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List 5 effects that using an open ended questions for good communication would have 1. encourages conversation 2. helps the person feel heard 3. prevents misunderstandings 4. helps the dying person share their story 5. validates the persons experience List 5 common physical changes during the last days and hours 1. unresponsive 2. agitation 3. reduced intake 4. congested breathing 5. muscle twitching Identify 4 non-medication comfort measures that you could use for someone in pain 1. positioning 2. distracting 3. relaxation strategies 4. warm blankets 5. give time Identify 3 physiological signs that will be present at the time of death 1. no pulse 2. pupils fixed and dilated | Final Leaks.pdf |
3. no resps 4. jaw drop What is the first thing that we need to establish when offering pain relief the patients goals List 3 possible causes for nausea and vomiting 1. medication side effects 2. pain 3. anxiety 4. odors Identify 3 strategies to support and comfort an individual as intake decreases 1. smaller meals & more frequent 2. provide good mouthcare 3. thickened fluids 4. provide fav food & drink Delirium is a common symptom in the last days and hours. List 3 areas you will need to provide care for the person experiencing delirium 1. personal safety 2. emotional security 3. orientation to reality 4. reassurance | Final Leaks.pdf |
Identify 2 comfort measures when working with a client who has constipation or diarrhea 1. provide privacy 2. answer call bell ASAP 3. provide easy access to toilet or commode Identify 3 roadblocks to good communication and why each are not effective 1. minimizing the problem-person may feel like they have not been heard. 2. offering false reassurance-implies we don't think things are as serious as they seem. 3. fix it trap-we may see, hear & focus on problems we cant fix Identify 4 effective self care strategies that can assist you in refueling & re-energizing 1. eat food that is nourishing 2. drink water 3. exercise 4. sleep well 5. laugh Strategies that you can use for maintaining therapeutic boundaries 1. acknowledge importance of boundaries 2. be clear of scope 3. clarify your job description 4. engage in self care | Final Leaks.pdf |
Identify 3 signs of dehydration 1. dry mouth, lips and tongue 2. constipated 3. feels and expresses thirst 4. develops delirium MAID criteria able to receive health services funded by government of Canada 18+ Grievous and irredeemable medical condition V oluntarily requested They have informed concern after being informed of means available to to relieve suffering including plaintive care Promoting cultural safety Adopting two eyed seeing, incorporating the indigenous wellness framework where spiritual, mental, emotional, and physical behaviour is expressed, developing cultural homily, sensitivity, awareness and competence Preparing for care (4 things) 1. Sort out personal baggage and release personal or systemically biased beliefs, racism, and personal values about care 2. Adopt a trauma-informed approach and proceed mindfully 3. Provide cultural safety for this person and their family by recalling your research into their cultural values, rituals, and practices | Final Leaks.pdf |
4. Arrange for a translator or assistive technology if the person does not speak English or if there are other barriers to communication. Identify 3 principles for using medication 1. Combination of medications 2. Breakthrough dose may be needed 3. Dying person determines the goal 4. Easier to prevent than to respond to a pain crisis | Final Leaks.pdf |
The HCA is not expected to honor a person and family's individual or community ritual False steps to follow in caring for the diseased except Applying make-up Canadian Hospice Palliative Care Association Identifies the component of of the care process of providing care True Caring for a dying person is easy, caring for the family is difficult True Which of the following is not a strategy for learning to help increase knowledge. try to Identify topics that pay well In developing a care plan Important for families and staff to know what to do when death occurs True We need to refuel strategies for sub-care nourish your spirit all of the above expected death of a client No need to call 911 | Final Leaks.pdf |
common physical changes during the last days and hours of dying No heart beat water Increases energy release and helps cleanse the body of wastes true example of supporting a dying person are all of the above family members become uncomfortable with the noise of respiration of their loved ones. As a support worker you can Encourage family to contact nurse if congestion increases establishing and maintaining boundaries when caring for a dying person may be difficult all of the above families identifying traditions and rituals. create a comfortable or private place for them all of the above can a caregiver withstand the positive effect of caring for the dying? False health care aides explore and respond to residents' culture, religion, and spiritual practice | Final Leaks.pdf |
true As death nears a dying person's strength remains as normal function strength decreases You are at your absolute best. This statement is a sign of compassion fatigue located in the green zone True strategies for support in a negative workplace includes the following except developing an 'us versus them' attitude the last days and hours as a special and sacred time for the dying person true signs may involve compassion fatigue all of the above The following is not a strategy for developing a strong support network Avoid counseling and services All are examples of self-care practices except Caring for the client after work self care can stand the most challenging effects of caring for a dying person whilst benefitting from the rich rewards of work offers you | Final Leaks.pdf |
true Mrs. Elm's major depressive disorder. you should avoid telling her how lucky she is Who is at the center of care? patient and family When working with those who are intuitive grievers we need to remember a lack of control guidelines for trauma informed practice explain, knocking, introduce, etc Who best provides palliative care? Interdisciplinary team Tool for assessing pain PAINAD Involuntary muscle twitching myoclonic twitching What is the last thing to go in a dying person Hearing | Final Leaks.pdf |
What is compassion fatigue? Burnout Cooling and mottling. Where does it began? fingers and toes Is sitting in silence with the dying person a good thing? True Side effects of opioids constipation, nausea and vomiting, confusion or delirium, drowsiness Helps you to have a say about the health care you would like to receive if you get very sick and cannot speak for yourself Advanced care planning Independence is still encouraged in hospice True does every dying person experience every physical change? False When do chemical changes is known in Rigor Mortis? 4 to several hours | Final Leaks.pdf |
Pain is whatever the person says it is True Do some people wait to be alone to die? True Pain is at worst imaginable. It's at 10. What is this? Pain scale What is the principles of hospice and palliative care not to prolong life but improve the quality of life totally bed bound, unable to do any activity, extensive disease, total care, minimal sips, full or drowsy +/-confusion is what PPS level? 20% mainly sit/lie, unable to do any work, extensive disease, considerable assistance required, normal or reduced, full or confusion is what PPS level? 50 totally bed bound, unable to do any activity, extensive disease, total care, normal or reduced, full or drowsy +/-confusion is what PPS level? 30 MAID refers to the process whereby a person requests and receives a lethal substance that causes their death. True | Final Leaks.pdf |
If MAID is approve, it takes a mandatory 10 days period of reflection. True Do not attempt CPR DNACPR trying to understand another person's feelings and needs empathy program provided for those whose death is expected in less than six months, or to the bereaved Hospice Loss of appetite Anorexia patterns of decline during the dying process trajectories ability to speak from a neutral position to clarify care needs and share their needs with the team advocate | Final Leaks.pdf |
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