Week 4: Palliative and End of Life Care Flashcards
1
Q
Outline the 9 National Palliative Care Standards
A
- Assessment of needs
- Developing the care plan
- Caring for carers
- providing care
- Transitions within and between services
- Grief support
- Service culture
- Quality improvement
- Staff qualifications and training
2
Q
What is the nursing management of dyspnoea
A
- reassurance
- cool air
- elevated position of comfort
- humidifiers for thick secretions
- opioids to reduce anxiety
- O2 therapy
- medication to reduce secretions
3
Q
What is the nursing management of Congestion
A
Elevate the head and turn the patient on their side. suction is ineffective
4
Q
What is the nursing management of Nausea +/- vomiting
A
- check for prescribed anti-nausea meds
- check last bowel action
- small amounts of food or drink
- rest and relaxation activities
- ensure emesis bag or bowl in reach
5
Q
What is the nursing management of fatigue
A
- look for reversible causes
- individual exercise program
- encourage energy conservation
minimize or roster visitors
6
Q
What is the nursing management of Delirium
A
- check for reversible agent (infeection ect)
- pharmacoloy e.g., haloperidol
7
Q
What is the nursing management of Delirium
A
- check for reversible agent (infection ect)
- pharmacology e.g., haloperidol
- calm/quiet tones
- light massage
- soothing music
- reduce environmental stimuli
- frequent surveillance
