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    End of Life Care

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    Archana Gaonkar
    This document outlines policies and procedures for end of life care. It defines end of life care as health care for a terminally ill patient. It lists signs of impending death. It discusses nursing needs of patients including pain management, spiritual and cultural support, and strengthening relationships. It also discusses needs of families such as comfort, support to vent emotions, and private time with the patient. The document describes palliative care as treatment to relieve symptoms and stresses of a serious illness. It provides guidance on ensuring patient comfort and preparing the body after death, including notifying authorities in cases of medical legal concern.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    End of Life Care

    Uploaded by

    Archana Gaonkar
    58 views23 pages
    This document outlines policies and procedures for end of life care. It defines end of life care as health care for a terminally ill patient. It lists signs of impending death. It discusses nursing needs of patients including pain management, spiritual and cultural support, and strengthening relationships. It also discusses needs of families such as comfort, support to vent emotions, and private time with the patient. The document describes palliative care as treatment to relieve symptoms and stresses of a serious illness. It provides guidance on ensuring patient comfort and preparing the body after death, including notifying authorities in cases of medical legal concern.

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    END OF LIFE CARE

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    This document outlines policies and procedures for end of life care. It defines end of life care as health care for a terminally ill patient. It lists signs of impending death. It discusses nursing needs of patients including pain management, spiritual and cultural support, and strengthening relationships. It also discusses needs of families such as comfort, support to vent emotions, and private time with the patient. The document describes palliative care as treatment to relieve symptoms and stresses of a serious illness. It provides guidance on ensuring patient comfort and preparing the body after death, including notifying authorities in cases of medical legal concern.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    58 views23 pages

    End of Life Care

    Uploaded by

    Archana Gaonkar
    This document outlines policies and procedures for end of life care. It defines end of life care as health care for a terminally ill patient. It lists signs of impending death. It discusses nursing needs of patients including pain management, spiritual and cultural support, and strengthening relationships. It also discusses needs of families such as comfort, support to vent emotions, and private time with the patient. The document describes palliative care as treatment to relieve symptoms and stresses of a serious illness. It provides guidance on ensuring patient comfort and preparing the body after death, including notifying authorities in cases of medical legal concern.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    You are on page 1of 23

    END OF LIFE CARE

    Pre test
    15marks
    1. What does END OF LIFE CARE mean? 1mark
    2. What are the signs of end of life? 2mark

    3. Mention 4 Nursing needs of the patient 2 mark

    4. Mention 4 needs of the family 1 mark

    5. What is pallative care? 1 mark

    6. How to ensure comfort of the patient? 2 mark

    7. List down distressing signs and symptoms during end of life 2mark

    8. What is DNR ? As per law is it followed in our hospital? 1mark

    9. In MLC cases Embalming is done. True or false? 1mark

    10. How is death care given? 2 marks


    meaning
    • END OF LIFE CARE refers to health care
    for a person with a terminal condition
    that has become advanced progressive,
    and /or incurable.
    PURPOSE
    • To establish & maintain standardized
    procedures for “End of life Care” & post
    death procedures in an ethical,
    dignified manner & to ensure its in line
    with the legal requirements of the State
    scope
    The policy of “End of Life
    Care” covers all critically ill
    patients on life support & / or
    without life support.
    RESPONSIBILITY
    • Medical Superintendent
    • Consultants/Intensivists
    • Head of Nursing Services
    • Security Officers
    • Nursing Staff
    Sign of death
    • No Response
    • No Pulse
    • No Breathing
    • Relaxed Muscles
    • Fixed Eyes:- Pupils not reacting to light
    • A Bowel or Bladder Release
    • Partially Shut Eyelids
    Management for End Of Life care
    • Providing care to terminally ill patients
    • Administer appropriate pain & palliative care
    according to the wishes of the patient & his/her
    relatives.
    • Keeping the relatives informed about the
    condition from time to time
    • Goals of treatment
    • Needs of the patients.
    • Needs of the family.
    Nursing Needs of the patients

    • Receiving adequate pain &


    symptom management.
    • Strengthening relationships with
    loved ones.
    • Understanding patients cultural &
    spiritual belief.
    Needs of patients
    Patients who are deteriorating :
    • Relatives should be informed politely & clearly
    • Next of Kin will be allowed to be with the
    patient.
    • Upon death relatives will be given time to
    spend with the (deceased) body
    • All jewellery will be removed if any
    • All invasive tubes, lines will be removed
    • MLC if any will be explained to the relative
    Needs of patients
    • D.C will be prepared
    • Body care will be given
    • Due respect to the body when handling
    • The body will be dressed as per the
    request of the relative
    • The body will be sent to the Mortuary
    after Identification tags
    Needs of the family
    • To be comforted & to be assured that their
    decisions were right
    • To ventilate their emotions
    • To find meaning in the dying of their loved
    ones,( private time with the pt, hold hands
    etc)
    • To be fed hydrated & rested.
    • All members of the family are allowed to see
    the patient during the last hours
    Palliative care
    • Palliative Care is a specialized medical care
    given for making life as easy as possible for
    patients and families living with serious illness.
    Conti…
    • Palliative care is treatment of the discomfort, symptoms,
    and stress of serious illness. It provides relief from
    distressing symptoms including
    • Pain
    • Shortness of breath
    • Fatigue
    • Constipation
    • Nausea
    • Loss of appetite
    • Problems with sleep
    Ensuring comfort of patient
    • Assessment of pain
    •GCS
    • Administering of opioids
    • Physical needs
    • Nutritional needs
    • Elimination needs
    d.n.r

    • As per the law not


    practiced in our hospital.
    Preparation of body after death
    • Lay the patient on his/her back
    • Remove all mechanical aides ( ventilator etc)
    • Support the jaw either with sand bag or tie.
    • Wash/ bathe the patients, place dentures
    insitu.
    • Brush and comb the hair
    • The eye lids are closed for few seconds so
    they remain in place
    Conti…

    • Remove all ornaments


    • Place absorbent pads under the buttocks
    ( Muscle sphincter relaxation)
    • All the orifices should be closed
    • Dress the patient unless MLC.
    • Ensure 3 ID tags are present.
    • Wrap body in sheet, making sure that all limbs
    are covered & secure.
    • DO COMPLETE DOCUMENTATION IN THE
    NURSES NOTES
    Medico legal Cases

    • Incase of MLC cases, inform


    the police, clean the body, but
    do not remove any evidence
    from the body. No embalming
    to be done.
    Organ donation.
    • Donation of organs will be done as per
    the wishes of the dying person &/ or the
    relatives.
    • Proper informed consent will be done.
    • After the consent only then will the
    organs be harvested
    • Legal & statutory requirements should be
    adhered to
    What is “End of life Care”?
    • Position comfortable for patient -consider mattress for pressure area care
    • No bowel problems
    • Appropriate psychological and social support given to:
    • I) patient
    • Ii) family
    • Appropriate religious and spiritual support given to:
    • I) patient
    • Ii) family
    • Needs of the family addressed
    • Family with level of involvement in care
    • Aware of patient’s condition
    • Pain assessment
    • Nutrition & hydration
    • Counseling
    • Optimizing fluid balance/alternate routes
    • Respiratory secretion
    • Education/counseling
    Post test

    15marks
    1. What does END OF LIFE CARE mean? 1mark
    2. What are the signs of end of life? 2mark

    3. Mention 4 Nursing needs of the patient 2 mark

    4. Mention 4 needs of the family 1 mark

    5. What is pallative care? 1 mark

    6. How to ensure comfort of the patient? 2 mark

    7. List down distressing signs and symptoms during end of life 2mark

    8. What is DNR ? As per law is it followed in our hospital? 1mark

    9. In MLC cases Embalming is done. True or false? 1mark

    10. How is death care given? 2 marks


    THANK YOU
    Presented by : Sr. Alexandria Rebello

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