Stages of Grief
"The lab tests cant be right, I don't have cancer"
Denial
Whats does a DNR order mean?
CPR should not be done
When is hospice care given to a patient"
6 months or less to live
Golves/PPE
What is the last sense to be lost in a patient who is dying?
Hearing
"If god will cure me, I promise I'll go to church everyweek"
Bargaining
When should advanced directives be signed
When the patient is in good health
A dying patient tells you she does not believe in god and there's no heaven, what should you do?
Respect patients beliefs and avoid starting your own opinion
What should be done with the limbs after death?
Straightened out
When does rigor mortis start to happen?
2-4 hours after death
When a patients relationship with fam becomes strained, they are probably experiencing this stage of grief
Anger
What is a durable power of attorney for health care?
Assigns someone else responsible to make medical decisions if the person is unable to make decisions for themselves
list 3 things a person may do after learning of their terminal illness?
Deny the truth, refuse opportunities to discuss with fam/staff, request private meetings with HCP, review banking/insurance records, loose hope, relationships may become strained
why should the head be elevated 30* after death?
To prevent pooling blood from staining head and neck
Where are identification tags placed on a deceased person?
A patient in this stage is assisting their family members deal with their dealth and completing unfinished business
Acceptance
What is a living will?
Request that death not be artificially postponed if a patient has incurable injury, disease, illness that physician judges to be terminal
List 3 common fears associated with dying
Dying alone, fear of severe pain, inability to finish personal business
What is another name for a body bag?
Shroud
Changes that occur in the body after death are called ______ changes
Moribund
List the 5 stages of grief
Denial, Anger, Bargaining, Depression, Acceptance
What does supportive care include(3)?
Oxygen, food/fluids, meds for pain/nausea, grooming, hygiene, ROM, caring and support from staff
List 5 signs of impending death:
decreased responsiveness, body function slows, loss of voluntary muscle control, rapid pulse, circulation slows/cold limbs, pupils do not respond to light, pale skin, irregular, shallow breathing
List 3 changes that take place in the body after death
Pupils dilate, heat lost, urination/defecation/flat us, blood in dependant areas, rigor mortis
Hospice care operates around which principle?
Death is a natural process, patient should be made comfortable