end of life week 7 Flashcards
advance directive
written document allowing indvidual of sound mind to choose preferences regarding end of life care to be followed when they can no longer communicate their wishes
(durable POA, living will)
DNR
medical order to withhold CPR in event of cardiac arrest
may also be called AND (allow natural death)
durable power of attorney
legal document in which another individual is appointed to make medical decisions on the behalf of the signer when they can no longer speak for themself
living will
type of advance directive documenting treatment preferences
often accompanied by durable POA
physician orders for life saving treatment (POLST)
brightly colored form specifying preferences for CPR, use of meds, fluids/nutrition, and other medical interventions
COMFORT (palliative care)
Communication Orientation Mindfulness Family Openings Relating Team
nutrition for terminal pts
small portions of favorite foods cool foods tolerated better than hot foods nutritious food at bedside ice chips made of frozen juice allow pt to refuse foods/fluids
cachexia
severe lean muscle loss
death
permanent cessation of respiratory and circulatory functions
palliative care
management of psychological, social and spiritual problems in addition to pain management
hospice care
a. death must be accepted
b. total care from interdisciplinary team
c. pain must be managed
d. pt/family as a unit
FICA (spiritual assessment)
Faith
Importance/Influence
Community
Address in care
most common diagnoses for hospice
dementia
heart disease
lung disease
cancer
