Nursing Assisting Chapter 27 - End-of-Life Care

List five legal rights to remember when caring for the terminally ill (LO 5)?

Five Legal rights when caring are. 1. Right to visitors 2. Right to privacy 3. Right to be free from pain 4. Right to honest and accurate information 5. Right to refuse treatment

List 20 physical signs that a person is approaching death (LO 8)? 1. Cyanotic. 2. cold skin. 3. bruised ski.n 4. heavy perspiration. 5. fever. 6. low blood pressure. 7. increased pulse. 8. Cheyne-Stokes breathing. 9. Gurgling/Rattling sound. 10. Difficulty swallowing. 11. Decreased appetite/thirst.

12. Dry mouth. 13. Nausea, vomiting. 14. Decreased sense of touch. 14. Loss of feeling. 15. Extreme weakness and exhaustion. 16. Loss of muscle tone. 17. fallen jaw, causing mouth to stay open. 18. Inability to speak. 19. loss of vision. 19. Dilated pupils and staring eyes. 20. hallucinations.

Briefly describe each of the five stages of grief (denial, anger, bargaining, depression, and acceptance) as defined by Elisabeth Kugler-Ross (LO 4)?

Five stages of grief are. 1. Denial- refuse to believe they are dying. 2. Anger- lashes out at staff, family, roommate or friends. 3. Bargaining- Try to bargain with god 4. Depression- deeply sad and depressed 5. Acceptance- Accept death and plan for it

List four ways that nursing assistants can help families and friends after a loved one has died (LO 10)?

Fours ways nursing assistant can help the family are. 1. Allow family and friend to show their feelings 2. Be available for family and friends 3. Don't make inappropriate comments 4. If they request to see a spiritual leader or clergy-person, report to nurse.

Multiple Choice. When is hospice care usually ordered by a doctor (LO 3)?

Hospice care is usually ordered by the doctor when a person has approximately six months or less to live.

What should the nursing assistant do if he observes physical signs such as a dropped jaw after a resident has died (LO 9)?

Tell the nurse immediately so that she can confirm the death.

What is bereavement Therapy (LO 11)?

bereavement Therapy helps staff deal with grieving.

What may be one of the most important things that a nursing assistant can do to help meet a dying resident's psychosocial needs (LO 7)?

Listen more; talk less. When dealing with a resident who will dies soon, listening is often one of the most important things you can do.

Define postmortem (LO 12).

Postmortem is the care of the body after death.

What are the goals of palliative care (LO 2)?

The goals of palliative care are to relieve pain, control symptoms, prevent side effects and complications, and maintain the best quality of life possible.

Which sense is usually the last else to leave the body (LO 6)?

The sense of hearing is usually the last sense to leave the body.