Stages of Death
This stage is when acceptance of death occurs
What is stage 1: early phase
This involves the inability to do the morally correct thing because of situational factors; high stress in the work environment, time and resource pressures, high-technology care situations; and differences in values, attitudes and cultural or religious belies among patients, families and staff
What is moral distress
A specialized form of care that focuses on relief of pain and other symptoms and stress associated with severe illness
What is palliative care?
This is defined as an altered state of consciousness, characterized by episodes of confusion. This is reversible
What is delirium
What would be the community nurse's main focus when teaching patient's about skin cancer prevention?
What is wear sunscreen
These type of respirations are common in stage 3 of death
What are Cheyne-Stokes?
Feeling of anger, resulting in poor nursing care, frustration, powerlessness, dissatisfaction, and emotional and physical exhaustion can lead to this
What is burnout?
It is important to discuss these early and often with patients and their families re: their final wishes
What are advanced directives?
Then hospice nurse instructs the family to administer which medication for delirium?
What is haloperidol or Haldol?
Thrombocytopenia is very common in leukemia. What would the nurse teach the patient regarding bleeding precautions?
This stage of death is weeks before death
What is stage 2: middle stage
This implies that an intended good effect such as pain management is ethically permissible even if it produces an unintended secondary effect - such as hastening death
What is the principle of double-effect?
If a patient is seeking both curative care and symptom management, which type of service will they be discharged to?
What is palliative care?
This occurs when therapy or intervention will not provide any foreseeable improvement in the patient's condition
What is medical futility?
When do we start screening women for breast cancer? How is this done and how often?
What is age 40. Mammogram every year until 55, then ok to do every 2 years.
This stage of death shows a decline in mental status; patient will become confused and disoriented, sleeping most of the time
What is stage 2: middle stage
The nurse can build self-care activities in their daily schedule. What are some examples of this?
What are: talking with trusted friends or nursing colleagues, journaling, engaging in aerobic exercise, gardening, practicing yoga, meditating and praying
The nurse is assessing the patient for palliative care. When assessing the psychosocial and psychiatric domain, which should the nurse include?
What is depression?
A patient must be certified by a provider with less than _____ to live in order to be eligible for hospice
What is 6 months
Provoding vaccinations against certain cancers is which type of prevention?
What is primary
This stage is days or hours before death
What is stage 3: late stage
As a team, nurses can help each other by:
What are performing post-mortem care together, pausing for a moment of silence during the monthly staff meeting to remember those who have died in care, and sending the family a bereavement card?
Palliative care is underreffered and underutilized.
Communicating with the family and dying patient are paramount in hospice care. Provide examples of how to encourage family to communicate with their dying loved one.
What are: "thank you for..., I forgive you for..., Please forgive me for..., I love you, Goodbye"
Reducing the morbidity and mortality after diagnosis is in which type of prevention?
What is tertiary