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CC2 EXAM 4 > DEATH AND DYING PLUS MORE > Flashcards

Flashcards in DEATH AND DYING PLUS MORE Deck (27)
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1
Q

what are Buddhism beliefs on religion and medical care?

A
  1. request the priest to deliver their last rites
  2. chanting is common
  3. brain death is not considered a requirement for death
  4. eastern medicine is used which includes herbs and acupuncture
  5. giving blood is seen as a gift
2
Q

what are Christian beliefs on religion and medical care?

A
  1. some give last rites
  2. anointing of the sick and priest performs the last sacrament
  3. some avoid alcohol/tobacco/ and caffeine
  4. some may fast during Lent
3
Q

what are Hindu beliefs on religion and medical care?

A
  1. may want to lay on the floor while dying
  2. a thread is placed around the neck and wrist
  3. family pours water into the mouth and bathes the body
  4. some are vegetarian
  5. some may want to be cremated
  6. Hindus practice yoga and homeopathic medicine
  7. no organ donation
4
Q

what are Islamic beliefs on religion and medical care?

A
  1. they are modest and clean
  2. they do not eat pork
  3. they will want to have a same-sex provider
  4. the body faces mecca (east) and is washed and enveloped in white cloth
  5. dying clients confess their sins
  6. avoid alcohol and pork and they fast during Ramadan
5
Q

what are Jehovah’s witnesses’ beliefs on religion and medical care?

A
  1. may choose burial or cremation

2. avoid foods having or prepared with blood

6
Q

what are Judaism beliefs on religion and medical care?

A
  1. someone stays with the body and a burial society prepares the body
  2. may have a kosher diet where meat and dairy cannot be placed together
  3. burial has to be done quickly before sundown the next day by rabbis
7
Q

what are Mormon beliefs on religion and medical care?

A
  1. last rites are given and communion is offered
  2. burial is preferred
  3. avoids alcoho/tobacco/ caffeine
8
Q

what are Roman Catholics beliefs on religion and medical care?

A

respect life, rituals, sacraments and anointing of the sick

9
Q

who is decision making on death made by?

A

decision making is made by the client so listen to what the client wants unless they are cognitively impaired

10
Q

who are candidates to receive palliative care?

A

those with chronic illnesses such as cancer, stroke, organ failure, end stage dementia

11
Q

what is the purpose of palliative care?

A

improves the quality of life of patients and families who face life threatening illness by providing pain and symptom relief, spiritual and psycho-social support

12
Q

what does palliative care treatment focus on?

A

treatment focuses on improving quality of life, support for the dying patient to live to the fullest, and prevent and relieve suffering

13
Q

what are physical care that can be given to a patient who is in palliative care?

A
  1. medications to manage pain, air hunger because the patient cannot breathe, and anxiety
  2. promote dignity and self esteem by removing products of elimination, grooming, and promote decision making
14
Q

what are psychosocial care aspects that can be given to the patent in palliative care?

A

prevent fear of dying alone and keep the client informed

15
Q

when does a patient usually go into palliative care?

A

can be used when patient has more than 6 months to live so they do not qualify for hospice care

16
Q

what makes a patient eligible for hospice?

A

has to be diagnosed by a physician as having 6 months or less to live and 2 doctors must sign off on it withdrawing the curative care

17
Q

what should the patient know about hospice care?

A
  1. not curative treatment but rather is comfort care

2. can be done at home or inpatient hospital setting

18
Q

what is the plan of care for patients on hospice?

A

symptom management–> does not treat the disease but treats the symptoms to keep patient comfortable

19
Q

what are teachings to provide the family with a patient who is on hospice?

A
  1. teach that it is not curative treatment
  2. prepare family for death of loved one
  3. nurse can support family for 1 year following death
20
Q

when is a patient considered brain dead?

A

when there is no evidence of cerebral or brainstem function for an extended period of time

21
Q

what is the required criteria to consider a patient brain dead?

A
  1. unresponsive coma with absent motor movements
  2. apnea
  3. pupils fixed and dilated (unresponsive to light)
  4. absent ocular responses to head turning (doll eyes)
  5. flat EEG
  6. no cerebral blood circulation is present in a PET scan so the brain wont light up because there is no blood flow
22
Q

what are teaching points about organ donation to teach the patient and family?

A
  1. wishes may be stated on a card or on the will

2. maintain ventilator and cardiovascular support for vital organ revival

23
Q

what is the decision process that the patient should follow legally before death?

A
  1. ask client about wishes on their advance directive status
  2. individuals will choose their preferred treatment plan while mentally able to
24
Q

what are advance directives?

A

legal documents that allow individuals to choose their preferred treatment plan while they are mentally able to do to ensure their wishes will be carried out when they are unable to make decisions for themselves

25
Q

what is the living will?

A

document that describes the patient’s treatment preferences about life prolonging procedures such as resuscitation and organ donation

26
Q

what is a durable power of attorney?

A

gives the person designated power to make medical, legal, and financial decisions for the patient when the patient is no longer able too.

27
Q

what is a DNI?

A

do not intubate which prohibits endotracheal intubation