Loss, Grief, and Dying Pre-class assignment
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Montgomery College *
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Medicine
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Feb 20, 2024
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docx
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Pre-Lecture Assignment
Loss, Grief, and Dying
Complete this assignment using chapters 43 and 44 of your Taylor textbook. Please type your answers below and submit this activity into the drop-box one hour prior to your scheduled lecture time.
1.
What is the difference between palliative care and hospice care?
Palliative care - involves taking care of the whole person—body, mind, and spirit; heart and soul. It views dying as something natural and
personal. The goal of palliative care is to give patients with life-
threatening illnesses the best quality of life they can have by the aggressive management of symptoms. Hospice care - is care provided for people with limited life expectancy, often in the home. While hospice care focuses on the needs of the
dying, palliative care is appropriate across the spectrum of disease and illness. 2.
What is an advance directive?
a living will and a durable power of attorney for health care
—
can minimize difficulties by allowing people to state in advance what their choices would be for health care should certain circumstances develop. Living wills provide specific instructions about the kinds of health care that should be provided or foregone in particular situations.
3.
What is a POLST?
A Physician Order for Life-Sustaining Treatment form, POLST
, is a
medical order indicating a patient’s wishes regarding treatments commonly used in a medical crisis. Because it is a medical order, a POLST form must be completed and signed by a health care professional and cannot be filled out by a patient. 4.
List 5 signs of impending death
Weak, slow, or irregular pulse
Decreasing blood pressure
Noisy, irregular, or Cheyne–Stokes respirations
Restlessness or agitation
Cooling, mottling, and cyanosis of the extremities and dependent areas 5.
List 3 nursing diagnosis relating to death and dying.
Fear
Risk for loneliness
Ineffective coping
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