100% ACCURATE ANSWERS
Fatigue primary prevention
Vaccines, health diet, weight, hand washing, adequate sleep,
manage stress, patient specific teachings.
Fatigue secondary prevention
Screening, using self report instruments
Early adulthood
Late teens to mid 30s
Physical changes-tend to ignore symptoms and postpone
medical care
Psychosocial changes-separate from family, make decisions
regarding career, kids, marriage
Sexuality-emotional maturity for sexual relationships
pg. 1
,Middle adulthood
Mid to late 30s to mid 60s
Physical changes-menopause in women
Cognitive changes-interested in learning new skills, going
back to school
Psychosocial changes-generativity, want to feel like they're
giving back, financial demands decrease
Late adulthood
65+
Sense of integrity- looks back on life and accepts it/is proud
Sense of despair- is dissatisfied in life
Near death physiological manifestations
1. Effects on the body
Metabolism is reduced
pg. 2
,Body slows down until all functions end
Near death physiological manifestations
2. Sensory
Blurred vision
Decreased sense of smell and taste
Loss of blink reflex (appears to stare)
Hearing is the last sense to go
Near death physiological manifestations
3. Respirations
Rapid, slow, shallow, irregular
Noisy and wet sounding (death rattle)
Near death physiological manifestations
4. Circulation
Heart rate slows down, bp falls
Skin cool, extremities become pale, mottle, cyanotic
Skin becomes wax like (near death)
pg. 3
, Near death physiological manifestations
5. Urinary and gi system
Urinary output decreases
Incontinence may occur
Decreased gi motility and peristalsis--leads to constipation,
gas, abdomen distention
3 fears associated with dying
1. Fear of pain never delay pain relief measures
2. Fear of loneliness, abandonment *allow family to stay with
patient
3. Fear of being meaningless focus of positives
6 post mortem procedures
1. Close eyes
2. Replace dentures
3. Wash body, replace bed linens
4. Place pads under perineum
5. Remove tubs and dressing if not coroners case
6. Straighten body with pillow under head
pg. 4