mod 16

Question 1

Caring for the family

Answer 1

when reposition before asking them to step outside, check on family
let them know it is okay to take breaks
reassure and encourage them
remind them not to argue in hc setting
if arguing get nrs or social worker
if it is out of control/ non compliant call 911
After death express sympathy

Question 1

five stages of grief

Answer 1

Denial- 1st stage, disbelief, numb, or shock
Anger- 2nd towards god, 1self, hc worker
bargaining- “what if” “only if”
Depression- Empty + alone
Acceptance- Accept loved one is gone

Question 2

Religious needs

Answer 2

Allow them to have religious objects and practice their faith
non religious: talk to them about their thought and feelings
Report any distress

Question 3

Pallaive care

Answer 3

offered to those who need more help managing serious life threatening illnesses
curative actions

Question 4

hospice or end of life care

Answer 4

terminally ill and death expected within 6 months
symptom management and increase quality of life
any med must be symptom management or quality of life
delivered at any location

Question 5

how many months will hospice offer grief services for family?

Answer 5

up to 13 months after the passing

Question 6

Rights of dying patient

Answer 6

be
treated with respect, dignity
have a right in medical care (goals +discontuine)
honest
communicated with honestly
family and friends
pain free
respected
pursue spirituality
die peaceful and not alone
bodily res[ect after death

Question 7

Cheyne stokes

Answer 7

pattern of fast shallow breathing followed by slow deep breathing with periods of apnea

Question 7

Resp changes

Answer 7

change to mouth breathing
deeper breathing
pause or gasping for air

Question 8

death rattle

Answer 8

gurling or rattling sound
saliva collecting in back of throat
slightly raise head of bed until noise stops
Upset family remind them it is normal
oxygen can be admin
pt keeps removing it, it should not be used

Question 9

cardiovascular changes

Answer 9

slows down
shunted to core body
blood flow to extremities poor (feet + hands cold)
nail beds are grey
bp + hr =irregular
br is low
hr inc = sweat followed by low pulse and chilling

Question 10

molting

Answer 10

result of poor blood flow to extremities
cold, gray motled fett or hands
purple marble on skin- can come and go
often occurs on feet and legs

Question 11

nervous systems and sensory changes

Answer 11

decreased alternes and into a coma
movement: jerking or spasmodic
hallucation or delusions
not responding but can still hear you
hearing is the last sense to go

Question 12

digestive changes

Answer 12

appetite and thirst decrease
nauseous or vomit
slowing down
stop eating and drinking
family educated that food and drink will not help
stomach bloated
become incontinent

Question 13

monitoring pt

Answer 13

reposition every hour
oral care each time you reposition
oxygen: apply water-based lube
chilled: apply layers
Sweating: 1 sheet
may need to change bedding every time reposition them

Question 14

post mortem care

Answer 14

say goodbye ask them to step out
2 cna perform post moterm care
suppiles for bed bath
bed protector at the head and undernearth from waist to hips
vomitting coutine raise head of bed
oral swabs to clean mouth

Question 15

After done with post motermt care

Answer 15

put on clean gown
head of bed slightly raised
bring sheet up to abdomen
position hands over abd or chest
close the eyes (moist cotton or raise head of bed)
put in dentures or on glasses
tidy room
air freshener
family come back in to say goodbye

Question 16

Assisting funeral home represntaitve

Answer 16

assist in moving body from bed to stretcher
resident placed in body bag
after clean the room