End of Life

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