Adult I Unit Ii

Front 1

What is Autonomy?

Back 1

Respect the rights of patients and their surrogates to make healthcare decisions.

Front 2

What is Beneficence?

Back 2

Benefit the patient and balance benefits against risk and harm.

Front 3

What is Nonmaleficence?

Back 3

Avoid causing harm.

Front 4

What is Justice?

Back 4

Giving each his/her due; Act fairly

Front 5

What is Veracity?

Back 5

Telling the truth

Front 6

What is Fidelity?

Back 6

Keeping a promise

Front 7

What is Distributive Justice?

Back 7

Fairly distributing you time among patients.

Front 8

What are the seven (7) Ethical Principles upon which decisions are made?

Back 8

Autonomy
Beneficence
Nonmaleficence
Justice
Veracity
Fidelity
Distributive Justice

Front 9

What are some of the things you need to keep in mind when dealing with ethical issues in the elder?

Back 9

- Make sure healthcare decisions are not age based
- Make sure the elder is no coerced
- Respect the elders right to make decisions, even though they are not in their best interest

Front 10

What is Informed Consent?

Back 10

Making sure the elder truly understands what they are signing, and what is going to happen.

Front 11

Name some of the Ethical Issues encountered in the Care of the elderly.

Back 11

-Informed Consent
-Use of Restraints
-Patient Safety
-Nutritional Support
-Mechanical Ventilation
-Withdraw/Withhold Medications
-Right to Die

Front 12

This can occur at any stage of life, but 80% occur in elderly patients. What is it?

Back 12

Death

Front 13

A ______ is when a person, object, or situation has been made inaccessible.

Back 13

Loss

Front 14

This is an emotional reaction to a loss that occurs as the result of separation or death.

Back 14

Grief/Grieving

Front 15

What is Bereavement?

Back 15

The state of grieving

Front 16

The period of time when the person accepts the loss and grief, and learns to deal with the loss is called?

Back 16

Mourning

Front 17

What are the three (3) types of death?

Back 17

-Traditional heart-lung death
- Whole-Brain death
- Higher-Brain death

Front 18

The irreversible cessation of spontaneous respiration and circulation is called?

Back 18

Traditional heart-lung death

Front 19

The irreversible cessation of all functions of the entire brain is called?

Back 19

Whole-Brain death

Front 20

The irreversible loss of all higher brain function (cognitive function) including: personality, ability to make decision, ability to make judgement, reason......

Back 20

Higher-Brain death

Front 21

An illness in which death is expected within a limited space of time, but death does not always happen. A physician must diagnose it.

Back 21

Terminal Illness

Front 22

-A family centered care of the dying person
-Goal is quality of life in a center or the person's home
-Usually includes a team of physician, nurse, home care worker...
-Provided after care for the family

These are examples of what type of care?

Back 22

Hospice Care

Front 23

-Taking care of the whole person
-Goal is aggressive treatment of symptoms, but not the disease

These are examples of what type of care?

Back 23

Palliative Care

Front 24

What is a "comfort measures only" order?

Back 24

-Goal of the treatment is a comfortable, dignified death
-Must be requested by the patient's family, or the patient themselves
-Often a don not hospitalize order, which indicates the disease process will be allowed to continue until the time of death

Front 25

List some clinical signs of impending death.

Back 25

-Inability to swallow
-Pitting edema
-Decreased GI and urinary tract activity
-Loss of motion, sensation, and reflexes
-Elevated temp, but cold/clammy to touch
-Lowered BP
-Noisy or irregular respirations
-Cheyne-Stokes aka Death Rattle

Front 26

Name the five (5) stages of dying according to Kubler-Ross.

Back 26

1. Denial and isolation
2. Anger
3. Bargaining
4. Depression
5. Acceptance (always last step)

Front 27

Factors that affect grief and dying

Back 27

-Developmental Considerations
-Family (roles)
-Socioeconomic Factors
-Cultural Influences
-Religious Influences
-The Cause of Death

Front 28

Do children with developmental disabilities or children in general grieve as much as adults?

Back 28

Yes

Front 29

When an elder loses a spouse, friend, or relative their own age what usually happens?

Back 29

-They reminisce about life
-Put their lives and the purpose of living in perspective
-Prepare themselves for their own inevitable death

Front 30

What are the steps involved in providing Postmortem Care of the body?

Back 30

-Place person in a normal anatomical position before rigatonis sets in
-Replace any soiled dressings or tubes
-Not imperative to bath body
-Be aware of any cultural issues with the family (e.g., family may want to bathe the body)
-Place identification on the body
-Notify those handling the body if person died of a communicable disease
-Call the appropriate authorities to remove the body

Front 31

What are the nurses responsibilities regarding the care of the family during postmortem care?

Back 31

-Offer a chaplain before the death
-Make time available for them to spend with the loved one (privacy is important)
-Usually only trained persons can request organ donation

Front 32

-Moving a roommate if death is imminent
-Be aware of HIPPA, you cannot divulge the dying persons true condition

these are examples of what?

Back 32

Taking care of other patients in postmortem care

Front 33

What is the last thing a person loses when they are dying?

Back 33

Hearing

Front 34

What are the five (5) things you would tell the alpha person to say to a loved one in the event of death?

Back 34

-I love you
-Thank you
-I forgive you
-Please forgive me
-We will be ok