Module W: Make-up Work Flashcards
the 3rd stage of grief (in response to death) when person tries to arrange for more times to live to take care of unfinished business; bargains with doctors or God
bargaining
respirations stop
apnea
the second stage of grief in response to near death, when person express rage and resentment; often upset by smallest things; lashes out at anyone
anger
care of the body after death
post mortem care
a living will written while resident is mentally competent or by resident’s legal representative which outlines choices about withdrawing or with holding life-sustaining procedures, if terminally ill
advanced directive
a description (typically placed in a local newspaper) of a resident’s life, including listing of relatives, birth information, accomplishments/activities, death is immenent
obituary
interventions used to restore heart beat or respiratory effort (cardiopulmunary resuscitation or CPR)
extrordinary measures
when resident takes several shallow breaths followed by periods of not breathing for 5, 30, or even 60 seconds; does not cause the resident discomfort
cheyne-stokes breathing
an order written by a doctor at the request of a resident, which tells the health care team that the resident does not wish and extraordinary measures to be used when resident suffers cardiac or respiratory arrest
DNR
the near end of life and near cessation of bodily functions
dying
the end of life and cessation of bodily functions
death
the first stage of grief ( in response to near death) when a person is told of impending death
denial
the fourth stage of grief (in response to near death) when a person begins the process of mourning, cries, withdraws from others
depression
support and care provided during the time around death
end of life care
stages of grief in response to near death, based on personal, cultural and religious beliefs and experiences, according to Elizabeth Kubler-Ross
Five Stages of Grief
health care agency or program for people who are dying (usually less than six months to live) that provides comfort measures and pain management, preserves dignity, respect and choice, and offers empathy and support for the resident and the family
hospice care
changes in skin color (pale and bluish) of the hands, arms, feet, and legs when death is near
mottling
what are the physical needs of a dying resident
positioning - place resident in most comfortable position for breathing and avoiding pain, maintain body alignment, change resident’s position frequently to avoid pressure ulcers
Cleanliness - providing skin care, including back rubs, bathe and groom resident frequently to promote self-esteem
Mouth and Nose - clean sores or bleeding in mouth following Standard precautions, provide oral care as needed, cover lips with thin layer of petroleum jelly, check for difficulty swallowing or choking, gently clean nose, offer drinking water as often as possible
Nutrition - offer resident’s favorite foods; include liquids or semi-liquids, offer foods frequently and in small amounts, a blanaced diet is not a primary concern
Elimination - keep the resident’s skin and linen clean, provide perineal care as often as necessary
do your feelings about death affect the care you give
yes, a caring, kind, and respectful approach helps the resident who is dying and family
what are the signs of impending death
psychological and physical withdrawl
decreased level of altertness, with increased periods of sleeping
circulatory slows as heart fails; extremities become cold; pulse becomes rapid and weak
respiratory - irregular, rapid and shallow or slow and heavy
(noisy respiration, apnea, cheyne-stokes breathing)
muscle tone - jaw may sag; body becomes limp; bodily function slow and become involuntary
sensory perception declines; may stare yet not respond, lack of blinking; hearing is believed to be the last sense lost
loss of urinary and bowel control as the muscles in those areas begin to relax
dark-colored urine in very small amounts as a result of decreased blood supply to the kidneys
when a dying resident’s religious beliefs are different from yours, what should you do
respect their wishes
who writes a living will
mentally competent resident or by resident’s legal representative
what is the nurse aide’s role in providing post-mortem care
respect family’s religious restrictions regarding care fo the body
provide privacy and assist roommate to leave area until body is prepared and removed
put body in supine position with one pillow under head to prevent facial discoloration
put in dentures, and if instructed by nurse, remove tubes and dressings
wash body and comb hair
put on gown and cover perineal area with a pad
what are the signs that a resident has died
no heartbeat
no respirations
no response when resident is talked to or touched
bowel and bladder incontinence
enlarged pupils that do not respond to changes in light
eyes are fixed on a certain spot
no blinking
