Stages of Death
Ethics
Palliative Care
Hospice
Anything and Everything!
100

This stage is when acceptance of death occurs

What is stage 1: early phase

100

This involves the inability to do the morally correct thing because of situational factors; high stress in the work environment, time and resource pressures, high-technology care situations; and differences in values, attitudes and cultural or religious belies among patients, families and staff

What is moral distress

100

A specialized form of care that focuses on relief of pain and other symptoms and stress associated with severe illness

What is palliative care?

100

This is defined as an altered state of consciousness, characterized by episodes of confusion. This is reversible

What is delirium

100

What would be the community nurse's main focus when teaching patient's about skin cancer prevention?

What is wear sunscreen

200

These type of respirations are common in stage 3 of death

What are Cheyne-Stokes?

200

Feeling of anger, resulting in poor nursing care, frustration, powerlessness, dissatisfaction, and emotional and physical exhaustion can lead to this

What is burnout?

200

It is important to discuss these early and often with patients and their families re: their final wishes

What are advanced directives?

200

Then hospice nurse instructs the family to administer which medication for delirium?

What is haloperidol or Haldol?

200

Thrombocytopenia is very common in leukemia. What would the nurse teach the patient regarding bleeding precautions?

What are: Use a soft bristle tooth brush, no flossing, use an electric razor instead of a straight razor, fall precautions
300

This stage of death is weeks before death

What is stage 2: middle stage

300

This implies that an intended good effect such as pain management is ethically permissible even if it produces an unintended secondary effect - such as hastening death

What is the principle of double-effect?

300

If a patient is seeking both curative care and symptom management, which type of service will they be discharged to?

What is palliative care?

300

This occurs when therapy or intervention will not provide any foreseeable improvement in the patient's condition

What is medical futility?

300

When do we start screening women for breast cancer? How is this done and how often?

What is age 40. Mammogram every year until 55, then ok to do every 2 years. 

400

This stage of death shows a decline in mental status; patient will become confused and disoriented, sleeping most of the time

What is stage 2: middle stage

400

The nurse can build self-care activities in their daily schedule. What are some examples of this?

What are: talking with trusted friends or nursing colleagues, journaling, engaging in aerobic exercise, gardening, practicing yoga, meditating and praying

400

The nurse is assessing the patient for palliative care. When assessing the psychosocial and psychiatric domain, which should the nurse include?

What is depression?

400

A patient must be certified by a provider with less than _____ to live in order to be eligible for hospice

What is 6 months

400

Provoding vaccinations against certain cancers is which type of prevention?

What is primary

500

This stage is days or hours before death

What is stage 3: late stage

500

As a team, nurses can help each other by:

What are performing post-mortem care together, pausing for a moment of silence during the monthly staff meeting to remember those who have died in care, and sending the family a bereavement card?

500

Palliative care is underreffered and underutilized.

What is true
500

Communicating with the family and dying patient are paramount in hospice care. Provide examples of how to encourage family to communicate with their dying loved one.

What are: "thank you for..., I forgive you for..., Please forgive me for..., I love you, Goodbye"

500

Reducing the morbidity and mortality after diagnosis is in which type of prevention?

What is tertiary