is a death rattle?
Coarse crackles-like that do not need to be auscultated to be heard
Signs of Impending Death (MCRS)
Loss of muscle tone
Slowing of circulation
Change in respiration
Sensory impairment
Types of death (CBB) and define each
Clinical: absent heartbeat, cardiac > respi arrest
Biological: 3-8 mins later, irreversible, metabolic processes are messed up
Brain: no more EEGs and reflexes
Match the physiologic change to its definition:
- Algor Mortis
- Livor Mortis
- Rigor Mortis
A. bluish-purple discoloration
B. body stiffens
C. body temperature decreases
1C
2A
3B
Give at least 3 nursing/postmortem care
Provide dignity, properly drape
Give time (closure/cathartic)
Check orders for special orders (autopsy)
Shave, remove all equipment, cleanse the body thoroughly (gentle bed bath), apply clean sheets and remove all trash
Position eyes closed, dentures in
Spray deodorizer
Do not rush the process. Clarify personal belongings that are to stay with the
client
Apply name tags according to protocol
Match the ff age to their corresponding trait r/t death:
- 12-18
- Infancy-5
- 45-65
- 18-45
- 5-9
- 65+
- 9-12
A. Does not understand death, death is sleep or not moving
B. Mid life crisis, death of parents and some friends
C. Death can be defied, reckless
D. Death is final but it will not come for him, violence leads to death
E. Death is still a faraway concept, interested in afterlife
F. Sees death as having multiple meanings
G. Influenced by religion and culture
1C 2A 3B 4G 5D 6F 7E
Process of restoring a person’s ability to live and work in as normal a manner as possible.
Rehabilitative Nursing
Define the levels of disability: Level I: Level II: Level III: Level IV:
I: slight limitation in 1 or more ADL, able to work
II: moderate limitation in 1 or more ADL, workplace modifications
III: severe limitation in 1 or more ADL, unable to work
IV: total disability, near comlete dependence
Goals of rehab: (FD)
Return of function
Prevent further disability
Members of rehab team (PNPPPPOSVR)
Patient Rehab nurse Physician Physiatrist PT Psychologist OT Social Worker Vocational Counselor Rehab Engr
Differentiate primary and secondary causes of disability
Primary: congenital, disease, injury
Secondary: inactivity, disuse
Types of Disuse Syndrome (MJMCSP)
Muscle Atrophy Joint Contracture Metabolic Disturbance Circulatory Disturbance Sphincter Disturbance Psychological Deterioration
Stages of a Psychological Reaction (DDA)
Denial
Depression
Acceptance
3 ways of positioning
Dorsal
Side lying
Prone
Match the Types of Exercise with its definition:
- Active assistive
- Isometric
- Passive
- Resistive
- Active
A. Fully assisted to move B. Full independence C. Alternate contract and relax in a fixed position D. Go against E. Partly move, assist if weak
1E 2C 3A 4D 5B
How to prevent bed sores? (PCN)
remove pressure
clean skin
optimal nutrition (malnourished = more prone)
Identify sequence of stages of bed sores:
- beyond subcutaneous tissue, up to bones
- blanching over bony area
- up to subcutaneous tissue
- dermis level
2-4-3-1
