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
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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