Makeup Duty Worksheet – Death and Dying

NCM 103 – Fundamentals of Nursing

2nd Semester (SY 2019-2020)

UNIVERSITY OF THE EAST

RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER
# 64 Barangay Doña Imelda Aurora Boulevard Quezon City 1113
Telephone No. 713-33-09 ; 715-08-61 local 289

COLLEGE OF NURSING

MAKEUP DUTY WORKSHEET – DEATH AND DYING

Name: __________________________________________ Date: ______________________

Year/Section/Group Number: ________ / _______ /_____ Grade: ____________________

Nurse Jill is assigned at the oncology ward. She is caring for Mrs. Jones, a 40 y/o a patient
diagnosed with stage 4 breast cancer. Mrs. Jones asked Nurse Jill to call in their family lawyer
to arrange her last will and testament. She also expressed that she wants to donate all the organs
that are still viable for organ donation. Should Mrs. Jones go into cardiac arrest, she does not
want to be resuscitated.

Her lawyer was able to come to the hospital and arranged all the documents that Mrs. Jones
requested. She also instructed the lawyer not to inform her family because she wants to do it
herself. .

After a 3 days, Mrs. Jones went into a coma. The immediate family asked the nurse to call in the
doctor and do everything they can to prolong the life of Mrs. Jones. The attending physician
disagreed and informed the family that Mrs. Jones has a DNR request. The family cried and
threatened that they will be filing a lawsuit.

1. Based on the above given situation, who’s request is the doctor supposed to honor? Cite
your references based on your answer.
2. What are the different stages of death and dying based on Kubler-Ross? Explain each.
3. Give examples of nursing diagnosis in caring for a dying patient.
4. Give a nursing diagnosis based on the above given scenario.
5. Make a nursing care plan based on your nursing diagnosis in number 4.

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Makeup Duty Worksheet – Death and Dying
NCM 103 – Fundamentals of Nursing
2nd Semester (SY 2019-2020)

CRITERIA NEEDS GOOD AVERAGE EXCELLENT

& IMPROVEMENT
POINTING
SYSTEM 1 2 3 points 4 points
point points

1 – Incorrect or 1 – Partially able to 1 – Able to discuss 1 – Discussed

inaccurate discussion discuss with 3 or correctly with 2 accurately and
1. Who is the more corrections corrections correctly without
doctor 2 – Incorrect use of corrections
supposed to terminologies 2 – Used the correct 2 – Used the
follow? terminologies with correct 2 – Used the correct
3 – Not organized some errors terminologies terminologies
and methodical in
writing 3 – Organized and 3 – Organized and 3 – Organized and
methodical in methodical in methodical in
writing writing writing

1 – Incorrect / 1 – Partially able to 1 – Able to discuss 1 – Able to discuss

inappropriate discuss the stages of the stages of death the stages of death
discussion of the death and dying and dying with less and dying
2. Stages of stages of death and with 3 or more than 2 corrections accurately and
Death and dying corrections correctly without
Dying 2 – Used the corrections
2 – Incorrect use of 2 – Used the correct correct
terminologies terminologies with terminologies 2 – Used the correct
some errors terminologies
3 – Not organized 3 – Organized and
and methodical in 3 – Organized and methodical in 3 – Organized and
writing methodical in writing methodical in
writing writing

1 – Was not able 1 – Partially able to 1 – Able to 1 – Able to

enumerate and enumerate and enumerate and enumerate and
discuss the correct discuss 1 nursing discuss 2 nursing discuss 3 nursing
nursing diagnosis diagnosis with 3 or diagnosis diagnosis
3. Nursing more corrections with less than 2 accurately and
Diagnosis for a 2 – Incorrect use of corrections correctly without
dying patient terminologies 2 – Used the correct corrections
terminologies with 2 – Used the
3 – Not organized some errors correct 2 – Used the correct
and methodical in terminologies terminologies
writing 3 – Organized and
methodical in 3 – Organized and 3 – Organized and
writing methodical in methodical in
writing writing

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Makeup Duty Worksheet – Death and Dying
NCM 103 – Fundamentals of Nursing
2nd Semester (SY 2019-2020)

1 – Was not able 1 – Partially able to 1 – Able to 1 – Able to

enumerate and enumerate and enumerate and enumerate and
discuss the correct discuss an discuss an discuss an
4. Nursing nursing diagnosis appropriate nursing appropriate nursing appropriate nursing
Diagnosis diagnosis with 3 or diagnosis diagnosis
based on the 2 – Incorrect use of more corrections with less than 2 accurately and
scenario terminologies than corrections correctly without
2 – Used the correct corrections
3 – Not organized terminologies with 2 – Used the
and methodical in some errors correct 2 – Used the correct
writing terminologies terminologies
3 – Organized and
methodical in 3 – Organized and 3 – Organized and
writing methodical in methodical in
writing writing

1 – Nursing care 1 – Able to create a 1 – Able to create a 1 – Able to create a

plan was an appropriate an appropriate complete and
inappropriate for the nursing care plan nursing care plan appropriate Nursing
nursing diagnosis with 3 or more with less than 2 Care plan without
5. Nursing Care corrections corrections corrections
Plan 2 – Incorrect use of
terminologies 2 – Used the correct 2 – Used the 2 – Used the correct
terminologies with correct terminologies
3 – Not organized some errors terminologies
and methodical in 3 – Organized and
writing 3 – Organized and 3 – Organized and methodical in
methodical in methodical in writing
writing writing

NOTE: Please state your references. Indicate the title of the book and edition, year published,
author and page numbers. Website references will not be honored.

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