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Question: Assessing A Client With Terminal Lung Cancer Who Is Receiving Hospice Care?

Which criteria must be present in order for the patient to receive hospice care in the nursing home?

When determining eligibility for hospice, a doctor must certify that the patient is terminally ill, with a life expectancy of six months or less if the disease runs its expected course. The hospice medical director must agree with the doctor’s assessment.

What is the most important goal of care for the dying client who is receiving comfort care?

Comfort care is an essential part of medical care at the end of life. It is care that helps or soothes a person who is dying. The goals are to prevent or relieve suffering as much as possible and to improve quality of life while respecting the dying person’s wishes. 6 дней назад

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Which condition when assessed in a dying patient requires that the nurse take action?

Which condition, when assessed in a dying client, requires that the nurse take action? Moaning indicates pain and requires pain medication. Alternating apnea and rapid breathing, anorexia, and cool extremities are normal assessment findings in the dying client.

Which of the following is an appropriate method of assessing the dying client?

Which of the following is an appropriate method of assessing the dying client? Focus on the client’s basic needs. The family members of a dying patient are finding it difficult to verbalize feelings and show tenderness for the dying person.

What is considered a terminal illness for hospice?

Attending physician certifies that patient has a terminal condition with an expected life span of 6 months or less. Patient decides to forego life prolonging therapies. Patient does not have to be a DNR to be eligible for hospice.

What is the criteria for hospice for dementia?

Patients with dementia or Alzheimer’s are eligible for hospice care when they show all of the following characteristics: Unable to ambulate without assistance. Unable to dress without assistance. Unable to bathe properly.

What are the first signs of your body shutting down?

You may notice their:

  • Eyes tear or glaze over.
  • Pulse and heartbeat are irregular or hard to feel or hear.
  • Body temperature drops.
  • Skin on their knees, feet, and hands turns a mottled bluish-purple (often in the last 24 hours)
  • Breathing is interrupted by gasping and slows until it stops entirely.

What organ shuts down first?

The first organ system to “close down” is the digestive system. Digestion is a lot of work! In the last few weeks, there is really no need to process food to build new cells.

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What is the difference between palliative care hospice and comfort care?

Hospice is comfort care without curative intent; the patient no longer has curative options or has chosen not to pursue treatment because the side effects outweigh the benefits. Palliative care is comfort care with or without curative intent.

Which activity must the nurse attending to a terminally ill patient avoid?

Like the POLST, a portable DNR follows the patient across healthcare settings. The client may also wear a special DNR bracelet or necklace. Which activity must the nurse attending to a terminally ill client avoid? Advocating for the client’s wishes.

Which clinical manifestation indicates the patient is nearing death?

When a patient is very near death, the skin will be waxlike, cold, clammy, and mottled or cyanotic. Although hearing is the last sense patients lose before death, it is unlikely that they will be responding to noises when very near death.

Which should the nurse include when assessing the spiritual needs of a patient during end of life care?

“Tell me about some things that are important to you.” In order to assess a patient’s spirituality, the nurse can post open-ended questions or statements, such as “Tell me about some things that are important to you.” This helps fulfill the spiritual needs of the patient, which can help with existential distress.

Which of the following nursing interventions will encourage the dying client to continue verbalizing?

Which of the following nursing interventions will encourage the dying client to continue verbalizing? Talk about the client’s problems. Agree with everything the client says. Nod and use responsive comments such as “Yes.” Listen in a nonjudgmental manner.

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Which of the following would be inconsistent with a normal grief reaction?

Which of the following would be inconsistent with a normal grief reaction? Denial, sadness, anger, fear, and anxiety are normal grief reactions in people with life-threatening illness and those close to them. Elation would not be a normal grief reaction.

Which is the most accurate description of the nursing diagnosis of dysfunctional grieving?

Which is the most accurate description of the nursing diagnosis of dysfunctional grieving? The nurse should define dysfunctional grieving as the experience of distress, accompanying sadness which fails to follow norms.

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