Death rattle

docx

School

Harvard University *

*We aren’t endorsed by this school

Course

MOTHEREART

Subject

Nursing

Date

Nov 24, 2024

Type

docx

Pages

1

Uploaded by Salmon2391556

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* Death rattle * Grunting, gurgling, or noisy congested breathing * Inability to cough or clear secretions * You want to closely monitor the patient and determine if the findings are new or if this has been going on for a few hours. You want to notify the provider immediately * Legal and Ethical Issues Affecting End-of-Life Care * Advanced Care Planning * Advance care planning is a process that involves having patients: * Think through their values and goals for treatment * Talk about their values and goals with others * Document them * Advanced Directives * The written documents that provide information about the patient’s wishes and his or her designated spokesperson * Physician Order for Life-Sustaining Treatment (POLST) * This is a written order. The physician sits with the patient to help create this order * It outlines current treatment options that honor the person’s desire for treatment * Code Status * You should always know your patient’s code status * DNR (do-not resuscitate) * Allows the person to die with comfort measures only and w/o the interference of technology * DNI (do-not intubate) * Full code * Complete and total heroic measures which may include CPR, drugs, and mechanical ventilation * Chemical code * Involves the use of drugs for resuscitation without the use of CPR
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