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Term
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Definition
| someone whose focus is working patients, caregivers, and healthcare providers in regards to death and dying |
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Definition
| may be sudden and unexpected may be expected; resent death-affect plans/hopes/dreams |
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| an illness or injury for which no reasonable expectation of recovery (ie, cardiac diseases, cancer, kidney failure) |
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Definition
| death is temporary; death is punishment for being bad |
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| know death is final death is also viewed as punishment and body multilation |
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| fear pain, suffering, dying alone, invasion of privacy |
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| Patient's concern (5 reasons) |
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Definition
| 1)Know diagnosis; 2)Know outcomes/longevity; 3)Know the treatment plan options; 4)Fear of pain, loss control, loss of function, loss of independence; 5)Usually believes that they will be the one that a cure will impact |
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Definition
| Do Not Resuscitate (Decision reached by the pt. and/ or family with physician-an order in the chart must be written) |
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Definition
| tell you what your chances are of living. Patient will might ask doctor, "How much longer do you have to live?" |
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| Stage of Grieving (order of 5 stages) |
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Definition
| 1)Denial; 2)Anger; 3)Bargaining, 4)Depression, 5)Acceptance |
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Term
| How healthcare care with patient? |
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Definition
| Listening:let patient express their feelings be there for patient; Touch:shows caring and concern when words cannot; Provide care for family too- they need support and have a right to privacy with patient; continue to provide care for while the family is present. |
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Definition
-Reality:
good clinically & poor communication
bad clinically & good communication
good clinically & good communication
-Do not destroy patient's hope, but don't give false hope
-Remember privacy act |
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Term
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Definition
1)Most time spent with patient and family
2)Assess and evaluate patient physically, psychologically, socially
3)Administer meds and treatments as ordered
4)Keep physician informed of patient's status
5)Determine what works with patient to keep them comfortable, optimize life
6)Provide support for the patient and family
7)Provide input to other healthcare professionals |
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Term
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Definition
1)Provide input to other healthcare professionals: social worker, pharmacy, PT/OT, minister/parish nurse
2)Discuss options with family and educate them- Hospice Care usually starts 6 months prior to anticipated death care can be provided in home, hospital, or nursing home. |
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Term
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Definition
Decreses
-muscle tone-usually starts in the distal end (ft./legs)
-Sensations/LOC (level of consciousness)
-Peristalsis: helps move food down for execution
-Fecal incontinence (having no control bladder)
-Peripherally-cool, pale, mottling, cyanosis
-Circulation- pulse is weak, irregular, BP
-Respiration-slow, shallow RR, death rattle
-Pain- due to decrease consciousness |
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Term
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Definition
| Give personal belongings to family; Family has the right to view the body; Notify the funeral home (supr.) |
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Term
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Definition
-Dependent on the facility
-Postmortem care:care of the body after death; done to maintain good body appearance.
-Rigor mortis: stiffness or rigid muscles that occur after death-usually within 2-4 hrs. |
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Term
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Definition
-Staff:RN case manager; Nursing aide; Physician; Social worker; Pharmacist; Spiritual Person
-Provide equipment for care at home
-Provide care for parent
-Provide care for family/caregivers
-Available on-call 24 hrs. day
-Facilitate patient's rights
-Help alleviate stress for patients and family/caregiver |
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Term
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Definition
Near death, options
-return to the hospital
-go to a nursing home
-go to a hospice center
-remain at home
Nurses educates family
-cares for person nearing death
-resourse at death is nearing
-makes arrangements for body removal from home
Provides follow-up group support for family and caregiver |
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