Stages of Grief
Pt states "The lab tests can't 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
What should be the NA wear when giving postmortem care?
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 back to church every week."
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 stating 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 the responsibility 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, lose hope, relationships may become strained
Why should the head be elevated 30* after death?
To prevent pooling blood from staining the head and neck.
Where are identification tags placed on a deceased person (4 areas)?
Right great toe/ankle, belongings bag, outside of shroud
A patient in this stage is assisting their family members deal with their death and completing unfinished business.
Acceptance
What is a living will?
Request that death not be artificially postponed if a patient has an incurable injury, disease, or illness that the 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/involuntary 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/flatus, blood pools in dependent areas, rigor mortis
Hospice care operates around which principle?
Death is a natural process, patient should be made comfortable.