Podcast
Questions and Answers
When is palliative care given?
When is palliative care given?
People who have serious, chronic diseases, such as cancer, AIDS, CHF as well as people who are dying.
List 2 goals of palliative care.
List 2 goals of palliative care.
Relieve pain, control symptoms, prevent side effects and complications.
Hospice care is ordered by a doctor when a person has 6 months or less to live.
Hospice care is ordered by a doctor when a person has 6 months or less to live.
True (A)
Hospice care is generally not available on Sundays.
Hospice care is generally not available on Sundays.
Hospice care focuses on curing the person's disease or disorder.
Hospice care focuses on curing the person's disease or disorder.
Hospice care focuses on making residents comfortable and managing their pain.
Hospice care focuses on making residents comfortable and managing their pain.
Hospice care uses a holistic approach.
Hospice care uses a holistic approach.
The resident's family is not involved in hospice care.
The resident's family is not involved in hospice care.
Mr. Anderson, a resident, talks to God about his terminal cancer. He promises to make peace with his estranged son if he is allowed to live. Which stage of dying is he going through?
Mr. Anderson, a resident, talks to God about his terminal cancer. He promises to make peace with his estranged son if he is allowed to live. Which stage of dying is he going through?
Luke, a nursing assistant, knows that his resident, Ms. Wilson is dying. One day she begins to yell at Luke blaming him for a lack of proper care saying, 'If you had been a better caregiver, I wouldn't have gotten sick.' What stage is this?
Luke, a nursing assistant, knows that his resident, Ms. Wilson is dying. One day she begins to yell at Luke blaming him for a lack of proper care saying, 'If you had been a better caregiver, I wouldn't have gotten sick.' What stage is this?
Mrs. Morris is a resident who is dying. She has an appointment with her attorney. When he begins asking about her will, she says there's no reason he should bring that up; instead of wanting to discuss her will, she wants to continuously talk about her son. What stage is this?
Mrs. Morris is a resident who is dying. She has an appointment with her attorney. When he begins asking about her will, she says there's no reason he should bring that up; instead of wanting to discuss her will, she wants to continuously talk about her son. What stage is this?
Gwen notices that one of her residents is a little distant; when they talk to her, they only want to discuss funeral arrangements. They are very concerned about making sure their family is taken care of after they are gone. Which stage is this?
Gwen notices that one of her residents is a little distant; when they talk to her, they only want to discuss funeral arrangements. They are very concerned about making sure their family is taken care of after they are gone. Which stage is this?
Angelica is worried about one of her residents who is terminally ill. They alternate between crying and not talking to anyone. Which stage is this?
Angelica is worried about one of her residents who is terminally ill. They alternate between crying and not talking to anyone. Which stage is this?
How can a nursing assistant (NA) honor the right to have visitors?
How can a nursing assistant (NA) honor the right to have visitors?
How can a NA honor the right to privacy?
How can a NA honor the right to privacy?
How can a NA honor the right to be free from pain?
How can a NA honor the right to be free from pain?
How can a NA honor the right to honest and accurate information?
How can a NA honor the right to honest and accurate information?
How can a NA honor the right to refuse treatment?
How can a NA honor the right to refuse treatment?
What are helpful ways for a NA to care for a resident who is dying? (List 6 ways)
What are helpful ways for a NA to care for a resident who is dying? (List 6 ways)
Why do you think it is important to 'listen more, talk less'?
Why do you think it is important to 'listen more, talk less'?
What are signs of approaching death? (List 6 signs)
What are signs of approaching death? (List 6 signs)
When death occurs, the body will not have a pulse, respiration, or __.
When death occurs, the body will not have a pulse, respiration, or __.
The __ drops, causing the mouth to stay __.
The __ drops, causing the mouth to stay __.
The __ may be partially open with eyes in a __.
The __ may be partially open with eyes in a __.
Resident may have both __ and __ incontinence.
Resident may have both __ and __ incontinence.
The pupils will be __ and __.
The pupils will be __ and __.
If a family member becomes very upset after a loved one's death, it is helpful for the nursing assistant to ask him to calm down and to stop crying.
If a family member becomes very upset after a loved one's death, it is helpful for the nursing assistant to ask him to calm down and to stop crying.
Family and friends may feel guilt after a loved one's death, especially if there were unresolved issues in the relationship.
Family and friends may feel guilt after a loved one's death, especially if there were unresolved issues in the relationship.
If family members seem relieved after a loved one has died, it means that they did not care for the resident very much.
If family members seem relieved after a loved one has died, it means that they did not care for the resident very much.
A nursing assistant should let family members and friends talk about their feelings without interrupting them.
A nursing assistant should let family members and friends talk about their feelings without interrupting them.
A nursing assistant should not let a resident's friends know that she is upset about the resident's death.
A nursing assistant should not let a resident's friends know that she is upset about the resident's death.
Reassuring family and friends that they will get over the death of their loved one is helpful.
Reassuring family and friends that they will get over the death of their loved one is helpful.
If a nursing assistant wants to attend a resident's memorial service that is being held at a funeral home, what should she do first?
If a nursing assistant wants to attend a resident's memorial service that is being held at a funeral home, what should she do first?
List 5 ways that staff members can cope with the death of a resident.
List 5 ways that staff members can cope with the death of a resident.
Which of the following terms means after death?
Which of the following terms means after death?
What is the purpose of an autopsy?
What is the purpose of an autopsy?
Generally speaking, how should a nursing assistant position a resident's body after the resident has died?
Generally speaking, how should a nursing assistant position a resident's body after the resident has died?
Where are drainage pads most often needed after a person has died?
Where are drainage pads most often needed after a person has died?
Flashcards
Palliative Care
Palliative Care
Care provided during the end stages of a serious, chronic disease, focusing on pain relief, symptom control, and prevention of complications.
Hospice Care
Hospice Care
A specialized type of palliative care aimed at comforting individuals with a life expectancy of six months or less.
Stages of Dying
Stages of Dying
A process involving a series of emotional and psychological reactions to the realization of impending death.
Bargaining Stage (Dying)
Bargaining Stage (Dying)
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Anger Stage (Dying)
Anger Stage (Dying)
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Denial Stage (Dying)
Denial Stage (Dying)
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Acceptance Stage (Dying)
Acceptance Stage (Dying)
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Depression Stage (Dying)
Depression Stage (Dying)
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NA Responsibilities (End-of-Life)
NA Responsibilities (End-of-Life)
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End-of-Life Care Techniques
End-of-Life Care Techniques
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Signs of Approaching Death
Signs of Approaching Death
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Family and Grieving Process
Family and Grieving Process
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Coping with Resident Death
Coping with Resident Death
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Postmortem
Postmortem
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Autopsy
Autopsy
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Postmortem Procedures
Postmortem Procedures
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NA Responsibilities: Clean Environment
NA Responsibilities: Clean Environment
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NA Responsibilities: Respecting Privacy
NA Responsibilities: Respecting Privacy
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NA Responsibilities: Pain Management
NA Responsibilities: Pain Management
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NA Responsibilities: Providing Accurate Information
NA Responsibilities: Providing Accurate Information
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NA Responsibilities: Respecting Refusal
NA Responsibilities: Respecting Refusal
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End-of-Life Technique: Alternate Communication
End-of-Life Technique: Alternate Communication
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End-of-Life Technique: Calming Atmosphere
End-of-Life Technique: Calming Atmosphere
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End-of-Life Technique: Repositioning
End-of-Life Technique: Repositioning
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End-of-Life Technique: Hygiene
End-of-Life Technique: Hygiene
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End-of-Life Technique: Pain Observation
End-of-Life Technique: Pain Observation
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Family and Grieving Process: Relief after Death
Family and Grieving Process: Relief after Death
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Family and Grieving Process: Reassuring Grief
Family and Grieving Process: Reassuring Grief
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Family and Grieving Process: Memorial Service
Family and Grieving Process: Memorial Service
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Family and Grieving Process: Expressing Feelings.
Family and Grieving Process: Expressing Feelings.
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Study Notes
Palliative Care
- Provided for individuals with serious, chronic diseases like cancer, AIDS, congestive heart failure, and those who are terminally ill.
- Goals include relieving pain, controlling symptoms, and preventing potential side effects or complications.
Hospice Care
- Initiated by a doctor for patients with a prognosis of six months or less to live.
- Available on Sundays, contrary to some beliefs.
- Focuses on comfort and pain management, rather than curing diseases.
- Employs a holistic approach, incorporating physical, emotional, and spiritual care.
- Family involvement is encouraged, emphasizing their importance in the care process.
Stages of Dying
- Bargaining: Individual making promises or deals in hopes of prolonging life.
- Anger: Expressions of frustration and blame towards caregivers or circumstances.
- Denial: Refusal to acknowledge impending death; seeking diversion through conversations unrelated to death.
- Acceptance: Preparing for death, focusing on arrangements for loved ones.
- Depression: Experiencing deep sadness, alternating emotions, and withdrawal from social interaction.
Nursing Assistant (NA) Responsibilities
- Honor resident rights by maintaining a clean and inviting environment for visitors.
- Respect privacy through proper communication and consent for interactions.
- Ensure pain management by regularly monitoring and administering necessary medications.
- Provide honest and accurate information to residents and families.
- Respect the right to refuse treatment without judgment.
End-of-Life Care Techniques
- Utilize alternative communication methods for non-verbal residents.
- Maintain a softly lit and calming atmosphere.
- Frequently reposition residents to enhance comfort.
- Regularly change linens and clothing to ensure hygiene.
- Vigilantly observe residents for pain indicators and respond promptly to incontinence.
Signs of Approaching Death
- Common indicators include fever, cold/pale skin, confusion, inability to speak, incontinence, and perspiration.
- Post-death signs involve the absence of pulse, respiration, and blood pressure, with the mouth potentially remaining open and pupils fixed and dilated.
Family and Grieving Process
- Family members may experience guilt, particularly with unresolved issues.
- Relief felt by family after a death does not equate to a lack of care for the resident.
- NA should allow family and friends to express feelings openly.
- Reassuring feelings about temporary grief is not advisable; empathy is crucial.
- NAs should consult with supervisors before attending a resident's memorial service to confirm appropriateness.
Coping with Resident Death
- Staff should express feelings without hesitation to aid in the coping process.
- Maintaining proper sleep, engaging in enjoyable activities, and spending quality time with loved ones are critical for emotional health.
- Talking to a counselor can provide additional support in processing grief.
Postmortem Procedures
- The term "postmortem" refers to anything occurring after death.
- An autopsy aims to determine the cause of death.
- After death, residents should be positioned on their back, and drainage pads are typically placed under the perineal area to manage potential leakage.
Studying That Suits You
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Description
Test your knowledge on palliative and hospice care with this quiz focusing on Chapter 27. Explore the goals and criteria for care for individuals with terminal illnesses. Assess your understanding and readiness for providing compassionate end-of-life care.
