EOL Flashcards
This is a type of death that is one that is free from avoidable distress and suffering for the patients, families and caregivers.
In agreement with patients’ and families wishes
Consistent with clinical practice standards
Good Death
This type of death is persistent pain, not having one’s wishes followed at the end of one’s life, isolation, abandonment, and agonizing about losses associated with death
Bad Death
This is a legal document that explains how you want medical decisions about you to be made if you cannot make the decisions yourself
Advanced Directive
What is a Durable power of attorney for healthcare
Person or persons appointed to make one’s decision for healthcare in the event they are unable to do so.
What is a living will and what treatments are discussed in the document
The living will is a document that identifies what one would or would not want if they are near death
Treatments include
CPR, artificial ventilation, and artificial nutrition or hydration
This document is an actual order from a doctor who instructs that CPR not be attempted in the event of cardiac or respiratory arrest and is intended for patients with known life-limiting conditions
Do not resuscitate (DNR)
T/F all health care providers must initiate CPR for a person who is not breathing or pulseless unless the person has a DNR order?
TRUE
This type of care is used if
Prognosis of 6 mon or less to live
care is provided when curative treatment is stopped (chemo)
Priority care focuses on pain and comfort
Must have a care provider to be accepted and can be provided in a variety of setting like the home and hospital
Hospice
This type of care is when
Patients can be in any stage of serious illness
Begins at the time of diagnosis and continues through recovery or until death
Care is not limited by specific time periods and can last over years (chronic diseases)
Palliative
For a patient appear restless and agitated nearing death the nurse should assess for what physical and emotional complication
The nurse should assess for urinary retention, constipation, and consult with spiritual bereavement counselor for unfinished business of spiritual distress. The nurse can administer analgesia or sedatives
T/F The nurse is requires to approach the family about organ donation
False. Federal law mandate that only clinicians who completes certified training approach the family about organ donation. The nurse can assist the client to obtain necessary information to make the decision and ensure legal document are complete and correct
What is the 3 wish program
A form of primary palliative care that can be implemented without specialist consultation and modified to meet the needs of pt and families. This program allowed the preservation of humanistic, compassionate end-of-life care for patients during the pandemic.