Exam (elaborations)
NUR 321 - Palliative care.
- Institution
- 4.ED FORMS - Verbs Or Modifiers.
NUR 321 - Palliative care.
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NUR 321 - Palliative careHow can people plan for end of life care? - ANS-Important to understand the purpose
Advance directives
1. Instructional directive
2. Durable power of attorney for health care (DPOAHC)
How can we support the grieving family? - ANS-1. Help them Accept the reality of the
loss - allow the family time alone with the patient before you start post-mortem care
- Family is experiencing the pain of the loss
2. Adjusting to the environment in which the deceased is missing - offer support groups
3. Finding a way to remember the deceased while moving forward with life - help them
find support groups
What are indicators of imminent death? - ANS-1. Impaired urinary elimination
2. Total urinary incontinence
3. Urinary retention
4. Ineffective tissue perfusion - ex mottling, increased pulse, and cyanosis
5. Communication issues - the dying process brings on an emotional crisis for the family
and maybe the patient may become more lethargic and not answer as much
6. Impaired gas exchange
- Increased RR, dyspnea, apnea, and cheyne-stokes respirations (shallow, rapid
respirations, then deep and long respirations and then periods of apnea)
7. Impaired mobility - because everything is shutting down
8. Impaired swallowing
9. Disturbed sensory perception
10. Acute confusion - due to lack of perfusion
11. Disturbed thought processes - may start seeing things
12. Anxiety/fear - if the patient is still cognizant in the early stages of earth and also may
cause anxiety and fear for family
What are the desired outcomes of EOL? - ANS-1. Needs and preferences met of the
patient
2. Control of symptoms of distress - ex pain relief
- Complementary therapies - in conjunction with traditional therapies
- Ex calming music
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