Complications
overall
Pathophysiology
Medications
Management
100

when are complications most likely to occur?

closer to the time of death

100

what is the goal of end-of-life care?

optimize quality of life 

100

What is the overall cause of decline?

The brain and organs receive less oxygen and they start working less efficiently

100

what is the goal of medications?

maximize comfort and relief symptoms

100

how should the patient be assessed?

using subjective and objective data 

200

what can be seen as a complication?

worsening signs and symptoms 

200

Who undergoes end-of-life care?

those with a terminal illness, organ failure, and frailty 

200

What happens to the cardiovascular system?

heart rate slows down

hypotension

poor perfusion

reduced cardiac output

200

what are some types of medications given at the end of life?

pain medications

antiemetics 

constipation medications

excessive oropharyngeal secretion medication 

antipsychotics 

200

What can lead to a more positive experience at the end of life?

having support of loved ones

300

what can grief lead to?

cardiovascular problems 

anaphylaxis 

300

What is hospice care?

providing comfort and dignity to patients with terminal illnesses who are no longer seeking curative treatments

300

What happens to the Gastrointestinal System?

decreased appetite

 poor absorption

constipation

300

name some of the antiemetics. 

  • Anticholinergic (Scopolamine) 

  • Cannabinoids 

  • Corticosteroids (Dexamethasone)

  • Dopamine receptor antagonists (Haloperidol)

  • Ondansetron 

300

what is the purpose of providing choices to the patient?

To include them in the decision process 

autonomy 

400

What is a cause of infection?

organ failure

long term disability 

400

what are the different locations for end-of-life care?

institution based

outpatient based 

community based 

400

What happens to the respiratory system? 

Becomes irregular

apnea

congested lungs 

400

what is included in the comfort kits?

morphine

benzodiazepine 

acetaminophen

400

What are some goals of nursing management?

providing relaxation techniques, pain management  and promoting effective coping techniques 

500

what are some skin injuries that may occur?

Moisture Associated Skin Damage 

Medical Adhesive Related Skin Damage 

Pressure Ulcers

500

Name a type of terminal illness and organ failure. 

cancer 

heart failure, kidney failure, liver failure

500

What systems are impacted in the end of life?

cardiovascular 

respiratory 

neurological 

renal 

hepatic 

gastrointestinal

500
Name a medication for excessive oropharyngeal secretions.

Atropine ophthalmic 1% drops 

glycopyrrolate

500

what is nursing managemnt centered around?

  • Controlling pain 

  • Therapeutic communication 

  • Support decision making

  • Advance care planning

  • Coordinating palliative care

  • Providing bereavement support     
  • Coordinate interdisciplinary care 
  • Respect cultural and religious beliefs