End Of Life Care Flashcards
admission to hospice criteria
life expectancy of 6 months with hospice provider and PCP stating;
client aggree to palliative care rather than curing;
client sign statement to choose hospice care instead of treatment
respite care
allow care givers a short term break (max 5 days)
palliative care
holistic care and focuses on management of symptoms of chronic or life-threatening illness while maintaining the highest level of QOL as possible;
client can still be receiving treatments;
unrestricted time
what is known as the death rattle
secretions in the respiratory system
cheyne-stokes respirations
several quick breaths and periods of apnea
what is the first choice of med to treat dyspnea
opiods; allow peripheral vasodilation, reduce breathing difficulty, decrease anxiety
3 step ladder for pain management medications
NSAIDs
codeine/tramadol
morphine
mottling
expected physical change: upper and lower extremities become cool to the touch, with purple or reddish marbling of the skin
cause of mottling
heart’s inability to pump blood effectively; leading to lowered blood perfusion
physiological alterations at the end of life
increased/decreased temp
mottling
cheye-stokes respirations
hallucinations
death rattle
help with increased temp
antipyretic meds
warm baths
help with mottling
warm blankets
help with cheyne stokes respirations
have a fan blow in the client’s direction
help with death rattle
accumulation of secretions
turn client to their side
religion
specific beliefs and values that are shared within a community in the worship of a higher power
