Understanding End-of-Life Care
What is palliative care?
Specialized care that focuses on relief from symptoms and stress of a serious illness.
True or False: All residents show pain the same way.
False: pain expressions may vary based on individual, condition, and culture.
The ability to cope with and adjust to stress in an accepted way.
What is the most common type of dementia?
Alzheimer's disease
What does a CNA do first if a resident becomes aggressive?
Stay calm, give them space, try to de-escalate.
What is one key difference between hospice and palliative care?
Hospice care is for those with a prognosis of six months or less; palliative care can be given at any stage of illness.
What is the best way for a CNA to assess a resident's pain level?
Use a pain scale and listen to what the resident says.
Name two common mental illnesses in older adults.
Depression, anxiety, schizophrenia, bipolar disorder
True or False: Dementia is a normal part of aging.
False: It is a disease, not a normal aging process.
Name one way a CNA can provide emotional comfort to a dying resident.
Holding their hand, speaking calmly, being present, offering support
Name two physical changes in the body that occur as death approaches.
Decreased appetite, cool extremities, irregular breathing, increased sleep and more.
What is the nurse aide's primary responsibility when a resident complains of pain?
Report it to the nurse immediately.
What does PTSD stand for?
Post Traumatic Stress Disorder
What is sundowning?
What legal document allows a resident to appoint someone to make healthcare decisions for them?
Durable Power of Attorney for Healthcare
What are two ways CNAs can support families of dying residents?
Providing comfort, listening, explaining care, respecting cultural beliefs.
What are two potential risks of untreated chronic pain?
Depression, sleep issues, decreased appetite, increased fall risk, social isolation.
What is de-escalation and why is it important?
Techniques to calm an agitated resident and prevent escalation.
What is the main difference between delirium and dementia?
Delirium is sudden and reversible, while dementia is gradual and progressive.
What does an advance directive do?
It outlines a person's medical treatment preferences if they cannot speak for themselves.
What role do CNAs play in postmortem care?
Cleaning and positioning the body, providing dignity, preparing for family viewing.
What is the difference between acute and chronic pain in how the body responds (physical responses)?
Acute pain may increase pulse and blood pressure, while chronic pain can slow body responses over time.
Name three warning signs of suicide risk in an older adult.
Withdrawal, giving away belongings, increased sadness, talking about death.
Name two strategies for communicating with a resident with dementia.
Speak clearly, use short sentences, maintain eye contact, avoid arguing, use nonverbal cues.
What is the nurse aide's responsibility when a resident refuses pain treatment?
Respect their decision, document it, and report it to the nurse.