DEALING WITH DEATH. GRIEF AND DYING Final stage of life is death Ends unexpectedly Must come to...

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DEALIN G WITH DEA TH
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Transcript of DEALING WITH DEATH. GRIEF AND DYING Final stage of life is death Ends unexpectedly Must come to...

  • Slide 1
  • DEALING WITH DEATH
  • Slide 2
  • GRIEF AND DYING Final stage of life is death Ends unexpectedly Must come to grips with terminal illness
  • Slide 3
  • THE NURSE AND DYING https://www.youtube.com/watch?v=4o7w3iOV_WM
  • Slide 4
  • GRIEF AND DYING Stages of grief Denial Anger Bargaining Depression Acceptance
  • Slide 5
  • GRIEF AND DYING Denial Reject the idea
  • Slide 6
  • GRIEF AND DYING Anger Hostility directed at anyone they come in contact with
  • Slide 7
  • GRIEF AND DYING Bargaining Setting goals Making promises to reach goals
  • Slide 8
  • GRIEF AND DYING Depression Quiet withdrawal Spoken regrets Great sadness
  • Slide 9
  • GRIEF AND DYING Acceptance Slowly separate from the world Rest in peace and dignity
  • Slide 10
  • GRIEF AND DYING Role of health care workers
  • Slide 11
  • GRIEF AND DYING Special needs of terminal patients Physical Emotional and social Spiritual
  • Slide 12
  • GRIEF AND DYING Physical needs Kept comfortable Oral care, fluid intake and skin care Report changes
  • Slide 13
  • GRIEF AND DYING Emotional and social needs Provide privacy With family as much as desired Listen if needed Be genuine
  • Slide 14
  • GRIEF AND DYING Spiritual needs Cooperate with patients clergy Assist in finding a clergy or chaplain Remember it is their right to believe whatever feels right to them
  • Slide 15
  • GRIEF AND DYING Hospice care philosophy Death is a natural process Control pain Provide for psychological, spiritual, and social needs of the patient and family Provide legal and financial counseling
  • Slide 16
  • GRIEF AND DYING Hospice care services Care for patients with 6 months or less to live Nursing care under supervision of physicians and nurses Care in hospice facility, long-term care facility or at home Support patient and family Provide counseling to family after death
  • Slide 17
  • DEATH AND POSTMORTEM CARE Signs of approaching death Less responsive Body functions slow down Lose of voluntary and involuntary muscle control Involuntarily void or defecate Jaw may drop Breathing becomes irregular, shallow and laborious Circulation slows, extremities become cold and mottled Pulse becomes rapid then weaker Skin becomes pale Eyes stare and do not respond to light
  • Slide 18
  • DHSR APPROVED CURRICULUM- UNIT 12 18 SIGNS OF APPROACHING DEATH Changes in sensory functions and ability to speak Vision increased secretions in corner of eyes blurred vision failing vision no eye movement/staring
  • Slide 19
  • DHSR APPROVED CURRICULUM- UNIT 12 19 SIGNS OF APPROACHING DEATH Changes in sensory functions and ability to speak (continued) Speech becomes difficult hard to understand may be unable to speak Hearing - last function to be lost
  • Slide 20
  • DHSR APPROVED CURRICULUM- UNIT 12 20 SIGNS OF APPROACHING DEATH Changes in circulation and muscle tone Circulation fails heat gradually lost from body
  • Slide 21
  • SKIN CHANGES hands and feet cold to touch and mottled face becomes pale or gray and mottled perspiration may increase (diaphoresis)
  • Slide 22
  • DHSR APPROVED CURRICULUM- UNIT 12 22 SIGNS OF APPROACHING DEATH Changes in circulation and muscle tone (continued) Muscle tone body limp jaw may drop mouth may stay partly open
  • Slide 23
  • DHSR APPROVED CURRICULUM- UNIT 12 23 SIGNS OF APPROACHING DEATH Changes in Vital Signs Respirations slower shallow labored may experience dyspnea, apnea, Cheyne-Stokes mucous collects in the throat and bronchial tubes (death rattle)
  • Slide 24
  • CHEYNE STOKES RESPIRATIONS https://www.youtube.com/watch?v=CrKfmfuP9l4&safe=active
  • Slide 25
  • DHSR APPROVED CURRICULUM- UNIT 12 25 SIGNS OF APPROACHING DEATH Changes in Vital Signs (continued) Pulse rapid weak and irregular Blood pressure drops Temperature elevated subnormal
  • Slide 26
  • DHSR APPROVED CURRICULUM- UNIT 12 26 SIGNS OF APPROACHING DEATH Urinary and anal incontinence Decreased peristalsis, abdominal distention Release of flatus Decreased pain Loss of consciousness
  • Slide 27
  • DEATH AND POSTMORTEM CARE During death Notify head nurse Remain respectful Use soft, kind words
  • Slide 28
  • DEATH AND POSTMORTEM CARE Moribund changes Pupils dilated No pulse or respiration Heat lost Urinate, defecate or release flatus Lowest parts of body turn purple Rigor mortis Odor
  • Slide 29
  • DEATH AND POSTMORTEM CARE Religion and death Ask family and clergy what is acceptable
  • Slide 30
  • LESSON 2 DEATH AND POSTMORTEM CARE Postmortem care Treat body with respect and dignity at all times Use standard precautions