Week 13 Flashcards
end of life
the use of pharmacologic agents to hasten the death of a terminally ill patient; illegal in most states
Assisted suicide
self-determination; in the health care context, the right of the individual to make choices about the use and discontinuation of medical treatment
Autonomy
period during which mourning for a loss takes place
bereavement
personal feelings that accompany an anticipated or actual loss
grief
a coordinated program of interdisciplinary care and services provided primarily in the home to terminally ill patients and their families
Hospice
communication and cooperation among members of diverse health care disciplines jointly to plan, implement, and evaluate care
Interdisciplinary collaboration
a Medicare entitlement that provides for comprehensive, interdisciplinary palliative care and services for eligible beneficiaries who have a terminal illness and a life expectancy of less than 6 months
Medicare Hospice Benefit
individual, family, group, and cultural expressions of grief and associated behaviors
Mourning
philosophy of and system for delivering care that expands on traditional medical care for serious, progressive illness to include a focus on quality of life, function, decision making, and opportunities for personal growth
palliative care
the use of pharmacologic agents, at the request of the terminally ill patient or the patient’s legal proxy, to induce sedation, or near-sedation, when symptoms have not responded to other management measures; the purpose is not to hasten the patient’s death but to relieve intractable symptoms
palliative sedation
the expected course of an illness and the chance for recovery
prognosis
personal belief systems that focus on a search for meaning and purpose in life, intangible elements that impart meaning and vitality to life, and a connectedness to a higher or transcendent dimension
spirituality
progressive, irreversible illness that despite cure-focused medical treatment will result in the patient’s death
Terminal illness
The levels of hospice care
- routine home care
- inpatient respite care
- continuous care
- general inpatient care
Five stages of grief
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Four principles of health care ethics
- Autonomy
- nonmaleficence
- beneficence
- Justice
FICA stands for….
- Faith and belief
- Importance
- Community
- Address in care
5 common symptoms at end of life
- pain
- dyspnea
- nausea
- weakness
- anxiety
What is one of the most common and feared responses by patients to terminal illness?
Anorexia
Cachexia
Dyspnea
Pain
Pain
A nurse who provides care on an acute medical unit has observed that health care providers are frequently reluctant to refer clients to hospice care. What are contributing factors that are known to underlie this tendency? Select all that apply.
A. Financial pressures on health care providers
B. Client reluctance to accept this type of care
C. Strong association of hospice care with prolonging death
D. Advances in “curative” treatment in late-stage illness
E. Ease of making a terminal diagnosis
A,B,D
The nurse is caring for a client at the end of life. The client isprescribedaregularly scheduled doseof narcotics andshort-actingnarcoticfor breakthrough pain.Which action should the nurse take whenadministeringthenarcoticstomanage this client’s pain?
A. Assess for signs of drug dependence.
B. Prepare to treat any drug side effects.
C. Recognize that dosages will be restricted.
D. Administer all analgesics on a PRN basis.
B
