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impending clinical death symptoms
muscle tone loss, circulation slow, respirations, sensory impairment, anorexia, fatigue, delirium
circulation slow causes
mottling
Cheyne stokes respirations
30-60 seconds of apnea
sensory impairment components for eol
less alert, less communication, more sleep
respiratory symptoms eol
panicked and breathless, cheyne stokes, secretions
respiratory eol interventions
no deep suction, oxygen, scopolamine or levsin for secretions
cognition and pain eol symptoms
restless, furrowed brow, moaning, guarding
palliative care goal
treatment for cure, symptom management, psychosocial/spiritual support
Hospice care is a type of _____ care that focuses on ____
palliative, comfort
Hospice care uses the least amount of ____ as possible
tech
To enter hospice need a medical ____ with a life expectancy of ____ or less
diagnosis, 6 months
death place order
institutional settings, home, hospital death
nurses role in hospice care
physical care, pain and symptom mgmt, spiritual and psychosocial, family, bereavement
physical care for eol
bathing/hygiene, oral care, lotion, pain control, respiratory support
movement care for eol
assist, position changes, pillow support, elevate legs
more important to have ____ than to prevent _____ towards eol
comfort, pressure injuries
nutrition for eol
dehydration is ok, food and fluids as tolerated, antiemetics
cultural considerations for eol
decision maker, advance directives, spiritual care
grief def
emotional response associated with loss
mourning def
actions related to grief
for postmortem should have ___ caregivers and make sure to don’t place in ____ position so that there isn’t ______
2, supine, blood pooling
Postmortem physical/aesthetic considerations
dentures, close lids and mouth, comb hair, clean gown, no smells, absorbent pads for fluids
should place pillow under head and shoulder to prevent _____ from discoloring ____
blood, face
for postmortem in hospital, need to wrap body in
shroud
hospice is already related to a local place, but in palliative you need to call yourself and maybe involve
police
if mn would have assisted suicide, it would need to be
pt driven
Note
Flashcard