End-of-life Care Flashcards
true or false hospice care only involves nurses and Physicians
false includes team support to address spiritual, mental, family, and health issues
typically when one is referred to hospice they have been given _____ months or less to live
6
after patient passes away the family will be provided _____________ Care by hospice
bereavement
what is the difference between hospice and palliative care?
palliative care is symptom management focused whereas hospice is intended to meet end-of-life needs of the family and client
what is the main goal of the nursing providing end-of-life care?
symptom management and pain control
true or false pain is subjective and each client’s perception of pain is different
true
true or false most patients will not experience pain associated with cancer diagnosis
false
relaxation techniques, heat applications and acupuncture are all examples of what kind of pain interventions?
non-pharmacological
name two common side effects of opioids
constipation and sedation
dyspnea
shortness of breath or labored breathing
true or false malnutrition and cachexia can be causes of shortness of breath
true these things can cause increased muscle weakness leading to shortness of breath
what is the difference between cachexia and anorexia?
cachexia is malnutrition inflicted by a metabolic problem caused by cancer, anorexia is a decreased appetite.
are either and enteral or parenteral feedings suggested for clients in the end stages of life?
no, neither are suggested
true or false it is often beneficial to combined antiemetics from different classes to help clients receive relief from nausea and vomiting
true
true or false it is important to always keep the dying client hydrated
false clients may actually benefit from dehydration since this can cause decreased urinary output, decreased edema, and decreased need for suctioning.
delirium
disturbance of consciousness, characterized by restlessness, excitement, delusions, and hallucinations
what may become important for the dying client who is in pain, restless, and agitated
sedation
when providing care for the dying patient and their family it is important for the nurse to maintain good ___________ with the family
communication
bereavement
the process of what one experiences when they lose a loved one
7 to 14 days before death the client May develop an increased need for what?
sleep
the active phase of dying can often last for how long?
2-3 days
what are cheyne - Stokes respirations?
a pattern of breathing often marked by periods of apnea followed by Deep, frequent respirations
true or false when a dying client is experience dyspnea, it is helpful to lower the head of the bed
false elevating the head of the bed will Aid the client
what is anticipatory grief?
a feeling of loss or fear before a death
nightmares, acting out, and changes in eating and bowel habits can all be symptoms of grief seen in
children
name the Kubler - Ross five stages of grief
denial, anger, bargaining, depression, acceptance
when a family member or friend of a client that has passed has a postponed reaction to the death This is called what kind of grief
delayed
the inability to concentrate, anxiety, and apathy are all characteristics of what?
bereavement
before a client passes it is important for the nurse to have reviewed __________ directives with the client and / or family
advanced
Ativan and Xanax are in a class of drugs called _________ that can assist in calming and comforting the dying client
benzodiazepines
