Relieve the physical, mental, emotional, and spiritual suffering of patients
What is a goal of hospice?
Every 2 hours
What is the minimum time frame for turning patients?
Every patient demands this at death
What is respect?
Univeral in all cultures
What is the end of life experience?
It is what the patient says it is
What is Pain?
T/F
People graduate from Hospice
TRUE
Individualized plan of how the patients needs in relation to their terminal diagnosis will be cared for by the hospice agency
What is the care plan?
Eat/drink less
Withdraw from people
Less interactive
Sleeping more
What are signs and symptoms of 1-3 months before death?
Use this to complete this task?
What is mouth care?
Flat
What is the position that the body should be laid in?
The way the family grieves is directly correlated to this
What is directly correlated to the patients' death?
Pain lasting more than 3 months
What is chronic pain?
Nurse, social worker, CNA, chaplain, music therapist, physician, volunteer
What is the interdisciplinary group?
Individualized
What the plan of care must be for each patient?
Increased Pain
Change in BP/HR/Breathing
Labile body temperature
Skin changes
What are signs and symptoms of 1-2 weeks before death?
Left
What is the side to turn the patient on when they have terminal secretions?
T/F
Always remove all tubes from every patient after death
FALSE
This culture will utilize essential oils after death, and place a feather on the body.
What is Indian?
Can present as withdrawal, anxiety, and hopelessness
What is emotional and spiritual pain?
Must be established and periodically reviewed by the attending physician, the medical director and the interdisciplinary group
What is the plan of care?
Goal that can be accomplished within 2 weeks
What is a short term goal?
Drop in Body temperature
Non-verbal pain indicators
Decreased circulation
What are signs and symptoms of days to hours before dying?
Music therapy, volunteers, chaplains, social workers can help with this type of patient
What is a patient with terminal agitation?
Absent vital signs
What is a sign of death?
These are culturally bound
What are behaviors that go with grief?
Discomfort, Ache, Hurt, Distress
What are ways people describe pain?
•Life-limiting illness, prognosis is 6 months or less if the disease takes normal course
•Consent to accept services
•Forgo other medical interventions outside of the hospice Plan Of Care for the terminal illness
What is GIP criteria?
A goal that will take at least 2 month to complete?
What is a long term goal?
Sudden increase in urinary output
What is dumping?
RN/LPN/MD
Who are people who can pronounce death?
In the culture the body will never be left alone
What is the Jewish culture?
Music therapy
Massage Therapy
Healing touch
Aromatherapy
What is non-pharmacological pain management?
1st= 90
2nd= 90
3+=60
What is the number of days in each benefit period?
Specific, measurable, attainable, realistic, timely
What is a SMART goal?
85%
What is the percentage of terminally ill patient will suffer from terminal restlessness and agitation?
Betty Joe has been sleeping peacefully for a few days. She suddenly wakes up, and demands to have a cheeseburger. She also wants to go outside and see the pretty flowers.
What is the final rally?
T/F
Immediately clean the body up after death
FALSE
In this culture the family may want to give gifts of appreciation
What is Russian?
Betty's sister has been taking care of her at home. The nurse goes into the home to find that Betty only has 1 pain pill left in a prescription that was filled last week. Betty's sister is slurring her words, and can't keep her eyes open.
What is diversion?
Can be provided in home, assisted living or skilled nursing facility
What is home care?
Dyspnea will be controlled using oxygen and medications ordered for the next 2 weeks.
What is a short term goal?
What are terminal secretions?
"Waiting in Line"
What is symbolic language?
Betty Joe fell at home yesterday. She was brought to Solace after that event, and died several hours later. Betty's nurse requests that no lines/tubes be removed from the body because....?
In this culture the patient must die and be buried facing east
What is Muslim?
People responsible for a patients pain control
What is the entire team?
Care performed in a contracted facility, for not longer than 5 consecutive days.
What is respite?
T/F
NA's cannot complete a task that is not on their NA task list?
TRUE