Death & Dying

1. Palliative care:

• Improves quality of life, relieves symptoms and provides comfort for patients and family with serious or terminal illness

• Is Care that is given to patients who have 3 months or less to live

• Is when a Health care proxy decides what to and what not to do in the event you can’t

• Is Care that is given to dying patients when they are at home ONLY

According to Kubler Ross, there are five documented stages in the process of dying. Residents and their families:

• Always pass through the stages in order

• Never pass through the stages of dying in order

• Might go back and forth from stage to stage

• Must go through all stages before they die

In a dying patient, which SENSE remains the most acute, even if the patient is comatose?

• Vision

• Smell

• Taste

• Hearing

Which stage of grief does not accept the fact that they are dying?

• Acceptance

• Denial

• Bargaining

• Depression

A family member of someone who is dying starts yelling at the nursing assistant because it took five minutes for her to get to the room when requested to help reposition the patient. Which stage of grief is this exhibiting?

• Anger

• Depression

• Acceptance

• Denial

A person’s body is sent to a pathologist or medical examiner to try and determine cause of death. The exam after death is called:

• Cremation

• Post mortem Care

• Mourning

• Autopsy

Some who is dying often has a breathing pattern in which respirations will alternate between slow, irregular breaths and quick shallow breathing, accompanied by apnea. This is called:

• Tachypnea

• Pleural rub

• Anaphylaxis

• Cheyne-stokes

Which of the following positions is most likely to help a dying person to breathe easier?

• High fowlers

• Trendelenburg

• Supine

• Sim's

A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on:

• Helping the resident through the stages of grief

• Providing the resident comfort

• Keeping the residents care routine, such as bathing and activities so they keep busy

• Giving the resident a lot of alone time and privacy

When performing post-mortem care, it is important for the nurse aide to:

• Show respect and dignity for the body

• Wait until the body stiffens for the family viewing

• Dress them in the clothing they will wear at the funeral parlor

• Leave all the tubes and IV’s in