INSTRUCTIONS Hospice care is comfort care
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Hospice care is comfort care
GENERAL PURPOSE: To provide information about hospice nursing. LEARNING OBJECTIVES: After reading the article and taking this test, you'll be able to: 1. Identify the concepts of hospice care and patient eligibility. 2. Describe nursing care for the hospice patient.
- Hospice is a specialized type of healthcare for patients who have
- a terminal illness.
- been diagnosed with cancer.
- no other means of elderly care.
- Hospice care involves
- health promotion and prevention.
- only pain management-related care.
- physical comfort, psychological care, and spiritual care.
- Using the mnemonic HOSPICE, the P represents
- pain management.
- A criterion to be eligible for hospice includes a prognosis of
- 6 months or less to live.
- 8 months or less to live.
- 12 months or less to live.
- Most patients who enter hospice care
- have cancer.
- are referred late.
- pay out-of-pocket.
- Hospice care focuses on the 5 Cs, which include
- creative caregivers.
- cultural/spiritual care.
- complementary therapies.
- Hospice nurses should use expert therapeutic communication skills to
- provide hope for survival.
- discuss all aspects of end-of-life care.
- convince patients to avoid fears of death.
- During end-of-life care, Western cultures value decision making by the
- The hospice nurse should prevent and relieve patient discomfort while
- considering the patient's wishes.
- foregoing higher doses of opioids.
- disregarding the patient's request for less pain medication.
- When a patient can't adequately express pain, the hospice nurse can
- provide high opioid dosing throughout the day.
- ask family members to identify pain indicators.
- assume that the patient doesn't need pain medication.
- If the hospice patient experiences anxiety with dyspnea,
- administer oxygen.
- suction the patient.
- use relaxation techniques.
- If a patient is anxious about who'll care for the surviving spouse,
- have the patient talk to a skilled supportive nurse.
- don't allow the spouse to remain near the patient.
- manage the patient's anxiety with medication.
- To reduce patient anxiety and decrease arousal of the mind, the hospice nurse can use
- meditation techniques.
- oxygen and deep breathing.
- discussion to focus on the patient's fears.
- If the hospice patient experiences nausea and vomiting, initially
- change all medications to oral routes.
- adjust the medication schedule around meals.
- call the physician and administer multiple antiemetics.
- Constipation in hospice patients can potentially cause anorexia, vomiting, and
- cancer metastasis.
- bowel obstruction.
- urinary incontinence.
- When starting opioid use, prevent constipation for the hospice patient with
- daily enemas.
- rectal exams daily.
- Hospice patients should have a bowel movement at least every
- 3 days.
- 5 days.
- 7 days.
- If the patient has no advance directives or power of attorney,
- an ethics committee will intervene.
- family members can speak for the patient.
- the physician will make all patient decisions.
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