Exam 3: Nursing Care End of Life Flashcards
What are the functions of a family?
Physical maintenance: provide life’s essentials
Protection: creating atmosphere for health and safety
Nurturance: providing loving care and guidance
Socialization: interacting with others
Education: teaching about values and the world
Reproduction: continuing the species
Recreation: having fun together
Support: helping and caring for each other
What are the different types of families?
Nuclear: one or two parents and children
Extended: parents, children, grandparents, and other relatives
Step: one parent and children and a parent by marriage
Single parent: woman or man in a separate household with children because of divorce, death, desertion or individual preference.
Blended: mother, her children, father, his children
Cohabitation: couples who live together with their children but remain unmarried
Partner: parents are same gender; children are from previous relationships, artificial insemination, or adoption
Foster parent: Temporary adult caregiver, providing for children’s care, while waiting for child to be adopted or for natural parent situation to improve.
Adopted: caregivers obtaining legal guardianship over children and becoming parents
What are some risk factors for divorce?
Couple younger than 20 yrs of age low economic circumstances premarital pregnancy children from a previous marriage either partner has been divorced knowing each other for a short time one or both did not finish high school no religious affiliation or different faiths one or both have divorced parents
What are intrinsic factors?
Genetic theories (biological clock, programmed aging theory), Physiological theories (wear and tear, stress adaptation)
What are extrinsic factors?
environmental influences, pollutants
What is ageism?
Ageism is the stereotyping, prejudice, and discrimination against people on the basis of their age. Ageism is widespread and an insidious practice which has harmful effects on the health of older adults.
What is the sandwich generation?
generation of people, typically in their thirties or forties, responsible for bringing up their own children and for the care of the aging parents.
What is empty nest syndrome?
Refers to the grief that many parents feel when their children move out of the home.
What is bereavement?
The state of having suffered a loss by death
Rights of a dying person
to be treated as a person until death
caring human contact
having pain controlled
cleanliness and comfort
maintain a sense of hope
participate in his care or the planning of it
respectful, caring medical and nursing attention
continuity of care and caregivers
information about his condition and impending death
honest answers to questions
explore and change religious beliefs
maintain individuality and express emotions freely without being judged
make amends and settle personal business
say goodbye to family and significant others in private
withdraw from social contact if desired
die at home in familiar surroundings
die with dignity
respectful treatment of the body after death
End of life choices
cardiopulmonary resuscitation CPR DNR orders Artificial feeding and hydration hospitalization hospice care
standards of care for the terminally ill
patient has private time to spend with loved ones
families will have opportunity to discuss the patients imminent death with staff
family will be provided time to carry out cultural customs regarding the body after death.
Hospice Care:
A distinct nursing practice area in which the intent is to help patients in the end stage of life and their families, to experience the process of death with the highest quality of life and least amount of disruption as possible.
Palliative care:
goal is to reduce or relieve the symptoms of a disease without attempting to provide a cure, preserves life while accepting death as a normal and expected outcome.
5 stages of coping with death Kubler-Ross
Denial Anger Bargaining Depression Acceptance
