Palliative Care And Hospice Nursing: Questions With
Correct Solutions
Advance care planning Right Ans - A process by which patients and
families discuss end-of-life care, clarifying values and goals and then
expressing those goals in an advance directive.
Advance directives Right Ans - A legal document designed to indicate a
person's wishes regarding care in case of a terminal illness or during the
dying process
Cheyne-stokes repsirations Right Ans - Common sign of nearing death in
which apnea alternates with periods of rapid breathing.
Death rattle Right Ans - Loud, wet respirations caused by secretions in the
respiratory tract and oral cavity of a patient who is near death
Hospice Right Ans - An interprofessional approach to facilitate quality of
life and a "good" death for patients near the end of their lives, with care
provided in a variety of settings.
Palliative care Right Ans - A compassionate and supportive approach to
patients and families who are living with life-threatening illnesses; involves a
holistic approach that provides relief of symptoms experienced by the dying
patient.
Palliative sedation Right Ans - A care management approach involving the
administration of drugs such as benzodiazepines for the purpose of
decreasing suffering by lowering patient consciousness.
Leading Causes of Death in the United States Right Ans - • Heart disease
• Cancer)
• Accidents
• Chronic lower respiratory diseases
• Cerebrovascular diseases
• Alzheimer's disease
• Diabetes mellitus
• Influenza and pneumonia
, • Kidney disease
• Suicide
Inadequate perfusion to body tissues deprives cells of their source of oxygen
Right Ans - which leads to anaerobic metabolism with acidosis, hyperkalemia,
and tissue ischemia.
Dramatic changes in vital organs lead to the release of toxic metabolites and
destructive enzymes, referred to Right Ans - as multiple organ dysfunction
syndrome (MODS).
what can start the dying process? Right Ans - renal or liver failure
When the body is hypoxic and acidotic, a lethal dysrhythmia such as Right
Ans - ventricular fibrillation or asystole can occur, which ultimately leads to
lack of cardiac output and perfusion. Shortly after cardiac arrest, respiratory
arrest occurs. When respiratory arrest occurs first, cardiac arrest follows
within minutes.
It is important to note that advance care planning does not stop with just
asking about advance directives Right Ans - Rather, advance care planning
is a process whereby patients and families discuss end-of-life (EOL) care,
clarifying values and goals and then expressing those goals in an advance
directive
durable power of attorney for health care Right Ans - a health care proxy,
health care agent, or surrogate decision maker, does not make health care
decisions until the health care provider states that the person lacks capacity to
make his or her own health care decisions. This is usually the result of
impairment in cognition.
To have decision-making ability, a person must be able to perform three tasks:
Right Ans - • Receive information (but not necessarily be totally oriented)
• Evaluate, deliberate, and mentally manipulate information
• Communicate a treatment preference
hospice is considered to be Right Ans - the model for high-quality,
compassionate care for people facing a life-limiting illness or injury. Hospice
uses a team-oriented approach, providing expert medical care, pain
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