NSG 430 PALLIATIVE CARE
1. Spiritual needs of dying patient: May or may not include a belief in a higherpower
does not necessarily equate to religion
Preferences should be noted
2. Decisional capacity: refers to the ability to consent or refuse care
-organ and tissue donations
-Advance directives
-Resuscitation
-Mechanical ventilation
-Tube feeding placement
3. Organ and tissue donation: Any body part or the entire body may be donated
-Decided by a person before death
-With family permission after death
This requires immediate physician notification because organs only have so muchtime.
4. Resuscitation: Patients and families have the right to decide whether CPR willbe used
Physicians orders should specify
-full code
-chemical code
-no code- DNR or AND
5. Full code means: we are going to do everything and all things until the codeteam decides
it is over
6. chemical code: use of drugs for resuscitation without use of CPR
7. DNR is: comfort measures only
8. Role of the nurse during EOL: Relieve suffering
clarify misunderstanding about the use of pain medications
, 9. Addiction is not a concern when providing: comfort for the terminally illpatient
10. The principle of double effect: morally permissible to give a medication that has the
potential for harm if it is given with the intent of relieving pain and sufferingand not intended
to hasten death
basically- its okay to give a drug that may harm them if the intent is to relieve painand the
intent is NOT to kill them
11. End of life nursing management: Nurses spend more time with patients nearthe ned of life
than any other health care professional
Respect, dignity, and comfort care important for patient and family
12. Nurses need to recognize their own needs when dealing: with grief anddying.
13. Nursing management assessment: if patient is alert
-brief review of body systems to detect signs and symptoms
-Asses for discomfort, pain, nausea, or dyspnea
-Follow specific legal guidelines for organ and tissue donation
-Some tissues must be used within hours after death so require immediate physiciannotification
-Assess coping abilities of patient and family
14. Stability of that client is going to determine the: frequency of assessment
make sure to document
15. Monitor for system failure as: death approaches
16. Changes we should be looking for: Neuro, Circulation, Respiratory, I and O,
integumentary
17. In the last hours of life: limit to comfort measures
1. Spiritual needs of dying patient: May or may not include a belief in a higherpower
does not necessarily equate to religion
Preferences should be noted
2. Decisional capacity: refers to the ability to consent or refuse care
-organ and tissue donations
-Advance directives
-Resuscitation
-Mechanical ventilation
-Tube feeding placement
3. Organ and tissue donation: Any body part or the entire body may be donated
-Decided by a person before death
-With family permission after death
This requires immediate physician notification because organs only have so muchtime.
4. Resuscitation: Patients and families have the right to decide whether CPR willbe used
Physicians orders should specify
-full code
-chemical code
-no code- DNR or AND
5. Full code means: we are going to do everything and all things until the codeteam decides
it is over
6. chemical code: use of drugs for resuscitation without use of CPR
7. DNR is: comfort measures only
8. Role of the nurse during EOL: Relieve suffering
clarify misunderstanding about the use of pain medications
, 9. Addiction is not a concern when providing: comfort for the terminally illpatient
10. The principle of double effect: morally permissible to give a medication that has the
potential for harm if it is given with the intent of relieving pain and sufferingand not intended
to hasten death
basically- its okay to give a drug that may harm them if the intent is to relieve painand the
intent is NOT to kill them
11. End of life nursing management: Nurses spend more time with patients nearthe ned of life
than any other health care professional
Respect, dignity, and comfort care important for patient and family
12. Nurses need to recognize their own needs when dealing: with grief anddying.
13. Nursing management assessment: if patient is alert
-brief review of body systems to detect signs and symptoms
-Asses for discomfort, pain, nausea, or dyspnea
-Follow specific legal guidelines for organ and tissue donation
-Some tissues must be used within hours after death so require immediate physiciannotification
-Assess coping abilities of patient and family
14. Stability of that client is going to determine the: frequency of assessment
make sure to document
15. Monitor for system failure as: death approaches
16. Changes we should be looking for: Neuro, Circulation, Respiratory, I and O,
integumentary
17. In the last hours of life: limit to comfort measures
