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Level 3 > Complex Exam 4 - Grief and Loss; Spirituality; End-of-Life Care > Flashcards

Complex Exam 4 - Grief and Loss; Spirituality; End-of-Life Care Flashcards

1
Q

What is the diet for Judaism?

A

Kosher (no animal products/pork/dairy)

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2
Q

What death requests does Judaism have?

A
  • rabbi
  • bury w/in 24 hours
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3
Q

What do people who practice Islam request when they are in the hospital?

A

a nurse of the same gender

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4
Q

What dietary considerations should be used for Islam?

A
  • NO pork
  • fasting during ramadan
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5
Q

Who participates in the Anointing of the Sick?

A

Roman Catholics

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6
Q

Who administers the last sacrament for Roman Catholics?

A

the priest

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7
Q

What methods do people who practice Hinduism use?

A

alternative
- yoga
- homeopathic remedies

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8
Q

What religion/culture does not eat meat or use medications derived from animals?

A

Hinduism

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9
Q

What religion/culture does not believe in organ donation?

A

Hinduism

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10
Q

What religion/culture believes illness can be cured through the mind and herbs?

A

Buddhism

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11
Q

What care will Jehovah’s Witnesses not accept?

A

blood transfusions

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12
Q

What should be determined about a patient’s religion?

A
  • what their religion is
  • how their religion affects healthcare decisions
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13
Q

What should you never do regarding a patient’s culture/religion?

A
  • attempt to sway their decisions
  • preach your own beliefs/practices
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14
Q

What disease processes can require palliative care?

A
  • children: cystic fibrosis, haemophilia, muscular dystrophy
  • adults: stroke, MI, end-stage dementia, liver/kidney failure, terminal cancer
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15
Q

When is palliative care used?

A
  • when the client has > 6 months to live
  • chronic or acute life-threatening disorders
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16
Q

What is the goal of palliative care?

A
  • decrease symptoms of the disease
  • prevent/relieve suffering
  • improve quality of life
  • regard dying as a natural process
  • support the dying patient to live life to the fullest
17
Q

What is important to determine with palliative care?

A
  • sources of strength and hope
  • desires and expectations of the client and family
18
Q

When is hospice care used?

A

6 months or less to live

19
Q

What type of care is hospice care?

A

non-curative

20
Q

Where is hospice care done?

A

at home or inpatient

21
Q

What is the goal of hospice care?

A
  • comfort and support
  • symptom management
  • advanced care planning
  • spiritual care
  • family support during/after
22
Q

What pharmacological therapy is done for hospice care?

A
  • pain management: opioids
  • stool softeners, laxatives
  • anti-emetics
  • disease-specific meds
23
Q

What affects the decision-making process with hospice care?

A
  • lack of information
  • cultural influences
  • viewing decline as giving up or personal failure
24
Q

What cultural influences affect decision-making in hospice care?

A
  • where the patient should die
  • who should be present at the time of death
  • what should be done with the body at the time of death
25
Q

What clinical manifestations show brain death?

A
  • unresponsive coma
  • apnea
  • pupils fixed and dilated (unresponsive to light)
  • absent ocular responses to head-turning
  • flat EEG
  • no cerebral blood circulation
26
Q

What should be maintained for vital organ retrieval?

A

ventilatory and cardiovascular support

27
Q

Who performs euthanasia?

A

physician

28
Q

How is euthanasia usually done?

A

intentional drug OD

29
Q

How does assisted suicide work?

A
  • physician provides medication
  • patient administers medication
30
Q

Can nurses be involved in euthanasia or assisted suicide?

A

NO

31
Q

What is a DNI order?

A

prohibits endotracheal intubation

32
Q

What is a DNR order?

A

prohibits cardiopulmonary resuscitation

Level 3 (29 decks)

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