Pain
You should always do this when you suspect a resident is in pain, even if they can’t tell you.
What is report it to the nurse?
When starting palliative care, it's important to talk with the resident and family about these.
What are their wishes, values, and goals of care?
This is the key skill PSWs use to show families they are truly being heard.
What is active listening?
Changes in breathing patterns, such as long pauses, are known as this type of breathing.
What is Cheyne-Stokes breathing?
Dry lips and mouth are common at the end of life. PSWs can help by doing this.
What is providing mouth care or moisturizing the lips?
Repositioning a resident, using soft pillows, and applying a warm blanket are examples of these.
What is non-pharmacological pain relieving measures.
This is a benefit of starting palliative care early in an illness.
What is better symptom management or emotional support?
You overhear a family member talking about funeral plans. A helpful response could be this.
What is “It sounds like you’re thinking ahead. Let me know if there’s anything I can do to support you.”
A dying resident often has little interest in these two things.
What are food and fluids?
A resident who is restless and picking at their sheets may be experiencing this.
What is terminal agitation or delirium?
This common chronic condition causes joint pain, especially in older adults.
What is osteoarthritis
Palliative care helps manage symptoms like pain, shortness of breath, and this common emotional experience.
What is anxiety or fear?
Saying things like “I can see how much you care” is an example of this kind of communication.
What is compassionate or empathetic communication?
A gurgling sound in the throat near death is often called this.
What is the death rattle?
When a resident has noisy breathing due to secretions, PSWs can reposition them or elevate this.
What is the head of the bed?
A resident says, “I’m scared of what happens after I die.” This may be a sign of this type of distress.
What is spiritual pain or distress?
Palliative care supports not only the resident, but also these people
Who are the family or caregivers?
If a family member is crying during care, this is a helpful thing you can offer.
What is a tissue, a quiet moment, or words of comfort?
The skin may become cool, pale, or blotchy, especially on these parts of the body.
What are the hands, feet, or limbs?
To reduce anxiety or fear, a PSW’s calm voice and presence can help create this kind of environment.
What is a reassuring or peaceful environment?
Even when a resident is close to death, treating pain is important to support this.
What is dignity and comfort at end of life?
Unlike some other types of care, palliative care focuses mainly on this.
What is comfort and quality of life?
If a family member is angry and blaming staff, the first step is to do this.
What is stay calm and acknowledge their emotions?
As a person nears death, they often sleep more and are harder to do this with.
What is wake up or arouse?
When a resident has difficulty swallowing, PSWs should avoid giving these.
What are regular solids or fluids without checking with the nurse?