Palliative Care Flashcards
What changes may you notice in a patient during the dying process?
Reduced consciousness
Reduced peripheral perfusion
Changes in their breathing ie Cheyne stoaking, agonal breathing
Eating less
skin changes
noisy breathing
weight loss
What symptoms may need to be monitored in the client?
Pain levels
Comfort
Breathing
Consciousness level
Delirium?
nausea
What interventions will you implement to make sure Daphne’s skin integrity is maintained and she is comfortable ?
Regular skin intergrity checks
Regular re-positioning
Ensuring the skin is clean and dry
Ensuring continence aids are changed as required
Making sure bedding isn’t too tight
Regular assessment of pain, changes made as required
How do you know Daphne would be comfortable with her daughter performing this?
Mother Daughter bond
ACD
Previous communication with Daphne about involving the daughter
What can cause pain or discomfort in a dying client?
Pressure injuries
Disease progression
Nerve damage
Pressure on the organs
Poor blood supply
Anxiety
constipation
Urinary retention
Even though Daphne is no longer able to communicate with you how would you know what Daphne’s preferences are for symptom management and quality of life?
Advanced Care Directive
NOK/Family
What is happening with Daphnes breathing and what does this mean for Daphne’s plan of care?
(Most likely Daphne will begin Cheyne Stoaking). This is a sign that Daphne is in the terminal phase and that she is likely to die soon. Her plan of care will now follow what instructions she has left in her ACD for the terminal phase. As well as insuring pain is controlled and the family are supported, Spiritual or Religious needs may need to be met.
How will you explain this to Rebecca ?
I would explain to her that this form of breathing is very common in palliative clients and that while it seems concerning to her, Daphne is not in pain or any discomfort. I would also gently explain to her that it is common sign that she is getting closer to dying.
