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NURS 1255 > PowerPoint: End-Of-Life > Flashcards

PowerPoint: End-Of-Life Flashcards

1
Q

Internal emotional reaction to loss

State of grieving from a loss of a loved one

A

Grief: Internal emotional reaction to loss

Bereavement: State of grieving from a loss of a loved one

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2
Q

Patient Self-determination act
(PSDA)

A

Grants Americans the right to determine the medical care they wanted if they became incapacitated

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3
Q

Legal document that specifies how you want medical care in the future

A

Advance directive

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4
Q

is a document that allows you to name someone to make medical decisions for you if you are unable to do so

A

Durable Power of Attorney for Healthcare

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5
Q

Advanced Directives is concerned with what to do to prevent your death by healthcare.

if a patient has a DRN do you preform CPR?

A

No

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6
Q

Body should not be displayed
No autopsies
Body not left unattended until the funeral with in 24 hrs
Dying person must recite The Confessional aka the Shema

A

Jewish

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7
Q

Death is seen as the new beginning
God has an appointed time for everyone
Body is bathed and wrapped in cloth

A

Muslim

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8
Q

Optimized comfort
Reduced Stress
Provide Emotional and Spiritual Support
Relieve Symptoms

(Shared in common)

Can be received at any stage of the disease
(Hospice / Palliative Care)

Prognosis of 6 months or less
Cannot be using curative treatments
(Hospice / Palliative)

A

Can be received at any stage of the disease
Palliative Care

Prognosis of 6 months or less
Cannot be using curative treatments Hospice

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9
Q

Last sense to go when dying

A

Hearing

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10
Q

To enter hospice 2 physicians must certify what?

A recertification only requires 1 physician

A

Terminal prognosis with less than 6 months to live

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11
Q

Patient is unable to cough up secretions

First nursing intervention

A

Turn on side

Administer medication to help dry up secretions

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12
Q

Which breathing patter is associated with dying

A

Cheyne Strokes

Apnea alternating with rapid breathing

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13
Q

In Hospice

Speak with a (Elevated / Softened) tone

Keep room (brightly/ dimmly) lit

A

Soft tone

Dimly lit

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14
Q

H
O
P
E

Mnemonic for spiritual assessment

A

Hope & Stength
Organized religion
Personal spiritualness
Effects of religion and spiritual on care and end of life

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15
Q

Is it common for a dying person to talk or see people who aren’t there

Are these hallucinations

A

Yes

No hallucinations

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16
Q

3 leading causes of death USA

is suicide in the top 10

A

Heart disease
Cancer (malignant neoplasma)
Accidents

Suicide is #10

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17
Q

When managing pain in a dying person Pain is accessed frequently and PRN medications are given as needed

True or False

A

False

Pain meds are given on a schedule

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18
Q

Managing dyspnea

Bronchodilators & Corticosteroids

Are used for…

A

Wheezing & Bronchospams

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19
Q

Managing dyspnea

Diuretics are used for…

A

Fluid Overload

Dyspnea, crackles, peripheral edema

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20
Q

Managing dyspnea

Anticholinergic are used..

Name 2 medications used

A

Dry up secretions

Atropine eye drops

Scopolomine transdermal patch

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21
Q

Standard treatment for managing Dyspnea

If this treatment does work
What is second choice

A

Opiods ?

Ask professor

Benzodiazepine

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22
Q

Constipation can cause nausea and vomiting

Interventions

A

Biphospahte enema

Mineral oil and gentle disimpactation

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23
Q

Postmortem

If death was unexpected

Do what?

A

Notify medical examiner

24
Q

Are physician-assisted deaths legal in USA?

A

Yes, Oregon, Washington, Vermont, Montana, Colorado, DC

&

Canada

25
Q

Terminal Delirium may occur a week or two before death.

Use this medication to help

A

Haloperidol IV is given

26
Q

Adjuvant therapy may include…

A

Additional cancer treatment given after the primary treatment to lower the risk that the cancer will come back. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, targeted therapy, or biological therapy

27
Q

Break through pain

A

A sudden increase in pain that may occur in patients who already have chronic pain from cancer, arthritis, fibromyalgia, or other conditions

28
Q

Cutaneous pain is pain caused by ….

A

injury to the skin or superficial tissues.

Cutaneous nociceptors
are located just below the skin and produce a localized pain of short duration

29
Q

Dynorphin is….

A

a neuropeptide involved in pain, addiction and mood regulation

30
Q

Endorphins Vs Seratonin

A

Serotonin helps stabilize mood and well-being

Endorphins are focused on pain and stress relief

31
Q

Intractable pain:

A

A type of pain that can’t be controlled with standard medical care. It’s also known as intractable pain disease, or IP. Intractable pain isn’t curable, so the focus of treatment is to reduce discomfort.

32
Q

Neuromodulation therapies

A

New field of treatment Simulating

parts of the nervous system to alter or reset the abnormal circuitry

Using drugs or electricity

33
Q

Neuropathic pain, also known as nerve pain, is pain that occurs when the nervous system is damaged or malfunctions.

It’s not usually caused by an injury or event, but instead by the body sending pain signals to the brain without warning

True or False

A

True

34
Q

Nociceptive pain is a type of physical pain that can feel sharp, aching, or throbbing. It’s caused by acute or ongoing tissue damage, such as:

A

Trauma
Surgery
Chemical burns
Metastasis to bone
Dental infection
Disease of the viscera

35
Q

Psychogenic pain is….

A

Pain that is primarily caused by psychological factors

depression and anxiety

36
Q

Referred pain is pain….

A

felt in one area of the body, but caused by an injury or pain in another area

37
Q

(Transduction / Transmission)
is the process by which tissue-damaging stimuli activate nerve endings.

(Transduction / Transmission) is the relay functions that carry the message from the tissue injury site to the brain regions that underlie perception

A

Transduction is the process by which tissue-damaging stimuli activate nerve endings.

Transmission is the relay functions that carry the message from the tissue injury site to the brain regions that underlie perception.

38
Q

The activation of pain receptors is called

A

Transduction

39
Q

___ or peripheral receptors respond selectively to mechanical, thermal, and chemical noxious stimuli

A

Nociceptors

40
Q

The process by which sensation is inhibited or modified is referred to as…

A

Modulation

41
Q

Vitals all decreases except

A

Temp increases then decreases

42
Q

Pain meds are given

PNR or Regularly

A

Regularly

43
Q

Do hospice patients get IV or Tube Feeding

A

Nope

44
Q

What is the priority for end of life

A

Control Pain

45
Q

Air hunger and breathless are managed by this drug first

A

Morphine

46
Q

Type of oxygen delivery system given at end of life

A

Nasal Cannula

47
Q

If unexpected death happens what is the post mortem care

A

Leave all lines & Tubes in

48
Q

Saline drops and close eyes of deceased

Why

A

Preserve eyes for donations

49
Q

Put water proof pad under decreased

Why

A

All muscles relax including anus

50
Q

Expected or unexpected death or Brain Dead call Gift of Life

True or False

A

True

51
Q

Active euthanasia

Provider takes action that directly causes the patients death

Supported or Not Supported

A

Not Supported

52
Q

Physican Assisted Death

Provider helps a person commit suicide by providing drugs for self administration at patients request

Supported or not supported

A

Supported

53
Q

Terminal weaning

A

Patient who is on a ventilator is taken off ventilation

54
Q

Does Terminal Weaning cause a patents death

A

No, the patient’s disease process kills them

55
Q

Why use a CPAP

A. It uses positive pressure to keep airway open

B. Delivers oxygen with respiratory effort

C. Uses negative pressure to close airway.

D. Alternating waves of air to stimulate breathing

A

A. Uses positive pressure to keep airway open

56
Q

_____ describes normal cells growing at the wrong place or wrong time

A

Benign tumors

57
Q

One of the goals of hospice care is to relieve symptoms

True or False

A

True

Relieve symptoms yes

Cure disease No

NURS 1255 (13 decks)

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