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Dealing with Death Dealing with Death

Dealing with Death - PowerPoint Presentation

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Dealing with Death - PPT Presentation

Grief and Dying Final stage of life is death Ends unexpectedly Must come to grips with terminal illness The Nurse and Dying https wwwyoutubecomwatchv4o7w3iOVWM Grief and Dying Stages of grief ID: 617646

grief death care dying death grief dying care signs approaching unit curriculum approved dhsr postmortem family body muscle tone

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Slide1

Dealing with DeathSlide2

Grief

and Dying

Final stage of life is death

Ends unexpectedlyMust come to grips with terminal illnessSlide3

The Nurse and Dying

https

://

www.youtube.com/watch?v=4o7w3iOV_WMSlide4

Grief

and Dying

Stages of grief

Denial

Anger

Bargaining

Depression

AcceptanceSlide5

Grief

and Dying

Denial

Reject the ideaSlide6

Grief

and Dying

Anger

Hostility directed at anyone they come in contact withSlide7

Grief

and Dying

Bargaining

Setting goalsMaking promises to reach goalsSlide8

Grief

and Dying

Depression

Quiet withdrawal

Spoken regrets

Great sadnessSlide9

Grief

and Dying

Acceptance

Slowly separate from the worldRest in peace and dignitySlide10

Grief

and Dying

Role of health care workersSlide11

Grief

and Dying

Special needs of terminal patients

PhysicalEmotional and social

SpiritualSlide12

Grief

and Dying

Physical needs

Kept comfortable

Oral care, fluid intake and skin care

Report changesSlide13

Grief

and Dying

Emotional and social needs

Provide privacy

With family as much as desired

Listen if needed

Be genuineSlide14

Grief

and Dying

Spiritual needs

Cooperate with patient’s clergy

Assist in finding a clergy or chaplain

Remember it is their right to believe whatever feels right to themSlide15

Grief

and Dying

Hospice care philosophy

Death is a natural processControl pain

Provide for psychological, spiritual, and social needs of the patient and family

Provide legal and financial counselingSlide16

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 deathSlide17

Death

and Postmortem Care

Signs of approaching death

Less responsiveBody 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 lightSlide18

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/staringSlide19

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 lostSlide20

DHSR Approved Curriculum-Unit 12

20

Signs Of Approaching Death

Changes in circulation and muscle tone

Circulation

fails

heat gradually lost from

bodySlide21

Skin Changes

hands and feet cold to touch and mottled

face becomes pale or gray and mottled

perspiration may increase (diaphoresis)Slide22

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 openSlide23

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)Slide24

Cheyne Stokes Respirations

https://

www.youtube.com/watch?v=CrKfmfuP9l4&safe=activeSlide25

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

subnormalSlide26

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 consciousnessSlide27

Death

and Postmortem Care

During death

Notify head nurse

Remain respectful

Use soft, kind wordsSlide28

Death

and Postmortem Care

Moribund changes

Pupils dilatedNo pulse or respiration

Heat lost

Urinate, defecate or release flatus

Lowest parts of body turn purple

Rigor mortis

OdorSlide29

Death

and Postmortem Care

Religion and death

Ask family and clergy what is acceptableSlide30

Lesson 2 – Death and Postmortem Care

Postmortem care

Treat body with respect and dignity at all times

Use standard precautions