End of Life Care Flashcards
Kübler-Ross’s stages of grief in order.
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
How is death defined?
Cessation of integrated tissue and organ function
How is death manifested?
*Cessation of heartbeat or *Absence of spontaneous respirations or *Irreversible cessation of brain function
leading cause of death in the united states (besides covid)?
Heart disease
Document that designates a person to make health care decisions?
- Healthcare proxy
* Also known as- Durable power of attorney FOR HEALTH/HEALTH CARE
Document that Designates person to make financial transactions.
*Durable power of attorney
document that Specifies desired medical treatment
*Living will
an advance directive document created by a nonprofit organization that is available online. What does it cover?
- 5 wishes
* Personal, legal, spiritual, and medical wishes
Define palliative care.
- A philosophy of care to prevent and relieve suffering for people with a life threatening illness.
- anticipating, preventing and treating suffering
Define Hospice care? Where is this done?
A philosophy and a concept of care using an interdisciplinary approach for patients and families to facilitate quality of life and a peaceful death
*Usually at home or in special facilities
What does hospice emphasize?
- Emphasizes palliative over curative treatment
* Quality rather than quantity
communication and cooperation among the various disciplines, with each member of the team contributing to a single integrated care plan that addresses the needs of the patient and the family.
Interdisciplinary collaboration
hospice care is an application of ________delivered at the _______.
- Palliative care
* End of life
To care for others in the dying process, the nurse must explore what?
his or her own feelings about mortality and death and dying.
refers to the personal feelings that accompany an anticipated or actual loss
Grief
refers to individual, family, group, and cultural expressions of grief and associated behaviors
Mourning
refers to the period of time during which mourning for a loss takes place
Bereavement
Name the stage of grief:
Feelings of isolation. May search for another health care professional who will give a more favorable opinion. May seek unproven therapies.
Denial
name the stage of grief:
“Why me?” Feelings of rage, resentment, or envy directed at God, health care professionals, family, others.
Anger
name the stage of grief
“I just want to see my grandchild’s birth, then I’ll be ready….” Patient and/or family plead for more time to reach an important goal. Promises are sometimes made with God.
Bargaining
name the stage of grief
“I just don’t know how my kids are going to get along after I’m gone.” Sadness, grief, mourning for impending losses.
Depression
Name the stage of grief
“I’ve lived a good life, and I have no regrets.” Patient and/or family are neither angry nor depressed.
Acceptance
Four levels of hospice care?
- Respite - 5 day care to relieve caregivers
- Continuous - continuous nursing care to deal w/ medical crisis, returns to routine once resolved
- Routine - General hospice homecare
- In-patient - inpatient care for symptoms that cannot be managed at home.
What is seen 1 to 3 months prior to death
*Withdrawal- eating, sleeping, lack of communication
