Module 12 PALLIATIVE CARE, HOSPICE & END OF LIFE

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Last updated 3:43 PM on 7/21/26
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21 Terms

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Palliative care
Comprehensive symptom management for serious illness, any stage
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Palliative care support
Addresses symptoms, goals of care, distress, spiritual concerns
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DNR
Do Not Resuscitate, no CPR if heart stops
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DNI
Do Not Intubate, no breathing tube if breathing fails
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Full code
All measures used to keep patient alive
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No code
Patient has DNR and/or DNI in place
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Hospice eligibility
Life expectancy under 6 months, death accepted as imminent
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Hospice purpose
Maximize quality of life, stop disease-directed treatment
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Hospice care approach
Patient and family treated as one unit, includes bereavement support
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End-of-life communication
Balance hope and honesty, ongoing conversations
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Cultural sensitivity in EOL care
Respect beliefs and preferences around death and dying
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Nurse's role in family meetings
Advocate, interpret medical terms, help patient/family ask questions
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Advance directive
Legal document stating medical care preferences in advance
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Durable Power of Attorney
Person designated to make medical decisions for patient
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Living will
Written instructions for treatment during terminal illness
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Common EOL symptoms
Pain, dyspnea, secretions, anorexia/cachexia, anxiety, delirium
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Grief
Not linear, unique to each person, influenced by culture
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Nurse's role in grief
Support family cohesion, provide emotional support
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Post-mortem legal steps
Confirm death, document time, notify physician, assess for autopsy
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Post-mortem care steps
Position supine, close eyes/mouth, remove jewelry/tubing, wash body
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Post-mortem cultural care
Allow time for cultural and spiritual practices