Pharmacology
Long considered among the safest analgesic options for long-term use, this medication can be used to treat mild pain or as an adjuvant with other analgesics for more severe pain. Particularly helpful at treating nonspecific musculoskeletal pain and osteoarthritis. This medication has limited anti-inflammatory nature. Used cautiously in in persons with altered liver or kidney function, those with significant alcohol use history.
What is Acetaminophen (APAP)?
Completed as soon as possible after the client dies, the nurse should gently apply downward pressure on the eyelids to close them as rigor mortis begins in small muscles. A rolled towel may be placed under the chin to attempt to close the mouth. All tubes should be removed. The body should be washed and clean under pads should be applied.
What are Post-Mortem Cares?
Commonly referred to by this grim term, hospice nurses know that as patients near death, it is the phenomena where they are unable to cough to clear secretions that begin to pool in the oropharynx and bronchi, creating a disturbing sound.
What is the "death rattle"
This Pain associated with the internal organs. It can be very different depending on the affected organ.
What is visceral pain?
Your client has not selected a religion at the time of hospice admission but declines home meals stating she follow a strict halal diet. Which religion do you suspect your client belongs to?
What is Islam?
This opioid has no ceiling dose. As tolerance to the medication increases or the disease progresses in severity; the dose can be gradually increased to an infinite level. It is also often used as the equivalency standard for other opioid analgesics.
What is Morphine?
The emotional response to a loss that begins at the time a loss is anticipated and continues on an individual timetable.
What is Grief?
What is ascites?
What is nociceptive pain?
Who are Christian Scientists?
This is the most common side effect associated with the use of opioids. Hospice nurses should be diligent in the assessment, monitoring, and prevention of this potentially dangerous side effect.
What is constipation?
This is the minimum time frame Medicare requires a hospice to follow the bereaved person(s) to offer bereavement support. Note: the bereaved person may refuse the assistance, but it should be offered.
What is 1 year?
An acute or subacute reversible state of confusion.
What is delirium?
These 5 key elements of pain assessment. Hint: Where's WILDA?
What are Words, Intensity, Location, Duration, and Aggravating/Alleviating Facctors?
Members from this cultural group often do not vocalize pain and may have an interest in pursuing nontraditional and nonpharmacological treatments, such as acupuncture, to relieve pain.
Who are Asian and Pacific Islanders?
This synthetic opioid analgesic is often used in the presence of a true morphine allergy. It is also helpful when significant side effects have occurred in the past or pain has been inadequately controlled by other medications. It may also be useful for controlling cough. Use cautiously in presence of liver, kidney, heart, and thyroid disease, seizure disorders, respiratory disease, BPH/urinary problems.
What is hydromorphone?
This type of grief occurs when the loss is such that it cannot be shared with others and must be borne alone. Society and culture are partly responsible for an individual's response to a loss. The risk for this type of grief is greatest among those whose relationship with the individual they lost was not known or regarded as insignificant. Common examples of people who experience this type of grief include ex-spouses, young children, secret lovers, and members of the LGBTQ+ community where the family of the deceased are not accepting or aware.
What is disenfranchised grief?
The shock-like twitching or contractions of one or more muscles common after high doses of opioid administration.
What is Myoclonus?
End-of-dose failure is an example of this type of pain.
What is breakthrough pain?
Members from this cultural group are often unwilling to show pain or request medications. Pain is a difficulty that must be endured rather than treated.
Who are American Indian and Alaskan natives?
This analgesic is useful for treating severe or chronic pain and may be particularly helpful in the presence of neuropathic pain. It ahs a long-acting pain relief factor for a lower cost than many comparable medications. The exact dosing rations with morphine remain unclear with the available research. This medications can also be used to treat opioid addiction. US law for the prescription of this medication for addiction in detoxification or maintenance programs requires a speical license and patient enrollment. The words "for pain" need to be clearly stated in the prescription.
What is Methadone?
The basic right of an individual to choose freely. This also means that the individual is able to make informed, voluntary decisions regarding their care based on personal convictions.
What is autonomy?
the result of a partial occlusion of a portion of the heart which results in decreased venous blood flow from the head and neck to the right atrium.
What is Superior Vena Cava Syndrome?
This pediatric pain assessment tool is designed to focus on assessment, action, and consequent reassessment for results.
What is QUESTT?
Q- Question both the child and the parent about the pain experience
U-Use assessment tools and rating scales that are appropriate to the developmental stage, situation, and understanding of the child
E- Evaluate the pain for both behavioral and physiological changes
S- Secure the parent's participation in all stages of the pain evaluation and treatment process
T- Take the cause of the pain into consideration during the evaluation and choice of treatment
T- Take action to treat the pain appropriately, and then evaluate the results on a regular basis.
Clients from this East Asian island culture may believe that discussing death out loud is bad luck, and therefore may avoid discussing death to tempt fate.
What is Taiwan/ Taiwanese?