Eol 2 signs of death dnr polst euthanasia

Circulation signs of impending death?

Weak, slow, irregular pulse; falling BP; cool, mottled, cyanotic extremities

Neuro signs of impending death?

Decreased sensation, changed level of consciousness, restlessness, difficulty talking

GI and GU signs of impending death?

Less urine and bowel output, less intake, trouble swallowing

Respiratory signs of impending death?

Dyspnea, irregular breathing, Cheyne-Stokes, death rattle

What do people fear most at end of life?

Pain

What is the death rattle?

Fluid in the airways causing rales and rhonchi

What does death look like?

No pulse or breathing, fixed dilated pupils, stool and urine release, pallor, temperature drop, no reflexes, flat EEG

Who pronounces death?

A physician or another legally authorized provider; note the time

What is a DNR order?

Order not to attempt resuscitation; can be partial or limited; focus on comfort care

What is POLST?

Physician Orders for Life-Sustaining Treatment; usually pink; for seriously ill patients

Define euthanasia.

Provider performs the act that causes death

Define assisted suicide.

Provider supplies lethal medication; patient takes it