Exam 2: End of life care Flashcards
Chronic illness
ongoing condition (expected to last at least 3 months) that requires adaptation to ADL’s
special healthcare need categories
dependent on medications or special diet
dependent on medical technology
increased use of healthcare services
functional limitations
Developmentally appropriate nursing actions for chronically ill child: infants
touch
comfort (swaddling)
eye to eye contact
sensory stimuli
promote bonding
Developmentally appropriate nursing actions for chronically ill child: toddlers
offer choices
practice new skills
Developmentally appropriate nursing actions for chronically ill child: preschooler
explain purpose of treatment
use play to teach, provide sense of accomplishment
provide positive feedback
Developmentally appropriate nursing actions for chronically ill child: school-aged children
teach self management
encourage interactions with children who have similar condition
facilitate child learning the self care of illness
Developmentally appropriate nursing actions for chronically ill child: adolescent
education on the chronic illness and self management
encourage interaction with adolescents who have a similar condition and w/ healthy adolescents
facilitate development of a safety net of friends, family, teachers, and so on who have knowledge of the chronic illness and its treatment
sexual maturity and activity
Brain death
irreversible cessation of all function of the brain, including the cerebral cortex and brainstem
no chance of recovery
By 6 years of age, children recognize death as
permanent
By ages 9-10, children understanding of death is
the same as an adult
Coping mechanism and response: the ill child
regression
repression
Coping mechanism and response: the family
denial
depression
anxiety
spiritual and cultural traditions
Coping mechanism and response: factors affecting the family’s response
cultural traditions and practices
religion and spirituality
social support systems
palliative care
can be initiabted whether or not a cure is possible
Goal is to improve QOL
hospice care
service when life limiting illness does not respond to curative treatment
death with dignitiy and comfort
