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Nurs 317 Final - New Material Questions With Answers.
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Nurs 317 Final - New Material Questions With Answers.
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Nurs 317 Final - New Material QuestionsWith Answers.
palliative care - ANSWER- indicated when diagnosis of life-limiting illness is made
- relief from symptoms
- suffering
- quality of remaining life
- live as actively as possible
hospice care - ANSWER- compassion, concern, support for those in last phases of
terminal disease
- goals: live fully and comfortably
- die with dignity
hospice nurses - ANSWER- pain control, symptoms management, spiritual assessment,
assessment and management of family needs
hospice care criteria - ANSWER- 1. patient must desire services (agree to hospice care
in writing)
2. must be medically eligible for services (2 physicians certify terminal illness with less
than 6 months to live)
ethical and legal issues with palliative care - decisional capacity - ANSWER- ability to
consent to or refuse care; understand information and have capacity to reason
full code - ANSWER- all heroic measures
chemical code - ANSWER- drugs but no CPR
no code - ANSWER- DNR (do not resuscitate) or AND (allow natural death) - comfort
measures
euthanasia - ANSWER- - deliberate act of hastening death
- ANA: the nurse should not participate in active euthanasia
- violates: Code for nuses, ethical traditions, professional goals, societal covenants
palliative sedation - ANSWER- the use of medications to intentionally produce sedation
to relieve intractable symptoms and distress in a patient who is imminently dying
- intent to relieve pain and suffering; not hasten death
nursing management of palliative care - ANSWER- - provide holistic care: focus on
symptom management
- respect, dignity, comfort
, nursing assessment of palliative care - ANSWER- focused on changes related to
terminal disease
- stability determines frequency,, more frequently as changes occur
- acute care: q8hr
- home/hospice: weekly
final hours: nursing management - ANSWER- limit to comfort measures; pain and
respirations
- more peaceful to avoid stimulations
- transition towards emotional support
nursing management: planning (palliative care) - ANSWER- conference: involves
patient, family and interprofessional team
- care goals: comfort and safety, emotional needs,
nursing management: implementation - ANSWER- - ongoing information/education on
disease, dying process and care
- coping strategies
- barriers: denial and grieving
psychosocial care: anxiety and depression management - ANSWER- encouragement,
support and education
- pharmacologic, nonpharmacologic
spiritual distress - ANSWER- may be seen as anger, behavioral/mood changes or need
for spiritual assistance
cultural beliefs/ethnicity affect - ANSWER- understanding of and reaction to death or
loss
treatment decisions, use of palliative care or hospice service
rituals associated with dying
- nursing: assess and document desires for care before and after death
psychological manifestations @ EOL - ANSWER- - altered decision making
- anxiety and fear
- life review
- peacefulness
- helpless, restless, unusual communication, withdrawal
skin and musculoskeletal physical manifestation at EOL - ANSWER- - mottling on
hands, feels, arms and legs
- cold, clammy skin
- cyanosis, waxlike skin near death
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