Chpt. 55 End-of-life care

Question 1

end of life care

Answer 1

support and care given during the surrounding death

Question 2

rigor mortis

Answer 2

stiffness or rigidity of skeletal muscles that occurs after death

Question 3

advanced directive

Answer 3

doc. stating a person’s wishes about health care when that person can’t make their own decisions

Question 4

post-mortem care

Answer 4

care of the body after death

Question 5

terminal illness

Answer 5

illness or injury for which there is no reasonable expectation of recovery

Question 6

reincarnation

Answer 6

a belief that the spirit or soul is reborn after another human body or another form of life

Question 7

autopsy

Answer 7

examination of the body after death

Question 8

Palliative care

Answer 8

care that involves relieving or reducing the intensity of uncomfortabe symptoms w/o producing a cure

Question 9

when someone has a terminal illness can the person live longer than expected?

Answer 9

with a strong will to live…yes

Question 10

whats the focus when palliative care is done

Answer 10

on relieving symptoms

Question 11

what does hospice care stress?

Answer 11

stresses pain relief and comfort

Question 12

what are some practices and attitudes of people in India

Answer 12

needing a time and place for prayer and for the family and the person

Question 13

what may children between 2-6 see death as…

Answer 13

punishment for being bad

Question 14

older persons see death as…

Answer 14

freedom from pain, suffering, and disability

Question 15

in which stage of dying does the person make promises and make “just one more” request

Answer 15

bargaining

Question 16

if dying begins to talk about worries and concerns you should..

Answer 16

listen quietly and use touch

Question 17

care given when a person is dying should be done to promote what…

Answer 17

physical and psychological comfort

Question 18

because vision fails as death approached, you should..

Answer 18

explain what you’re doing to the person when in the room

Question 19

hearing is one of last senses lost, so its important to…

Answer 19

prove reassurance and explanation about care

Question 20

as death comes, oral hygiene is given how frequently

Answer 20

more frequent when taking oral fluids is difficult

Question 21

whar occurs when death nears

Answer 21

circulation fails
body temp rises
skin is cool, pale, mottled

Question 22

help dying person by allowing family members to do what

Answer 22

come and visit as long as they wish

Question 23

if a erson has a living will, it might instruct docs. to

Answer 23

not start measures that prolong dying

Question 24

when the fam wishes to see body after death, it should

Answer 24

be positioned to look comfortable and natural

Question 25

when assiting with post-moretm care you should..

Answer 25

gently pull eyelids over the eyes

Question 26

what the does the dying person's rights include...

Answer 26

right to be in denial,touch and be touched, angry and sad

Question 27

when you understand the dying process you can approach the dying person with...

Answer 27

care,kindess,respect

Question 28

whats all the focuses of hospice care

Answer 28

physical, emotional, spiritual, social needs

Question 29

religious beliefs strengthen when a person is dying b/c it provides...

Answer 29

comfort for person and fam

Question 30

adults fear death because they fear what 5 things

Answer 30

``` pain and suffering dying alone invasion of privacy loneliness separation from loved ones care and support of those left behind ```

Question 31

name 5 stages of dying

Answer 31

``` denial anger bargaining depression acceptance ```

Question 32

whats the 2 goals of comfort needs

Answer 32

prevent relieve suffering to extent possible | respect and follow endlife wishes

Question 33

when caring for a dying person, dont ask questions that need long answers because

Answer 33

they'll probably die on you jk they may have speech and comprehension issues

Question 34

because crusting and irritation of the nostrils can occur, you should..

Answer 34

carefully clean around nose and apply lubricant

Question 35

what kinds of elimination probs can occur in a dying person

Answer 35

urinary and fecal incontinence constipation urinary retention

Question 36

what the 2 rights the patient self-determination and OBRA gave a dying person

Answer 36

right to accept treatment and right to refuse

Question 37

what does a living will instruct docs to do

Answer 37

not to start measures that prolong dying | remove measures the prolong dying

Question 38

whats the signs of death

Answer 38

no pulse, BP, Rx, puplis fixed or dilated

Question 39

a dying patient's bill of last rights give the person what 9 rights

Answer 39

``` 1- be in control 2- have a sense of purpose 3- touch and be touched 4- laugh 5- be angry and sad 6- respect spirituality 7- hear the truth 8- prominence 9- be in denial ```