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16 Cards in this Set
- Front
- Back
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End of Life Terminology
- ___: loss of appetite - ___: muscle wasting - ___: place in the hospital where a body is brought, awaiting the funeral home - ___: occurs when the value system of a patient and caregiver differs - ___: focus is palliative care, prrviding comfort - ___: the state of having suffered a loss by death |
- anorexia
- cachexia - morgue - ethical dilemma - hospice - bereavement |
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Loss, Grief, and Death
- a person reaction to loss is influenced by ___ and ___ - ___ is a universally shared event |
- the importance of what was lost and culture
- death |
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End of Life Terminology
- ___: to no longer possess or have an object, person, or situation - ___: the emotional feeling of pain and distress that a person experiences as a reaction to loss - ___: the study of death |
- loss
- grief - thanatology |
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Loss
- can be either ___ or ___ - only ___ can define the value of the loss |
- physical or psychosocial
- the person experiencing the loss |
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Grief
- can be experienced by both ___ and ___ - a grieving person may experience ___ and ___ symptoms - 5 examples of symptoms |
- the dying person and their loved ones
- physical and emotional - depression/sadness, loss of appetite, sleep alterations, hearing or seeing the love one, telling stories about the loved one |
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List 4 stages of grief
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- shock / disbelief
- protest - disorganization - reorganization |
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Grieving Process
- no one can predict ___ - grief work is never ___ - healing occurs ___ |
- completion
- completely finished - when the pain is less |
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Nature of Death
- give 2 definitions of death - each death experience is ___ |
- 1960's: death is the absence of heartbeat and breathing
- 1970's: (brain death) death is the absence of brain waves and the stopping of integrated functioning as a whole - unique |
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Hospice Care
- is a philosophy of ___ - was started in ___ in the 1960's - is based on the acceptance of ___ and emphasis on ___ - is focused on ___ and ___ - is often called ___ |
- caring for the dying
- England - death as a natural part of life , quality of remaining life - symptom management and comfort care - pallaitive care |
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List Kubler Ross 5 stages of coping
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- Denial
- Anger - Bargaining - Depression - Acceptance |
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Emotions and Fears of the Dying Process
- 4 emotions - 5 fears |
- emotions: guilt, hope, despair, humor
- fear: dying, unknown, pain, abandonment, unfinished business |
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Pain Control
- is a ___ of a terminally ill patient - pain medication should be scheduled ___ and with ___ - no concern for ___ or ___ when narcotics are increased in response to pain |
- right
- around the clock w/ PRN backup - addiction or reaching safety limits |
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Signs of Impending Death
- 8 physical signs |
- decreased urine output
- decrease BP - decrease respiration - increase pulse rate - incontinence - increase secretions (inability to clear) - "death rattle" |
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Body Following Death
- absence of ___ and ___ - ___ fixed - ___ decreased - ___ decreased - ___ and ___ relax |
- HB and respirations
- pupils fixed - color decreased - bedy temp decreased - muscles and sphincters relax |
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Nursing Process During Impending Death
- ___ the bed - begin with ___ medication - reduce or withhold ___ or ___ |
- elevate head
- anticoagulant - IV fluids or entral feeding |
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Post Mortem Care
- head - chin/jaw - hands - body ties - id tags |
- head: elevate
- chin: loosely tie closed - hands: plam down, over the abdomen, uncrossed - body ties: secure the feet, legs, and arms - id tags: on big toe, outside of shroud, on belongings |
