Grief and Loss
Sleep
Pain
Nursing Interventions
Mix it up
100

Compassion, excellent communication skills and the ability to reflect on your own feelings of death and dying.

What are the skills needed in providing support at end of life care?

100

In this stage heart rate, respirations and blood pressure are decreased. It takes about 90 minutes to complete and is when the body receives the most rest.

What is non rapid eye movement sleep (NREM)?

100

Inadequate education, concerns about side effects, and fear of addiction are examples of these. 

What are patient barriers to effective pain management?

100
Visitors, radio, television and using a computer divert a patient's mind away from pain is called this.
What is a distraction?
100

This is whatever the patient says it is. 

What is pain?

200
The primary goal of these is to improve quality of life, alleviate suffering and improve end of life experiences for patients and families.
What is palliative and hospice care?
200

Caffeine, alcohol, cigarettes and exercise too close to bedtime.

What are factors affecting sleep?

200
These are naturally occurring opiate like peptides that reduce or block the perception of pain.
What are endorphins?
200

This can be used as a nonpharmacological method for chronic pain. 

What is heat application?

200

Teeth grinding that often occurs during childhood

What is bruxism?

300
Many people are uncomfortable using these words and replace them with euphemisms.
What are died and death?
300
Difficulty getting to sleep at night is this, but stopping breathing for brief periods at night is called this.
What is Insomnia and Sleep Apnea?
300
The older adult may not express pain because of the following....
What is consequence of aging, don't want to be a bother and have been culturally trained not to complain about pain?
300

The nurse would document this term if a urine output of less than 30 ml/hr is noted in an adult patient. 

What is oliguria?

300

This uses small electrical stimulators to block pain. It requires an order from a healthcare provider. 

What is a Transcutaneous Electrical Nerve Stimulator (TENS)?

400
Decreased appetite and urine output, increased edema, incontinence, mottled, cool, dusky skin, and shallow breathing with periods of apnea called Cheyne-Stokes respirations are signs of this.
What is impending death?
400

Cluster cares, play music lightly, allow an item from home and do not wake someone unless absolutely necessary are these.

What are interventions to allow inpatients to fall asleep?

400
This type of pain is ongoing, lasting for many months, even years, associated with back problems and arthritis, may cause multiple lifestyle changes.
What is chronic pain?
400
This technique uses a machine that measures the degree of muscular tension and teaches the patient to use other techniques to decrease tension.
What is biofeedback?
400

pH 7.25  PCO2 47 HCO3 26

What is Respiratory acidosis?

500
Denial, Anger, Bargaining, Depression and Acceptance are these.
What are Kubler-Ross Stages of Grief/Coping with Death.
500

These are pharmacological methods for promoting sleep.

What are sedative, hypnotics, and melatonin?

500
This type of pain is usually associated with an injury and is of short duration. When the cause is removed, the pain subsides.
What is acute pain?
500

This reduces patient anxiety about pain control, most commonly administers opioids in acute care and puts the patient in control.

What is Patient Controlled Analgesia (PCA)?

500

These four things should be considered when weighing a patient. 

What is same clothing, same time of day, same scale, and same unit?

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