NURS 3500 Exam 1 – Questions With
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Terms in this set (209)
Types of end of life care Hospice & palliative care
Hospice care - 6 months or less to live
- Used when curative treatment has stopped
- Usually for 60-90 day periods, but can be extended
- Involves RNs, social workers, chaplains, and
volunteers
Palliative care - Any stage of life-threatening illness
- No specific time period limitations
- Assists with informed decision making
- Provided by physician, NP, or team of providers
End of life care - legal & ethical - Power of attorney
considerations - Advanced directive
- DNR/DNAR
- AND
- Assisted suicide
- Euthanasia
- Autopsy
- Organ donation
End of life care - holistic care - Cultural aspects
- Spiritual aspects
- Client wishes
- Family-centered care
End of life - cardiac changes Heart failure secondary to cardiac dysrhythmias, MI,
or cardiogenic shock
,End of life - respiratory changes Respiratory failure secondary to pulmonary
embolism, heart failure, pneumonia, lung disease, or
respiratory arrest caused by increased ICP
End of life - GI changes Decreased output, decreased appetite,
nausea/vomiting
End of life - neurologic changes Decreased function, leading to impaired swallowing
End of life - pain May increase, decrease, or remain unchanged
End of life - nursing assessment - Physical changes
- Psychosocial assessment
- Spiritual assessment
End of life - nursing diagnoses - Pain/symptom management
- Grieving
- Chronic sorrow
End of life - planning Must involve patients
End of life - nursing interventions Focus on comfort & relieving symptoms of dying
(positioning, hygiene, suctioning, oxygen)
Perinatal loss - Miscarriage
- IUFD (stillbirth)
- Neonatal loss
SIDS - Sudden Infant Death Syndrome
- Unexplained death of an infant up to 1 year
- Often related to unsafe sleep
- Prevention is key
- Provide education for parents/caregivers
, Stages of grief - Denial
- Anger
- Bargaining
- Depression
- Acceptance
Nurse's role - facilitating grief - Expressing feelings
- Recalling memories
- Finding meaning
Social determinants of health - Economic stability
- Education access & quality
- Healthcare access & quality
- Neighborhood & built environment
- Social & community context
Primary prevention - Aims to prevent injury or disease before it occurs
- Done by preventing exposure to hazards, altering
behaviors, and increasing resistance to disease/injury
- Focuses on keeping patient well
Secondary prevention - Aims to reduce the impact of a disease or injury that
has already occurred
- Done by detecting and treating disease as early as
possible
- Health restoration
Tertiary prevention - Aims to soften the impact of an illness or injury that
has lasting effects
- Done by improving the patient's ability to function,
their quality of life, & their life expectancy
- E.g. diabetes, emphysema, etc.
WIC (women, infants, & children) Supplemental funds up to 5 yrs of age
CHIP (children's health insurance Essentially Medicaid for small children
program)
Medicare Coverage for those over 65
Comprehensive Solutions
Save
Terms in this set (209)
Types of end of life care Hospice & palliative care
Hospice care - 6 months or less to live
- Used when curative treatment has stopped
- Usually for 60-90 day periods, but can be extended
- Involves RNs, social workers, chaplains, and
volunteers
Palliative care - Any stage of life-threatening illness
- No specific time period limitations
- Assists with informed decision making
- Provided by physician, NP, or team of providers
End of life care - legal & ethical - Power of attorney
considerations - Advanced directive
- DNR/DNAR
- AND
- Assisted suicide
- Euthanasia
- Autopsy
- Organ donation
End of life care - holistic care - Cultural aspects
- Spiritual aspects
- Client wishes
- Family-centered care
End of life - cardiac changes Heart failure secondary to cardiac dysrhythmias, MI,
or cardiogenic shock
,End of life - respiratory changes Respiratory failure secondary to pulmonary
embolism, heart failure, pneumonia, lung disease, or
respiratory arrest caused by increased ICP
End of life - GI changes Decreased output, decreased appetite,
nausea/vomiting
End of life - neurologic changes Decreased function, leading to impaired swallowing
End of life - pain May increase, decrease, or remain unchanged
End of life - nursing assessment - Physical changes
- Psychosocial assessment
- Spiritual assessment
End of life - nursing diagnoses - Pain/symptom management
- Grieving
- Chronic sorrow
End of life - planning Must involve patients
End of life - nursing interventions Focus on comfort & relieving symptoms of dying
(positioning, hygiene, suctioning, oxygen)
Perinatal loss - Miscarriage
- IUFD (stillbirth)
- Neonatal loss
SIDS - Sudden Infant Death Syndrome
- Unexplained death of an infant up to 1 year
- Often related to unsafe sleep
- Prevention is key
- Provide education for parents/caregivers
, Stages of grief - Denial
- Anger
- Bargaining
- Depression
- Acceptance
Nurse's role - facilitating grief - Expressing feelings
- Recalling memories
- Finding meaning
Social determinants of health - Economic stability
- Education access & quality
- Healthcare access & quality
- Neighborhood & built environment
- Social & community context
Primary prevention - Aims to prevent injury or disease before it occurs
- Done by preventing exposure to hazards, altering
behaviors, and increasing resistance to disease/injury
- Focuses on keeping patient well
Secondary prevention - Aims to reduce the impact of a disease or injury that
has already occurred
- Done by detecting and treating disease as early as
possible
- Health restoration
Tertiary prevention - Aims to soften the impact of an illness or injury that
has lasting effects
- Done by improving the patient's ability to function,
their quality of life, & their life expectancy
- E.g. diabetes, emphysema, etc.
WIC (women, infants, & children) Supplemental funds up to 5 yrs of age
CHIP (children's health insurance Essentially Medicaid for small children
program)
Medicare Coverage for those over 65
