HOSPICE
< 6 MONTHS
PROGNOSIS TO BE ELIGIBLE FOR HOSPICE
Medication given for dyspnea
What is morphine
(often in highly concentrated liquid form so less intake required)
Hospice patient reports that he had to increase the dose of morphine this week to obtain pain relief.
What is tolerance
TROUBLE SLEEPING, LOSS OF APPETITE, INABILITY TO FOCUS
EXPECTED REACTIONS OF SOMEONE EXPERIENCING GRIEF
As a hospice nurse, I will provide low-flow ________ via nasal cannula increases comfort level
What is OXYGEN (O2)
TIPS: Usually only 2 LPM nasal cannula PRN comfort & end of life symptom management
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Provides distraction (even from pain)
Calms & relaxes
Increases movement in those with limited mobility
Improves communication & emotional expression
What is music therapy
Medication given for anxiety
What is Lorazepam (Ativan)
At the end of life have less intake therefore will need to normalize making less ______
What is urine
According to Erikson, acceptance of death is a primary task of which of the following stages of psychosocial development
What is integrity vs. despair
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As a hospice nurse, I will apply a ______ _______ _______ to a patient who is incontinent to reduce the risk of skin breakdown and increase comfort.
What is a MOISTURE BARRIER CREAM
EXAMPLE: CALAZIME CREAM
HOSPITALS, ASSISTED LIVINGS, LONG TERM CARE FACILITIES, NURSING CARE HOMES, PRIVATE HOMES AND HOSPICE HOUSE.
PLACES SOMEONE CAN RECEIVE HOSPICE CARE
Medication given for agitation
What is Haloperidol (Haldol)
Trying to make someone at end of life _____ or _____ will not comfort them—It will actually make their symptoms much worse.
What is eat or drink
Maladaptive grieving is grief that lasts
What is 6 months or longer after the loss
As a hospice nurse, I will administer _______ ______ to reduce corneal irritation and promote comfort because blinking reflexes can produce corneal dryness.
What are ARTIFICIAL TEARS PRN
RN
MD
CNA
Social worker
Chaplain or Spiritual Advisor
Bereavement Coordinator
Who are members of the IDT!
Medication given for nausea and vomiting
What is ondansetron (Zofran) or metoclopramide (Reglan) or promethazine (Phenergan)
A term for when skin before death presents as a red or purple marbled appearance and cool to touch. It is most often first seen in the feet, from where it then travels up the legs.
What is mottling or mottled
Denial
Anger
Bargaining
Depression
Acceptance
What are the 5 stages of grief
As a hospice nurse, I will provide _____ _____ often, to provide comfort, because I know at EOL there is an increase in mouth breathing and a decrease in salivary secretions causing dry mucous membranes.
What is ORAL CARE
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ROUTINE HOME CARE
CONTINOUS CARE
GENERAL INPATIENT
RESPITE CARE
THE FOUR LEVELS OF HOSPICE CARE
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Medication given for excessive secretions or terminal secretions
What is Anticholinergic medications or atropine or hyoscyamine (Levsin) or scopolamine or glycopyrronium
A noise that is caused by the build up of secretions, in the back of the throat, near death
What are terminal secretions aka the Death Rattle
Grief prior to death
What is anticipatory grief
As a hospice nurse, I will take vital signs.......
What is, only as need to provide comfort, symptom management and a peaceful death.