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    Approaching Death

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    Bhawna Pandhu
    The document discusses approaching death and what constitutes a good death. It outlines signs that death is near such as weakness, sleeping, and decreased intake. It also discusses how nurses can support a good death through communication to address cultural, spiritual, and emotional factors and clarify goals of care. Finally, it lists five domains of quality end of life care such as pain management, avoiding prolonging dying, and strengthening relationships.

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    Approaching Death

    Uploaded by

    Bhawna Pandhu
    35 views14 pages
    The document discusses approaching death and what constitutes a good death. It outlines signs that death is near such as weakness, sleeping, and decreased intake. It also discusses how nurses can support a good death through communication to address cultural, spiritual, and emotional factors and clarify goals of care. Finally, it lists five domains of quality end of life care such as pain management, avoiding prolonging dying, and strengthening relationships.

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    The document discusses approaching death and what constitutes a good death. It outlines signs that death is near such as weakness, sleeping, and decreased intake. It also discusses how nurses can support a good death through communication to address cultural, spiritual, and emotional factors and clarify goals of care. Finally, it lists five domains of quality end of life care such as pain management, avoiding prolonging dying, and strengthening relationships.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    35 views14 pages

    Approaching Death

    Uploaded by

    Bhawna Pandhu
    The document discusses approaching death and what constitutes a good death. It outlines signs that death is near such as weakness, sleeping, and decreased intake. It also discusses how nurses can support a good death through communication to address cultural, spiritual, and emotional factors and clarify goals of care. Finally, it lists five domains of quality end of life care such as pain management, avoiding prolonging dying, and strengthening relationships.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    Pall 9016: Understanding death

    Approaching Death
    Approaching Death

    “When you were born, you cried and the world


    rejoiced.
    Live your life in a manner so that when you die
    the world cries and you rejoice”

    Indian proverb
    Reflection

     What do you want your end of life to look


    like?

     What is a “good death” in your estimation?

     How do you think your experiences have


    shaped this?
    A Good Death:
    What the literature says

     Free from avoidable stress

     In general accord with patient’s and family


    wishes

     Reasonably consistent with clinical, cultural,


    and ethical standards
    Stages of Impending death

    There are a number of predictable signs that


    death will occur in the near future:
    Signs that death is coming

    • Progressive weakness
    • Bedbound state
    • Sleeping much of the time
    • Decreased intake food and fluid
    • Darkened and/or decreased urine output
    • Difficulty swallowing (dysphagia)
    Signs that death is coming
    Signs that death is coming

     http://ltctoolkit.rnao.ca/sites/default/files/res
    ources/AppF_ESAS_EndofLifeBPG2011_pg10
    6to107.pdf
    Signs and Symptoms Con’t

    • Delirium not related to reversible causes


    • Decreased level of consciousness not related
    to other causes
    • Noisy respiration/excessive respiratory tract
    secretion
    • Change in breathing pattern (Cheyne-Stokes
    respiration periods of apnea)
    • Mottling and cooling of the extremities
    CHCA Domains of Care

    Canadian Hospice Care Association (CHCA)Domains


    of Care, include the following:
    1. Disease management
    2. Physical
    3. Psychological
    4. Spiritual
    5. Social
    6. Practical
    7. End-of-life care/death management
    8. Loss and Grief
    CHCA Domains of Care
    Approaching Death

    How do nurses support a good death?


    Supporting a Good Death

    Nurses use effective communication to facilitate end of life


    decisions related to:
     Cultural and spiritual values, beliefs, and practices
     Emotions and fears
     Past experiences with death and loss
     Clarifying goals of care
     Family preferences related to direct care involvement
     Practical needs
     Informational need;
     Supportive care needs;
     Loss and grief; and
     Bereavement planning
    Five Domains of Quality End of Life Care

    1. Receiving adequate pain and symptom


    management
    2. Avoiding inappropriate prolongation of dying
    3. Achieving a sense of control
    4. Relieving burden
    5. Strengthening of relationships with loved
    ones

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