Danielle Towles Chapter 11 End-of-Life and Palliative Care 1.) a.

) comfort and care that promotes a dignified death. 2.) Respiratory a.) Cheyne-stokes Resp. b.) Death rattle c.) Kussmaul resp. Skin a.) b.) c.) d.) Mottling Cyanosis of extremities Decreased Temp Skin retractions

Gastrointestinal a.) b.) c.) d.) e.) Refuses to or unable to eat. Low urine output (anuria or olgluria) Nausea and vomiting Constipation Lack of bowl and bladder control

Musculoskeletal a.) Muscle cramps b.) Weakness c.) Wasting (loss of muscle tone) 3.) A terminally ill patient is .. b.) take the family members aside and explain that the patient may be able to hear them. 4.) A 20-year-ol patient with a massive .. a.) Unresponsive pupillary and vestibule-ocular reflexes b.) Corneal and gag reflexes are absent (no facial or tongue movements) c.) Libs are flaccid and there is no drawl from painful stimuli 5.) A 62-year-old woman has been . 1|P a ge

Pathologic _4_ c. _3_ a.) A patient is receiving care to manage symptoms of a terminal illness . a.) encouraging the patient and family members to verbalize their feelings of sadness. 12. Dysfunctional 8. Anticipatory _6_ b.) f.) Apatient in the last stages d.) Kubler-Ross s stage of bargaining.) d.) use any methods that make the patient more comfortable. 7. loss.) b. .Danielle Towles d. Conflicted _5_ d.) Identify the legal document or other team described by each of the following. Absent _2_ f. Adaptive _1_ e.) Living will Power of Attorney or the person is a Healthcare surrogate DNR order Natural Deathacts Patient self-Determination Act or Omnibus Reconciliation Act Advance Directive 10.) A Terminally ill man tells the nurse.) e.) End-of-life nursing care involves d. is experiencing spiritual distress.) anxiety about unfinished business. a. 6.) Match the following types of grief with their characteristics.) A patient with end stage liver failure tells b. b. 9.) Palliative care 11. 2|P a ge . and forgiveness.) c.

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