Just Culture, D/C Planning, End Of Life & Palliative Care (organ & tissue donation, advance directives, care withholding, family presence)

Question 1

keep instructions short and concise, immediately understandable

reinforce w/ written instructions, in patients language, review w family if illiterate, explain to elderly d/t decreased vision

assess effectiveness

Answer 1

d/c planning

Question 2

irreversible cessation of circulatory or resp function or brain death

Answer 2

determination of death

Question 3

elevate head 20-30 degrees, instill artificial tears and tape eyelids shut w/ paper tape, apply ice over eyes

Answer 3

corneal donation

Question 4

written guide detailing a patients wishes; prepared when a patient is competent; enacted when the patient loses decision-making capacity

Answer 4

advance directive

Question 5

allows an individual to declare what treatments an individual does and does not want; applies only to terminal illness or a vegetative state

Answer 5

living will

Question 6

designates a surrogate decision maker when an individual is unable to make their own decisions

Answer 6

durable power of attorney for health care

Question 7

may limit CPR or intubation, but does not withhold comfort measures such as pain relief or oxygen

Answer 7

physician orders for life-sustaining treatment (DNR)

Question 8

to alleviate physical, psychological, emotional, and spiritual suffering and to promote quality end of life (for patient and family)

Answer 8

palliative care

Question 9

gives closure, reduces questioning of events and care, obtain patient hx

Answer 9

family presence