Chapter 27: Caring for People who are Dying
an organization that cares only for people who are dying is a
hospice organization
What is the goal of care at this type of facility?
what is an abnormal growth of tissue called?
tumor
What are the two types of tumors?
what does an incentive spirometer help to prevent
atelectasis where the alveoli collapse, or pneumonia
Describe how to instruct a patient to use an incentive spirometer
how do you place a car seat in a car for a newborn
in the back seat, facing the back of the car
how do you place a baby to sleep?
carcinogen
something that causes or produces cancer
carcin/o- - cancer
-gen - generating or producing
Name a carcinogen
when is postmortem care provided?
after the person has been pronounced dead
Describe postmortem care
name 1 of the 3 main approaches to treating cancer
Rebuttal is naming another one
surgery, chemotherapy, radiation
what type of anesthesia causes a loss of consciousness?
general anesthesia
Name and describe another type of anesthesia
describe the bonding period
the period of time after delivery during which the parents and the new baby develop an emotional and physical attachment
how can we support parents during the bonding period?
menorrhagia
excessive menstrual bleeding
men/o - menses, menstruation
-rrhagia - excessive or profuse bleeding
What is amenorrhea?
what are the type of respirations called that are characterized by a pattern of rapid-slow breathing
Cheyne-Stokes respirations
What other changes happen to the body at the end of life?
name 2 possible unpleasant side effects of cancer treatment
Rebuttal is naming 2 more
nausea, vomiting, hair loss, loss of appetite, diarrhea, mouth sores, skin breakdown, lowered immunity, fatigue
why must a person who is having surgery avoid taking any food or fluids by mouth for 6-8 hours before the surgery?
decrease risk of aspiration
Name a responsibility of the MD pre-surgery
name 2 sexually transmitted infections (STIs)
herpes simplex, gonorrhea, chlamydia, genital (venereal) warts, syphilis, HIV
name a way to prevent an STI
hysterectomy
surgical removal of the uterus
hyster/o - uterus
-ectomy - excision, removal of
Difference between TAH and TVH?
the stage of grief when a person begins to say goodbye and make arrangements for their death
acceptance
Name another stage of grief
Name a factor that may play a role in whether or not a person develops cancer
Rebuttal is naming another one
genes/inheritance, lifestyle factors (diet, exercise), environment, age, job with exposure to radiation, occupation
how often should you reposition your patient when they are recovering from surgery?
every 1-2 hours
Where do patients go immediately after surgery to recover?
where does conception (fertilization) usually occur?
in the fallopian tube
Where does implantation occur?
cyanotic
blue-tinged
cyan/o - blue
-otic/-ic - pertaining to or the state or condition of
What does this indicate?
what is usually the last sense to be lost as death approaches
hearing
If family wants to assist with with care of their loved one during the dying process, what would your response be?
what type of screening test is used to detect breast cancer
mammogram
What type of screening test is done that might detect cervical cancer?
what are the 3 phases within the perioperative period?
preoperative phase, intraoperative phase, and postoperative phase
Name something that a CNA is responsible for in one of these phases
what is the whitish, cheese-like protective coating on the skin of newborns called
vernix
What is the first expression of breastmilk called that is rich in nutrients and antibodies?
stomatitis
inflammation of the mouth
stomat/o - mouth
-itis - inflammation
How do we support patients with this?