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23 Cards in this Set
- Front
- Back
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What are some proper ways to address a loss such as mastectomy or amputation of a leg
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Encourage grieving individuals to tell you what the person (or object) was like, and what the loss means to them
validate: Loss was important & that you understand |
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Eg of loss
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-mastectomy
-losing money -job -one's health -life -limb |
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A widower (male) comes to your home giving you a personal belonging of his dead wives. (book of flowers)
What is an appropriate verbal response? |
lead them to Reminisce: life had meaning
Yes I am going to miss her. I appreciate you giving me this book Reflect back |
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What is the whole goal of hospice
AKA palliative care |
philosophy of care for the dying and their families
philosophy means acceptance of death as a natural part of life & an emphasis on the quality of remaining life |
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respite care
need more information |
relief /temporary break from your daily caregiving responsibilities
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What is the 1st emotion you feel when you find out you are going to die
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Anger
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A terminal ill pt Says, "I wish I could breath like I did 20 yrs ago
A correct verbal response for a nurse is what? |
Restate it
I wish you could breath like you did 20 yrs ago Give hope hope is an inner positive life force, a feeling that what is desired is possible |
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"Went to his reward" means
p 183 |
means died
they avoid death by not mentioning it such as "passed away" |
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A terminal ill bone cancer pt has been recommended radiation by physician. What does a hospice ns say to pt to see if pt understands about radiation?
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Do you know what radiation does?
It does not cure them but stops the remission of the disease Note Palliative radiation relieves symptoms of pain gives hope prolonged life |
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If a pt has just been admitted and hands you his advance directive and it has DNR on it. What are you going to do as a nurse?
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you need a physician written order for a DNR
need to call STAT |
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DNR generally means
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Do-Not-Resuscitate &
No chemicals The types of treatments that a patient with a DNR order WOULD NOT receive include cardiopulmonary resuscitation (chest compressions and mouth-to-mouth breathing, or CPR), electric shocks to the heart, assisted breathing with mechanical devices, or the use of medications which are intended to artificially start the heart again. A person will not be placed on life support, such as a ventilator or a breathing machine. |
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A terminal ill pt has a DNR in the hospital, then you are transferred to Hospice care. Does hospice keep the DNR order
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yes
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What kind of resp do we look for @ the end of life?
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cheyenne-stokes resp
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If a terminal pt is asked what the Dr has informed them about their terminal illness or disease and the pt replies, " No the dr didn't tell me anything about it. what stage of grief is it?
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Denial
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Patient has neurological damage and wants you to help him. What are you going to do?
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Code of Nursing does NOT allow/prohibits you to assist in euthanasia
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What do you say to someone who has a terminal illness that says they can't or don't want to get out of bed?
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It is OK
NOTE the dying pt is not going to get better; he is gets weaker & weaker, not because he is lying in bed , but because he is dying |
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When someone is getting ready to die what are you doing to do?
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Reminisce, if they want to see a pasture let them
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Postmortem def
who can assist? |
care of pt after death
the family depends on their beliefs |
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Read p 189
pain in dying |
-give reg meds & prn backups for pain
-no concern for addiction or safety (pain) |
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What items help the skin integrity?
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sheep skin or foam
air pressure mattress |
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IVs, catheters, nasogastric & tube feedings in postmortem?????
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removed unless a autopsy is going to be done (pt in hosp less than 24 hrs)
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Dehydration
Hydration |
-Results in less stress & pain
-does not improve comfort |
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constipation/diarrhea
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-increase fluids, exercise, and fiber
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