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NURS 3138 Exam 5 Guide With Complete Solution
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NURS 3138 Exam 5 Guide WithComplete Solution
Main reason to refer to pallative care
optimize quality of life to prevent suffering
characteristics of pallative care
patient has MORE than 6 months to live
curative care may be ongoing
how are hospice and pallative care related?
all hospice care is pallative BUT not all pallative care is hospice
what qualifies a patient for hospice care?
serious illness that is NOT curative
6 months or less to live
hospice care
end of life care
still optimizing quality of life but have given up on curative elements
when a patient reaches end of life, what options should be discussed?
discuss a referral for in-home hospice care
assessment for terminally ill patients
,nonverbal pain cues
dyspnea
anxiety
why are nonverbal cues for pain important for patients in hospice care?
may be in and out of consciousness
must rely on non brtbal
nursing diagnoses for terminally ill/end of life
pain
ineffective airway clearance
death anxiety
pain control measures for end of life/hospice care
opioids (fentanyl patch, IV morphine, hydromorphone)
massage, relaxation
what type of pain meds should be given FIRST to a patient in hospice?
opioids
implementation for "ineffective airway clearance" end of life nursing
diagnosis
scopolamine patch (dry mouth to dry up secretions)
glycopyrrolate-muscarinic blocker (dry up secretions)
oxygen
,implementation for "death anxiety" end of life nursing diagnosis
benzodiazepines (decrease brain activity)
causes of cancer
viruses and bacteria
physical and chemical agents
genetics and familial factors
lifestyle
hormonal agents
primary prevention
health promotion
risk reduction
example of primary prevention
smoking cessation
vaccinations
secondary prevention
screening and early detection
examples of secondary prevention
mammograms
colonoscopy
tertiary prevention
, diagnosis
treatment
prevention of reoccurance of primary cancer
purposes of surgery for cancer
diagnostic surgery
surgery as primary treatment
prophylatic surgery
palliative surgery
reconstructive surgery
pre-operative nursing management
consent
pre-op assessment
nutritional and fluid status
psychosocial
post-operative nursing management
cough and deep breath
incentive spirometer
mobility for DVT prophylaxis
pain management
potential complications (infection, would dehisence)
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