Chapter 20 Providing Care for People at the End of Life

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Author:
Tanie
ID:
309704
Filename:
Chapter 20 Providing Care for People at the End of Life
Updated:
2015-10-16 15:18:20
Tags:
Chapter 20 Providing Care People End Life
Folders:
Redcross CNA
Description:
- Discuss measures that may be taken to ensure that a person's death is as peaceful and comfortable as possible. - Discuss how a nurse assistant can prepare to provide end-of-life care, and why this preparation is important. - Describe basic needs that a person who is dying may have. - List factors that may influence a person's feelings about death and dying. - Describe common emotions that a person who is dying, and those close to the person, may experience throughout the end-of-life period. - Describe actions that a nurse assistant can take to provide emotional support to the person and family throughout the end-of-life period. - Explain how a nurse assistant can honor a person's religious or cultural customs during the end-of-life period. - Describe how a nurse assistant can promote a person's physical comfort throughout the end-of-life period. - Describe ways in which the nurse assistant can support the family throughout the end-of-life period. - Describe the care that is provided in the hours leading up to and following a person's death. - Discuss the bereavement process for a family, friends and staff. AFTER PRACTICING THE CORRESPONDING SKILL, YOU WILL BE ABLE TO: - Provide postmortem care.
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  1. 1. Family members of a person who is dying should be:

    a. Encouraged to talk about their feelings and their needs.

    b. Discouraged from participating in the care of the person, because it is too upsetting.

    c. Encouraged to visit the the person who is din for only a few minutes to avoid tiring the person.

    d. Discouraged from expressing how they feel.
    a. Encouraged to talk about their feelings and their needs.
  2. 2. CPR is an example of:

    A. A supportive treatment
    B. A life-sustaining treatment
    C. A hospice treatment
    D. A palliative treatment
    B. A life-sustaining treatment
    (this multiple choice question has been scrambled)
  3. 3. The hospice philosophy is based on all of the following EXCEPT:

    a. The dying person should not be separated from family and other support systems.

    b. Care for the dying person and family should address the person's and family's emotional needs.

    c. pain is a normal and expected part of dying.

    d. The person's preferences for end-of-life care should be honored.
    c. pain is a normal and expected part of dying.
  4. 4. Mr. Troyer has a DNR order in place.  what does this mean?

    a. The health care team should withdraw supportive care at the end of life and just allow Mr. Troyer to pass away peacefully.

    b. In the event that Mr. Troyer's heart stops beating or his breathing stops, the health care team should not start CPR.

    c. Mr. Troyer's death will occur soon, and end-of-life care should be provided.

    d. Mr. Troyer has died and requires postmortem care.
    b. In the event that Mr. Troyer's heart stops beating or his breathing stops, the health care team should not start CPR.
  5. 5. All of the following are needs of the dying person EXCEPT:

    a. The need to be isolated form other people

    b. The need to be kept clean

    c. The need to receive emotional support

    d. The need to be touched.
    a. The need to be isolated form other people
  6. 6. Mrs. Skorgard is in the last stages of terminal illness.  She tells you that she believes science in on the brink of discovering a cure for her condition.  Mrs. Skorgard is expressing:

    A. Denial
    B. Anger
    C. Hope
    D. Grief
    C. Hope
    (this multiple choice question has been scrambled)
  7. 7. Mrs. Skinner is dying and is experiencing difficulty breathing.  What can you do to help Mrs. Skinner?

    a. Reassure Mrs. Skinner that difficulty breathing is a normal part of dying, and tell her that you will stay with her and see her through it.

    b. Report Mrs. Skinner's difficulty breathing to the nurse immediately.

    c. Talk to the nurse about Mrs. Skinner's eligibility for hospice care.

    d. Provide mouth care for Mrs. Skinner
    b. Report Mrs. Skinner's difficulty breathing to the nurse immediately.
  8. 8. Mr. Reynolds is 98 years old.  He tells you that he has lived a good life and he's "ready to go when the good Lord takes me."  Mr. Reynolds is expressing feelings of:

    A. Giving up
    B. Denial
    C. Home
    D. Acceptance
    D. Acceptance
    (this multiple choice question has been scrambled)
  9. 9. A new nurse assistant on the unit tells you that she is really upset about the idea of providing postmortem care, because she has never seen a dead body before.  What advice would you give her?

    a. To tell the nurse that she cannot provide postmortem care

    b. To talk about her feelings regarding death and providing end-of-life care with someone she trusts.

    c. To consider changing jobs

    d. To review the skill for providing postmortem care in her textbook.
    b. To talk about her feelings regarding death and providing end-of-life care with someone she trusts.
  10. 10. When you provide end-of-life care, it is important to:

    a. Be prepared to respond to anything a dying person might tell you in a reassuring way.

    b. Be a good listener.

    c. Leave the person alone as much as possible.

    d. Conceal your feelings about the person's death from the person.
    b. Be a good listener.
  11. 1. Bereavement care
    Care that is provided for people who are grieving after a loved one dies.
  12. 2. Terminal illness
    An illness for which there is no treatment and that is ultimately expected to lead to the person's death.
  13. 3. Hospice care
    A model of care that focuses on providing supportive care to people who are dying, and on supporting their families, during the end-of-life period.
  14. 4. Life-sustaining treatments
    Treatments that will prolong life, such as cardiopulmonary resuscitation (CPR) or mechanical ventilation.
  15. 5. Grief
    intense sadness that occurs as a result of loss
  16. 6. Do-not-resuscitate (DNR) order
    An order to withhold cardiopulmonary resuscitation (CPR) in the event of a cardiopulmonary arrest.
  17. 7. Postmortem care:
    Care that is provided for a person's body after death
  18. 8. Comfort (supportive) care
    Care that makes the person more comfortable but does not prolong the person's life, such as oxygen therapy, the administration of pain medications and personal care.
  19. 9. Shroud
    A cloth covering placed around the body of a deceased person.
  20. 10. Palliative care
    Treatments provided to relieve uncomfortable symptoms without actually curing the disease that is causing the symptoms.
  21. 11. Rigor mortis
    Stiffening of the muscles of the body after death.

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