Grief Death Loss
loss of job, child, loved one or limb
What is an actual loss
Does the admission end on the day the patient arrives to the facility?
No
Why?
What is the concept called when a person feels good about themselves and believe that others hold them in high regard.
self esteem
Name two responsibilities of the nurse when collecting specimens
Verify the patient
Get an order
Educate the patient
Use the correct supplies
Name some reasons why older adults sleep less
Older adults should get an average of 7 to 8 hours of sleep
As we age, sleep is less sound
Older adults frequently have great difficulty falling asleep and have more complaints of problems sleeping due to a decline in physical health, psychological factors, effects of drug therapy
decrease or loss of purposeful movement, Cheyne-stokes respirations, cyanosis, irregular and decrease pulse, difficult talking or swallowing, restlessness, decrease blood pressure
What are signs of impending death?
When does discharge begin
The first contact with the patient
what is the concept called when a person has a mental image or picture of self that can either encourage or inhibit personal growth
self-concept
Can a patient collect a stool or urine specimen?
Yes, a patient can collect the sample.
What must be done to ensure that the patient does it correctly?
What are some negative effects as a result of sleep deprivation?
Sleep loss can result in fatigue
Decreased competence
Increase risk of a sleep-related motor vehicle accident.
Obesity
denial, anger, bargaining, depression, acceptance
What are the five stages of Kubler-Ross responses to dying?
Which other healthcare professionals may be involved with the discharge process?
any healthcare professional that was part of the patient's care
What is the term when a person is able to perceive the solidity of objects and their size, shape, and texture.
What is stereognosis
What are some methods of securing a urine sample?
clean catch
catheters
ostomy
What is insomnia?
Insomnia is characterized by difficulty falling asleep, intermittent sleep, or difficulty maintaining sleep, despite adequate opportunity and circumstances to sleep
What is the purpose of comfort-measures for a dying person?
provides a dignified death
enable dying with comfort
enable dying while receiving all available measures for a peaceful death
What are some factors that the nurse must consider when admitting the patient?
culture
family support
type of illness
health care beliefs
socioeconomic status
language
knowledge of the illness
Who is at high risk for sensory deprivation?
Persons who are institutionalized
persons with impaired vision or hearing
Persons with brain damage
Persons who are confused or disoriented
Persons who are taking prescribed or recreational drugs which affects the central nervous system
What are some factors to consider when securing a stool sample from a patient?
Functional disability of the patient
Test to be performed
Patient's knowledge of the procedure
Need a medical provider's order
Gather all necessary equipment
Label at the bedside
Need only stool
What are some strategies the registered nurse can suggest to promote sleep?
Promote quiet environment
Continue bedtime routines
Promote relaxation techniques
Promote comfort
Avoid unnecessary task
What are some interventions that the nurse can implement to enable hope for the client?
Encourage the patient to explore treatment options.
Encourage the client to discuss feelings.
Show empathy
What must the nurse consider when planning to transfer a patient?
Get an order
Inform the patient
Call the receiving unit or facility
Pack the belonging
Get family involved if applicable
Contact other healthcare professionals
Work to reduce anxiety and fear
Transport arrangement
What is sensory overload?
Sensory overload is excessive stimuli over which a person feels little control; the brain is unable to meaningfully respond to or ignore stimuli.
What is occult blood in stool?
Blood is hidden in the stool despite appearing to be of a normal color
What are some questions the nurse can ask the patient when exploring why the patient has difficulty falling sleep?
The nature of the problem
The cause of the problem
The related signs and symptoms
When the problem began and how often it occurs
How the problem affects everyday living
Any intervention by a health care professional
The success of any treatments attempted