T3: Blueprint-Hospice and Palliative Care Flashcards Preview

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Flashcards in T3: Blueprint-Hospice and Palliative Care Deck (25)
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1
Q

Improves quality of life in clients and their families facing end of life issues

A

Palliative care

2
Q

Comprehensive care delivery system for the terminally ill that is usually implanted when a client is not expected to live longer than 6 months

A

Hospice care

3
Q

Palliative or hospice:

Used for anyone w/ serious illness or major illness

A

Palliative

4
Q

Palliative or hospice:

Imminent death

A

Hospice

5
Q

Palliative or hospice:

Entered under one diagnosis, although they may have many issues

A

Hospice

6
Q

Palliative or hospice:

Pain control

A

Palliative

7
Q

Palliative or hospice:

Do not have to have a terminal diagnosis

A

Palliative

8
Q

Palliative or hospice:

Symptom management–consultive services

A

Palliative

9
Q

Palliative or hospice:

High amounts of pain meds/anti-anxity meds

A

Hospice

*anything to make dying as comfortable as possible

10
Q

What is the greatest threat to comfort?

A

Pain

11
Q

What are characteristics of discomfort?

A
  • Pain
  • Anxiety
  • Dyspnea
  • N/V
  • Dehydration
  • Diarrhea/constipation
  • Urinary inconcinence
  • Cant do ADL
12
Q

Clinical findings approaching death

How is LOC?

A

Decreased

13
Q

Clinical findings approaching death

Muscles relax or tense?

A

Relax

14
Q

Clinical findings approaching death

How is breathing?

A

Altered—labored, reg, irreg, apnea, Chyne-Stokes

15
Q

Clinical findings approaching death

What is in airway?

A

Mucous collection

16
Q

Clinical findings approaching death

Do they have incontinence? How is urine output

A

Yes; decresed

17
Q

Clinical findings approaching death

How is skin?

A

Mottling with poor circulation

18
Q

Clinical findings approaching death

How are pupils?

A

Nonreactive

19
Q

Clinical findings approaching death

How is pulse and BP?

A

Pulse: weak
BP: dropping

20
Q

Clinical findings approaching death

Extremities warm or cool?

A

Cool

21
Q

Clinical findings approaching death

Do they perspire?

A

Yes

22
Q

Clinical findings approaching death

How is ability to swallow?

A

Inability to swallow

23
Q

What are nursing interventions we can do for the dying?

A

-Continuity of care by limiting staff changes
-Give priority to control the symptoms!
-Administer meds that manage pain, air, hunger, and anxiety–> manage SE of those meds
-Repositon to maintain airway and comfort
-Maintain skin/mucous membrane integrity
-Provide envrion. that promotes self esteem and dignity
Encourage use of relaxation techniques such as guided imagery and music

24
Q

Directive document for med. treatment per clients wishes

A

Living will

25
Q

Document that appoints an individual to make med. decisions when a client is no longer able to do so on his on behalf

A

Durable power of attorney