Exam (elaborations)
Nursing 212 Hospice And Palliative Care: Questions And Correct Answers
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Nursing 212 Hospice And Palliative Care: Questions And Correct Answers
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Nursing 212 Hospice And Palliative Care: QuestionsAnd Correct Answers
What are types of loss? Right Ans - - maturational loss
- situational loss
- actual loss
- perceived loss
What are types of grief? Right Ans - - normal
- anticipatory
- disenfranchised
- complicated
What are factors that influence grief and loss? Right Ans - - human
development
- personal relationships
- nature of loss
- coping strategies
- socioeconomic status
- culture
- spiritual/ religious beliefs
What is the uniform determination of death act? Right Ans - state health
care providers can use either the cardiopulmonary definition or the brain
function definition to establish death has occurred
what is the goal of palliative care? Right Ans - - prevents/reduces
symptoms
- improve quality of life
- care of the mind body spirit
what is the key to palliative care? Right Ans - interdisciplinary approach
what are guidelines to qualify for hospice? Right Ans - - disease not
reversible
- multiple ER visits w/in 6 mo
- progressive functional decline
- elects to fogo curative treatments
, - progressive impaired nutritional status
what is hospice criteria for end stage cardiac disease? Right Ans - -
symptomatic despite diuretics/vasodilators
- ejection fraction <20%
- arrhythmias resistant to treatment
- Hx of cardiac arrest
- angina at rest
- heart failure
how can dyspnea be measured? Right Ans - on a scale (like pain)
what is a fan on the face a treatment for? Right Ans - dyspnea
- affects the 8th cranial nerve
what are interventions for dyspnea? Right Ans - - oxygen
- nitrates
- opioids
- fan on face
what is hospice criteria for end stage pulmonary disease? Right Ans - -
dyspnea at rest
- recurrent pulmonary infections
- right heart failure
- oxygen saturation <88% on O2
- weight loss >10% over past 6mo
what is hospice criteria for end stage renal disease? Right Ans - - not
seeking dialysis or transplant
- creatinine >8mg/dl
- uremia symptoms: n/v confusion pericarditis restlessness
- hyperkalemia >7.0mEq/L
- oliguria <400 cc/24 hr
what symptoms of end stage renal disease? Right Ans - - pain
- nausea
- pruritus
- dyspnea
- agitation
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