Loss

Question 1

pt self determination act

Answer 1

• Federal Law requiring health care providers to routinely provide info about advance directives
• Durable Power of Attorney
• Durable Power of Attorney for Health Care
• Living Will Declaration
• DNR

Question 2

living will declaration

Answer 2

legal document that indicates what a person will and will not want done. Durable power of attorney will make the decision.

Question 3

durable power of attorney

Answer 3

signed when competent, identifies a person on your behalf to make medical decisions.

Question 4

Five wishes organization document (legal in 42 states, ohio is not one of them)

Answer 4

• The person I want to make care decisions for me when I can’t
• The kind of medical treatment I want or don’t want
• How comfortable I want to be
• How I want people to treat me
• What I want my loved ones to know
• http://www.agingwithdignity.org/five-wishes.php

Question 5

when communicating bad news, always start from?

Answer 5

The baseline of what the patient already knows:

ex: Tell me what you know about …?

Question 6

depressogenic

Answer 6

medicines that we use for noble purposes that have depressive side effects

-sulfonamides, HTN medicine, digitalis, antiparkinsonians, steroids

Question 7

When cure can’t happen the focus becomes?

Answer 7

Care. Focus on anticipatory greiving

Question 8

6 month prognosis must be made in order to receive?

Answer 8

hospice care

Question 9

Whole person care for those with life threatening illnesses who are not yet eligible for hospice care

Answer 9

palliative care

Question 10

Respiratory symptoms the goal is to? How?

Answer 10

• Goal is to relieve the perception of breathlessness
• Non medication interventions
• Opioids: decrease anxiety, use appropriately to avoid decreasing respiratory effort
• Anxiolytics
• Elevate HOB
• Cool humidified air
• Relaxation techniques

Question 11

Pain produces?

Answer 11

• sleep disturbance
• hopelessness
• loss of control
• impaired social interaction

Question 12

Characterized in phases, but not linear at all

Answer 12

• Mourning: Numbness, Yearning,Anger, Disorganization/Despair, Reorganization to new normal

Question 13

• Sudden, unexpected
• Overly lengthy
• Death of a child
• Perception of the death as preventable
• Ambivalent relationship
• Unaccommodated losses/stresses/mental health problems
• Perceived lack of social support

Answer 13

Complicated Mourning

Question 14

often called the “Fifth” vital sign as well (not pain)

Answer 14

hope