stages of grief
Hospice care basics
Signs of Approaching Death
NA Roles & Guidelines
100

what is denial

this is the first stage where a person refuses to believe they are dying

100

What is hospice care?

This type of care is for people with a terminal illness expected to live 6 months or less.

100

What is (approaching) death

 Cool, pale, or mottled skin is a common sign of this

100

 What is listen (be a good listener)?

NAs should do this as a primary way to help with grief

200

what is anger

in this stage a resident may lash out at staff or family

200

What is comfort? 

Hospice emphasizes this over curative treatment.

200

What is Cheyne-Stokes (respirations)

Respirations may become irregular with periods of apnea, known as this pattern

200

What is privacy?

Respect this and the resident’s independence as long as possible

300

what is bargaining

a dying person may try to make a deal with god or higher power in this stage

300

What is spiritual (or holistic)

Hospice provides physical, emotional, and this type of support to families

300

What is (decreased) appetite (or intake)?

Decreased intake of food and fluids is expected as death near

300

What is take care of yourself (or take breaks)?

Be aware of your own feelings and do this to avoid burnout

400

what is depression 

withdrawal, sadness

400

What is prolong

Hospice does not do this to life nor hasten death

400

What is hearing

This sense is usually the last to leave the body.


400

What is control?

Continue to explain cares and involve the resident in choices for a sense of this

500

what is aceptance 

the final stage where person come to term with death

500

What is comfort and dignity?

A key goal of hospice/palliative care for the resident.

500

What is (approaching) death (or disorientation/confusion)

Disorientation or confusion is a common sign

500

What is offer support (or be present)?

Do not avoid the dying person or their family

M
e
n
u