End-of-Life Care ATI Glossary & Summary

____-____ _______

Breathing pattern of cycles that begin with rapid, shallow breaths, increase to deep breaths, ending with periods of apnea.

Cheyne-Stokes respirations

______ ______

Sound produced as a result of an accumulation of secretions in the lung and the throat leading to congestion; secretions become trapped as the client is unable to clear the secretions.

death rattle

_________

The sensation of difficult or labored breathing.

dyspnea

____________

A sensation that something is there when it is not; includes all five of the senses.

hallucinations

______ ______

Care services for clients and families that focus on comfort and support; not curative when it is determined the client has less than six months to live.

hospice care

________

Physical change of the skin marked by purple or reddish marbling; caused by the heart's inability to pump blood effectively, leading to decreased blood perfusion throughout the body.

mottling

_______ ______

A multidisciplinary care approach that is focused on the management of symptoms for chronic or life-threatening illnesses while maintaining the highest level of quality of life possible for the client.

palliative care

________ ____

Physical care performed after the client has died; includes washing the body, accounting for the client's possessions, removing invasive devices, and placing identification tags on the body.

postmortem care

_______ _____

A service or agency that provides primary caregivers with a short-term break from the responsibilities of client care.

respite care

_______ care embodies the holistic approach to client care and includes the family and caregivers as part of the care team.

Hospice

______ care can be provided while clients are actively seeking curative treatments.

Palliative

As loneliness and social isolation can negatively affect the dying client, the nurse should facilitate interventions that provide ______ support.

social

Including the client and their family/caregiver in decision making assists with maintaining the client’s dignity while providing a “____ ____” for the client.

good death

A major role of the nurse during _____ care is to provide client comfort and serve as a resource for the family/caregiver as well as the client.

hospice

______ _____ provides medical and psychosocial support to clients with terminal illness, focusing on comfort, dignity, and quality of life when treatment no longer controls or cures the illness.

Hospice Care

____ ____ is provided when treatment is no longer effective, and the goal is comfort rather than cure. It was initially for cancer but now includes all life-limiting illnesses.

Hospice Care

_____ ____ is typically given at home, but can also be provided in hospitals, extended-care facilities, or inpatient hospice centers.

Hospice Care

The ____ _____ is usually a family member or close friend who assists the client with daily needs and care.

primary caregiver

What are the admission criteria for hospice care?

1. Diagnosis of ______ illness with a life expectancy of __ months.

2. Agreement to _______ care instead of curative treatment.

3. ______ statement choosing hospice care instead of other treatments.

1. Diagnosis of terminal illness with a life expectancy of 6 months.

2. Agreement to palliative care instead of curative treatment.

3. Signed statement choosing hospice care instead of other treatments.