Tranquilizers may increase the hypotensive effect__
~ ___of anesthetic agents.
Abrupt withdrawal from adrenal steroids may cause__
~ __cardiovascular collapse in long-term users.
Elevated WBC count is a significant finding__
~ __in presurgical screening. It indicates infection.
Decrease...
✓~ Health care aimed at symptom management rather than curative treatment for
diseases that no longer respond to treatment.
Hospice Care
✓~ Provides compassionate supportive care to patients and their families who are in
their last stages of the dying.
Goals of Palliative Care:
✓~ Provide relief from symptoms, including pain. Regard dying as a normal process.
Affirm life and neither hasten nor postpone death. Support holistic patient care and
enhance quality of life. Offer support to patients to live as actively as possible until
death. Offer support to family during patients illness and in their own bereavement.
What are different ethical and legal issues regarding end of life?
, ✓~ Organ and tissue donations, advance directives (e.g., medical power of attorney,
living wills), and resuscitation.
Advance Directives
✓~ A general term used to describe documents that give instructions about future
medical care and treatments and who should make them in the event the person is
unable to communicate.
Directive to Physicians
✓~ A written document specifying the patients wish to be allowed to die without
heroic or extraordinary measures.
Do Not Resuscitate (DNR)
✓~ A written physicians order instructing health care providers not to attempt CPR,
often requested by family; must be signed by a physician to be valid.
Living Will
, ✓~ A lay term used frequently to describe any number of documents that give
instructions about future medical care and the treatments or the wish to be allowed to
die without heroic or extraordinary measures should the patient be unable to
communicate for self.
Medical Power of Attorney
✓~ At term used by some states to describe a document used for listing the person or
persons to make health care decisions should a patient become unable to make
informed decisions for self.
What are essential communication components in end of life care?
✓~ Empathy and active listening.
Empathy
✓~ The identification with and understanding of another's situation, feeling, and/or
motives.
Listening
, ✓~ An active process required in the development of empathy toward another's
feelings.
How does silence aide in communication with dying clients and their family?
✓~ Frequently related to the overwhelming feelings experienced at the end of life.
Can also allow time to gather thoughts. Listening sends a message of acceptance and
comfort. Also considerate patients ethnic, cultural and religious backgrounds.
Near the end of life how can a patients communication oftentimes be identified
as?
✓~ Confused, disoriented, or garbled.
What is one way for creating an environment for the patient and his/her family
members?
✓~ A family conference.
What are the physical manifestations of approaching death in regards to
Sensory Systems?
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