Complications
when are complications most likely to occur?
closer to the time of death
what is the goal of end-of-life care?
optimize quality of life
What is the overall cause of decline?
The brain and organs receive less oxygen and they start working less efficiently
what is the goal of medications?
maximize comfort and relief symptoms
how should the patient be assessed?
using subjective and objective data
what can be seen as a complication?
worsening signs and symptoms
Who undergoes end-of-life care?
those with a terminal illness, organ failure, and frailty
What happens to the cardiovascular system?
heart rate slows down
hypotension
poor perfusion
reduced cardiac output
what are some types of medications given at the end of life?
pain medications
antiemetics
constipation medications
excessive oropharyngeal secretion medication
antipsychotics
What can lead to a more positive experience at the end of life?
having support of loved ones
what can grief lead to?
cardiovascular problems
anaphylaxis
What is hospice care?
providing comfort and dignity to patients with terminal illnesses who are no longer seeking curative treatments
What happens to the Gastrointestinal System?
decreased appetite
poor absorption
constipation
name some of the antiemetics.
Anticholinergic (Scopolamine)
Cannabinoids
Corticosteroids (Dexamethasone)
Dopamine receptor antagonists (Haloperidol)
Ondansetron
what is the purpose of providing choices to the patient?
To include them in the decision process
autonomy
What is a cause of infection?
organ failure
long term disability
what are the different locations for end-of-life care?
institution based
outpatient based
community based
What happens to the respiratory system?
Becomes irregular
apnea
congested lungs
what is included in the comfort kits?
morphine
benzodiazepine
acetaminophen
What are some goals of nursing management?
providing relaxation techniques, pain management and promoting effective coping techniques
what are some skin injuries that may occur?
Moisture Associated Skin Damage
Medical Adhesive Related Skin Damage
Pressure Ulcers
Name a type of terminal illness and organ failure.
cancer
heart failure, kidney failure, liver failure
What systems are impacted in the end of life?
cardiovascular
respiratory
neurological
renal
hepatic
gastrointestinal
Atropine ophthalmic 1% drops
glycopyrrolate
what is nursing managemnt centered around?
Controlling pain
Therapeutic communication
Support decision making
Advance care planning
Coordinating palliative care