Symptom Management
Any symptom is as distressing as the individual claims it to be.
What is true?
Flaring nostrils are an indication of this.
What is dyspnea?
Three risk factors for suicide ideation in hospice patients.
What are: 1) Family challenges, 2) Spiritual crises. 3) Lack of caregiving support, 4) Loss of independence/control, 5) Co-occurring mental health diagnoses; and 6) Financial hardship?
Three things to check when a BiPAP patient to says, "I am not getting as much air as before."
What are 1) issues with the mask, 2) tubing is blocked, kinked, or has a hole, 3) tubing contains water, 4) filter is clogged, or 5) vents in the back of the pump are blocked?
Concerns to report to the Chaplain or Social Worker related to a patient's anxiety.
What a spiritual and psychosocial concerns?
Four objective signs that there is a symptom management issue.
What are Grimaces, Guarded Movement, Diaphoresis, Thrashing, Labored/Noisy Breathing, Pacing, Fidgeting, Repetitive Movements, Picking at Linens, or Reaching up for “nothing.”
A calm and quiet environment is an effective intervention for what?
What is dyspnea and terminal restlessness?
A myth about suicide is: "You shouldn't talk about suicide, because you might give someone the idea to do it."
What is true?
A standard nasal cannula can be used with Oxi-Safe.
What is false?
Two non-pharmacologic interventions for pain.
What are music, heat, rest, massage, or distraction?
Two barriers to symptom management.
What are 1) Lack of Understanding, 2) Fear of “dependency,” 3) Not taking meds as ordered, 4) Family concerns, or 5) Previous Dependency/Diversion History.
What are four signs and symptoms of terminal restlessness?
What are Excessive Movement, Can't be still, Pulling/Picking at linens or clothing, Reaching in the air, Fidgeting, Getting up / Then back down - Indecisive, Pacing – Safety concerns, Yelling/Mumbling/Swearing – not themselves, or Hallucinations?
Two emotions in hospice patients that could lead to suicide ideations.
What are 1) Helplessness, 2) Hopelessness, 3) Need for escape, or 4) Insecure attachments?
Method to check for O2 flow when a patient is using and Oxygen Concentrator.
What is placing the cannula in water to check for bubbles?
Vital signs effected by anxiety.
What is heart rate and respiratory rate?
Symptom management issues should be addressed how often.
What is ongoing until resolved?
The person(s) most disturbed by terminal restlessness.
Who is the family?
Three things to assess to determine the lethality of a suicide threat.
What are: 1) verbalizing a plan, 2) having the means, and 3) having a reason?
Happens when the Oxygen Concentrator humidifier lid is cross threaded.
What is no air flow/flow of oxygen?
When assessing pain, assess these four things.
What is 1) the cause, 2) the severity, 3) what makes it worse, and 4) what helps or improves the pain?
Prevention and treatment of symptoms does this to a patient's quality of life.
What is improves quality of life?
Terminal secretions are disturbing to the patient?
What is false?
Three signs/symptoms that indicate a danger zone for suicide.
What are 1) Loneliness, 2) Burdensomeness, and 3) Fearlessness?
Two things to check when a patient tells you the mechanical bed is not working.
What are the 1) wire connections at the bottom of the bed and 2) side rail joints rusted or stiff?
Scale used to assess a pediatric patient's pain.
What is Wong-Baker Faces?