End Of Life Flashcards
Hospice
Model of care that focuses on comfort care and family needs
Care plan extremely important as health constantly changes
Feelings about death influenced by
Culture
Spiritual or religious beliefs
Past experiences with death
Sense of having lived a full and complete life
Current quality of life
May be seen as a relief from suffering
Emotions that person and people experience during end- of- life time
Grief Sadness Fear Anger Denial Hope Acceptance
Physical conditions leading up to death
Pain
Shortness of breath
Digestive problems
Cna can help a person’s physical comfort
Assist with repositioning
Give frequent skin care
Frequent mouth care
Need for other comfort measures for measures to lessen discomfort
Like pain, breathing constipation,diarrhea, nausea,vomiting, anxiety
Create comfortable environment
Needs of dying person
Maintain dignity Comfort with the care To be told the truth Listening Touching Not feel lonely Feel prepared to die Free of physical discomfort and pain Kept clean
Postmortem care
After death-
Bladder and bowels empty, skin needs cleaning
Linens need changing
Body covered with shroud
Rigor mortis
Develops 6-8 hours after death
Reposition body to be natural
Discoloration
Preserve appearance of body for subsequent arrangements
Terminal illness /. Peace and comfortable death
Forgo life sustaining treatments at the end of life does not mean
That a person wishes to forgo all care at the end.
Comfort/supportive care
DNR-CC: do not resuscitate comfort care
Palliative treatments: treatments to relieve uncomfortable symptoms
Without curing the disease
The goal of comfort care is to help someone have the best quality of life until death
Person’s feeling about death depends on
Person's culture Religion or spiritual beliefs Past experiences with death Person's sense of having living a full and complete life Person's current quality of life
Common emotions associated with end-of-life period
Grief Sadness Fear Anger Denial Hope Acceptance
What is bereavement care
Care provided for people who still grieve after a person dies
What are the supplies needed for postmortem care
Gloves. Bed protector. Bath blanket. Clean gown. Wash cloth. Towel. Wash basin. Soap. 1 or 2 ID tags. Envelope or plastic bag for small personal items and an inventory sheet. Shroud. Clean linens
Procedure for postmortem
Cover table with per towels. Fill wash basin with warm water. Place wash basin on the table. Complete ID tags
Put on gloves
Lower hob and place body in supine position
Close eyes
With approval of nurse remove medical equipment
Remove jewelry record on inventory sheet
Put dentures in mouth
Use bed blanket and remove all clothing. Wash and dry body. Dress in clean gown
Put ID tag around the ankle
Replace linens if necessary. Place bed protector under person’s buttocks. Draw top sheet over person’s legs and torso and make a cuff. Do not cover the face.
If family wants to view body,clean work area and dim lights before inviting family back. Provide privacy and leave room.
Complete postmortem care procedure
If shroud is used: unfold shroud and place body on it
Fold shroud down over the person’ s head
Fold bottom of shroud up over the feet
Fold sides of shroud over the person’s body and tape ends
Together
Attach ID tag to shroud
