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Test 2- Nursing care at end of life
Terms in this set (27)
What is prevalence of chronic disease?
Actual cues of when someone is actively dying is harder to pinpoint
Where do half of all deaths of older adults occur?
Older adults are living longer what does this effect?
they are more dependent on other for longer period of time
What is a living will?
A will of what a person wants done in the case that they become incompassitated. Its their wishes
What is the healthcare power of attorney?
Person in charge of person's healthcare when they can no longer communicate
When does a DNR CC become effective?
Active when you and physician sign the paper
When does a CCA become effective?
If the person goes into cardiac arrest
How is nurse involved in knowing about cca, cc, advanced directive?
1) Ask if they have one
2) Can we have a copy of it
3) Do you want information about it
What is palliative care?
Prevent and relieve suffering.
What is Hospice care?
Prognosis 6 months or less.
Medicare hospice benefit
Who can hospice be used for?
Alzheimers, end stage renal disease
Is the dying process static in al people?
What occurs when the cadiovascular system is shutting down?
Mottling in the periphery
What respiratory changes occur end of life?
changes in rhythm and periods of apnea
What will you hear when a person is actively dying?
gurgling, do not suction people
What occurs to the persons musculoskeletal system end of life?
What occurs in the final 2 weeks of active dying?
-Decreased food intake
What occurs in the final week of active dying?
-Decreased fluid intake
What is Imminent death?
Final 48 hours
What is the "Death vigil"?
-Focus on managing symptoms and communicating with patient and family
-Signs and implication
-Communicating with the dying patient
What are some signs of death?
-Cessation of heart beat and respiration
-pupil fixed and dilated
-No response to stimuli
-Eyelids open without blinking
-Decreasing body temp
-Jaw relaxed and slightly open
-Body color in a waxen pallor
When does the grief process begin?
-Not orderly or predictable
-includes a series of stages or tasks
-No one gets over it
What are the tasks of grief?
What is despair?
activity quiets down
What is adjustment?
closure to continuing bonds
What is transient?
auditory or visual hallucination of the dead person
What is initial shock characterized by?
-transient auditory/visual hallucinations
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