Lauer- Integrative symptom management Flashcards Preview

Behavioral Health III > Lauer- Integrative symptom management > Flashcards

Flashcards in Lauer- Integrative symptom management Deck (18)
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1

What are common symptoms seen at the end of life?

Dementia and delerium
SOB
Swelling
Anxiety
N/V
Xerostomia (dry mouth)

2

What is dementia?

chronic loss of memory and other cognitive function

3

What is delerium?

acute confusion, agitation, altered mental status

4

What can be used to treat delerium/dementia?

environment-Consistency, lights, music therapy
touch- warm blankets/weights
approach- positive regard
EOs
Meds- eliminate polypharmacy, antipsychotics

5

What is SOB?

subjective feeling of being unable to catch breath

6

What helps SOB?

env- cool temps, fan, high ceilings

7

How do you support hypoxia?

oxygen
ventilation

8

How do you manage mucous?

hydration
saline nebs
guaifenesin

9

What meds can be used for SOB?

opiates--decrease resp rate--> decreased air hunger
treat anxiety
inhalers

10

What causes swelling?

organ failure
malnutrition
physical obstruction
dependent edema
ascites
anasarca
lymphedema

11

What are the two types of anxiety?

primary--related to depression, GAD, phobias

secondary- end of life fears, adrenal tumors, acute air hunger, chronic dyspnea

12

How can you improve anxiety?

evn- outside, triggers, animals, music
Square breathing
Heart math
EOs

13

What meds can be used for anxiety?

SSRIS
benzos
tx underlying pain and sob

14

What should you be wary of if you give someone benzos?

the paradoxical reaction--> people get mean

15

What are syndromes that can cause N/V?

constipation
bowel obstruction
gastroparesis
increased ICP
migraine
vertigo/motion sickness

16

What causes anticipatory nausea?

Familiar/unpleasant triggers (food, env, people)

17

What can cause xerostomia?

illness- tumors/dehydration
tx- chemo, radiation, meds

18

How to you tx xerostomia?

stop offending treatment
good mouth care
lemon/sour foods
artificial saliva
glycerin swabs
pilocarpine