End Of Life Care Flashcards
What criteria must be met with hospice care?
Hospice and physician declare patient is terminally ill, client must agree to palliative care and not curative care.
Must be recertified after 6 months.
What client receives respite care?
Families up to 13 months after loss
What clients receive palliative care?
Holistic care for patients with severe medical illnesses, especially those approaching end of life
Focus on improving quality of life; receive curative treatment
No time constraints
What interventions to use for dyspnea in patients?
Morphine 1st choice- peripheral vasodilation, reduces work for breathing and O2 demands, decreases anxiety
O2 therapy titrated for comfort
Benzodiazepine for anxiety
What interventions to use for a patient with death rattle?
Accumalation of secretions- indication of approaching death
Turn them to side, atropine drops or scopolamine patch to dry secretions, moist towel, deep suction if it provides relief
What interventions to give to a patient with cheyne-stokes?
Typically 3 days prior to death
Irregular-several quick breaths- apnea- several quick breaths-apnea
Provide relief by positioning a fan to blow lightly in the direction of the client
Nonopiods and opioids are _______ meds.
Pain meds
For pain, a patient should use ______ first, these are non opioid medication.
NSAIDs
If a clients pain in unrelieved when first using NSAIDs, use _______ and ______ is recommended.
Tramadol and codeine
IF clients pain is moderate to severe, which medication is prescribed?
Morphine
Mottling is when upper and lower extremities become ___ to touch accompanied by ____ or ______ ______ of skin.
Cool
Purple or reddish marbling
When does mottling occur?
Hours or days before death
Mottling is a result of ?
Hearts inability to pump blood effectively, leading to decrease blood perfusion throughout the body
Mottling begins in which part of body and moves where?
At the feet. moving upwards
True or False
Hallucinations include all the senses
True
