Peds End of Life Care Flashcards
Causes of death in infants
-Congenital anomalies, respiratory distress syndrome
-Disorders related to prematurity and low birth weight
-Sudden Infant Death syndrome (SIDS)
Causes of death in children ages 5-9
-Injuries (accidents), malignant neoplasms,
-Congenital anomalies, assault (homicide)
-Heart disease
Causes of death in children ages 10-14
-Injuries (accidents), malignant neoplasm
-Suicide (3rd leading cause of death)
Causes of death in youth ages 15-19
-Assault (homicide), suicide
-Malignant neoplasms, heart disease
palliative care
Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.
When the prognosis for a patient is poor and death is the expected outcome, it is ethically acceptable to:
-Withhold or withdraw treatments that may cause pain and suffering
-Provide interventions that promote comfort and quality of life
hospice care
holistic, compassionate care given to dying people and their families
the greatest fear of a parent is that
their child will be in pain
*Fear of child dying alone or of not being present when the child dies
pain and symptom management
-Must be given the highest priority
-Provide continuous pain medication
Grief
a process, not an event, of experiencing physiologic, psychologic, behavioral, social, and spiritual reactions to the loss of a child.
-Grief is high individualized. It is neither orderly or predictable.
Sibling grief
depends on their understanding (based on their age and developmental level).
Children express their grief through play and behavior.
Nurses’ Reactions to Caring for Dying Children
*Most stressful aspect of nursing
*Response similar to that of family members
*Self-care measures
*Attend funeral service
