End of life

Actual loss, Perceived loss, Physical loss, Situational loss, Anticipatory loss

Actual loss

Perceived loss

Yay free question!! 😄😄

Maturational loss

Situational loss

Anticipatory loss

Perceived loss

Unresolved grief

Bereavement

Mourning

Greif

Dysfunctional grief

Pathophysiology of dying

Grants Americans the right to determine the medical care they wanted if they become incapacitated.

Durable power of attorney for finances

Living will

Living will

True

Palliative care

Hospice care

Optimize comfort, Reduce stress, Provide emotional and spiritual support, Relieve symptoms

Sources of hope and strength, Organized religion (if any) and role that it plays in clients life, Personal spirituality, rituals, and practices, Effects of religion and spirituality on care and end of life decisioins

An afterlife of heave or hell once the soul has left the body

Sacrament of the sick, administered by a priest at any point during illness, can be done at any point during illness, can be done more than once. Not receiving it will NOT prohibit them from entering heaven after death., People may be baptized as Roman Catholics in an emergency situation by a layperson otherwise they are baptized by a priest.

The dying person is encouraged to recite the confessional or affirmation of faith called the Shema., A person who is extremely ill and dying should not be left alone., The body, which was the vessel and vehicle of the should deserves reverence and respect., The body should not be left unattended until the funeral which should take place ASAP within 24 preferably., Autopisies are not allowed by Orthodox Jews except under special circumstances., The body should not be embalmed, displayed, or cremated

Based on belief in one God, Allah, and his prophet Muhammad. Qur’an is the scripture of Islam., Death is seen as the beginning of a new better life., God has perscribed an appointed time of death for everyone., Qur’an encourages humans to seek treatment and not refuse treatment. Belief is that only Allah cure but through the work of humans., At death eyelids are to be closed, and the body should be covered before moving and handling the body, contact some from the person’s mosque to perform rituals of bathing and wrapping the body in cloth.

Live fully, Live comfortably, Die pain-free and with dignity

Patient/family must desire services, Patient must be eligible, Eligibility requires that 2 physicians certify that the patients prognosis is terminal, with less than 6 months to live, recertification only requires 1 physician.

Symptoms of distress (respiratory, hemorrhage, pain), Weakness, Sleeping more, Anorexia, Changes in organ system function, LOC, Changes in vital signs, Teach finally interventions that relieve discomfort and stress

Coolness of extremities, Skin may appear molted or discolored, Increased sleeping, Fluid and food intake decrease, Hearing is the last sense to go!, Incontinence, Congestion and gurgling (position on side adm meds to dry secretions), Breathing pattern changes (cheyne stokes), Disorientation and restlessness

Withdrawal, Vision-like experiences, Letting go, Saying goobye

YAY free question!

Opiods, morphine sulfate

Brochodilators and corticosteroids for wheezing and brochospasms., Diuretics for fluid overload (dyspnea, crackles, peripheral edema), Antinbiotics (if dyspnea related to infection), Anticholinergics (dry up secretion, atropine eye drops, scopolamine transdermal patch), Benzodiazepines (if morphine doesn’t control dyspnea)

Limit exertion, Inserting long-term foley, Raise HOB, Apply wet cloths to patients face ⬇️anxiety, Encourage imagery and deep breathing

Biphosphate enema (if constipation is causing nausea and vomiting), Mineral oil and gentle disimpaction, Antiemetic agents (ondansetron, dexamthasone, or metoclopramide), Remove source of odors, Aromatherapy

Palliative sedation (does not hasten death)

Medical examiner