+1(978)310-4246 credencewriters@gmail.com
  

Description

Community Nursing

– Follow the discussion questions participation and submission guidelines.

· Minimum three paragraphs per DQ

· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

· Minimum of two references, not older than 2015.

Note: All DQ submissions will be monitored for plagiarism.

Textbook

Community and Public Health Nursing

(3th Edition)

Authors: DeMarco, R. F. & Healey-Walsh, J. (2020) Publisher: Wolters Kluwer

ISBN: 978-1-975111-69-4

Publication Manual of the American Psychological Association (7th Edition)

American Psychological Association (2019)

ISBN: 978-1-4338-3216-1

Chapter 24

: Palliative and End-of-Life Care

The hospice nurse has a unique role in the provision of end of life services.

1. Mention important roles (at least 3) of the nurse while providing quality end -of-life care to seriously ill persons and their families. Explain your answer.

Chapter 24: Palliative and
End‐of‐Life Care
Chapter Highlights
❖ Social trends in aging and dying
❖ Palliative and hospice care for persons across the life
span
❖ Caring for a person at the end of life
❖ Strategies for managing pain and common symptoms
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #1
Is the following statement true or false?
Studies have documented that the American healthcare
system has the best care in the world of seriously ill clients
and their families.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #1
False
Rationale: Studies have documented that the American
healthcare system has substantial shortcomings in the care
of seriously ill clients and their families.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nursing and Patients with Chronic Disease
#1
❖ Patient‐ and family‐centered care
❖ Ethical behavior and consumer rights
❖ Clinical excellence and safety
❖ Inclusion and access
❖ Organizational excellence
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nursing and Patients with Chronic Disease
#2
❖ Workforce excellence
❖ Standards
❖ Compliance with laws and regulations
❖ Stewardship and accountability
❖ Performance measurement
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Death in the United States
❖ Stages in the dying process
❖ Specialized care at the end of life
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nursing Care When Death Is Imminent
❖ Decisions about level of care
❖ Comfort measures only
❖ Advance directives
❖ Artificial nutrition and hydration
❖ CPR
❖ Euthanasia and physician‐assisted suicide
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #2
Is the following statement true or false?
It must be remembered that a dying patient will go
through denial, anger, bargaining, and acceptance stages
of dying.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #2
False
Rationale: A dying person may not exhibit all of these
stages, or may move quickly through a stage, only to
return to it at a later time.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Palliative Care
❖ Interdisciplinary team‐based care that is focused on the
relief of suffering for clients with serious illness
❖ Best possible quality of life not only for clients but also
for their families
❖ Acute, serious, life‐threatening illness
❖ Progressive chronic illness
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Focus of Palliative Care
❖ Controlling symptoms
❖ Coordinating care
❖ Reducing unnecessary tests and futile interventions
❖ Ongoing conversations with the client and family
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Hospice Care
❖ Support and care for persons in the last phase of an
incurable disease so that they may live as fully and
comfortably as possible
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Hospice Care #1
❖ Physician services
❖ Nursing care
❖ Physical therapy, occupational therapy, and
speech‐language pathology services
❖ Medical social services
❖ Hospice aide services
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Hospice Care #2
❖ Homemaker services
❖ Medical supplies, including drugs and biologic and
medical appliances
❖ Counseling, including dietary counseling, counseling
about care of the terminally ill client, and bereavement
counseling
❖ Short‐term inpatient care for respite care, pain control,
and symptom management
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Caring for Patients at the End of Life #1
❖ Death itself
❖ Thoughts of a long or painful death
❖ Facing death alone
❖ Dying in a nursing home, hospital, or rest home
❖ Loss of body control, such as bowel or bladder
incontinence
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Caring for Patients at the End of Life #2
❖ Not being able to make decisions concerning care
❖ Loss of consciousness
❖ Financial costs and becoming a burden on others
❖ Dying before having a chance to put personal affairs in
order
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Pain Management
❖ Pain assessment
❖ Types of pain in dying patients
❖ Pain relief during the dying process
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Pain Medications
❖ Nonopioid analgesics
❖ Opioids
❖ Adjuvant analgesics
❖ Oral
❖ Oral mucosa
❖ Rectal
❖ Transdermal
❖ Topical
❖ Parenteral
❖ Intraspinal
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #3
Is the following statement true or false?
Short‐acting or immediate‐release agents are excellent prn
medications, and their only use should be for control of
breakthrough pain.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #3
True
Rationale: Short‐acting or immediate‐release agents are
excellent prn medications, and their only use should be for
control of breakthrough pain. Breakthrough pain is defined
as “intermittent episodes of moderate to severe pain that
occur in spite of control of baseline continuous pain.”
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Preventing and Managing Adverse Effects
❖ Constipation
❖ Sedation
❖ Respiratory depression
❖ Nausea and vomiting
❖ Myoclonus
❖ Pruritus
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Management of Distressing Symptoms at
the End of Life
❖ Secretions
❖ Anorexia and dehydration
❖ Skin integrity
❖ Incontinence
❖ Terminal delirium
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nursing Care of Clients Who Are Close to
Death
❖ Buildup of saliva and oropharyngeal secretions
❖ Changes in respiratory patterns
❖ Skin may appear dusky or gray and feel cold or clammy.
❖ Eyes may appear discolored, deeper set, or bruised.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nursing Care After Death
❖ Postmortem care
❖ Grief—emotion felt after the loss
❖ Mourning—recovery from the loss
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Grief
❖ Numb shock
❖ Emotional turmoil or depression
❖ Reorganization or resolution
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Caring for the Caregiver
❖ What have you done to meet your own needs today?
❖ Have you laughed today?
❖ Did you eat properly, rest enough, exercise, and play
today?
❖ What have you felt today?
❖ Do you have something to look forward to?
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Complementary and Alternative Therapies
❖ Acupuncture
❖ Massage
❖ Reiki
❖ Chiropractic
❖ Herbal medicine
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Chapter 25:
Occupational Health Nursing
Chapter Highlights
❖ Characteristics of the worker and workplace
❖ Roles and responsibilities of occupational health nurses
❖ Models for occupational health practice
❖ Worker and workplace assessment
❖ Health promotion in workplace settings
❖ Use of epidemiologic techniques in occupational health
❖ Emergency preparedness and disaster management
❖ Emerging issues in occupational health nursing practice
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #1
Is the following statement true or false?
National Institute of Occupational Safety and Health
(NIOSH) is the federal agency that sets exposure standards
and is responsible for enforcement of safety and health
legislation.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #1
False
Rationale: Occupational Safety and Health Administration
(OSHA)—the federal agency that sets exposure standards
and is responsible for enforcement of safety and health
legislation. National Institute of Occupational Safety and
Health (NIOSH)—the federal agency established to help
ensure safe and healthy working conditions by conducting
scientific research, gathering information, and providing
education and training in occupational safety and health.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
American Association of Occupational
Health Nurses (AAOHN)
Professional association of nurses working in a business
setting, dedicated to the health and safety of workers,
worker populations, and community groups
Copyright © 2020 Wolters Kluwer · All Rights Reserved
National Institute of Occupational Safety
and Health (NIOSH)
The federal agency established to help ensure safe and
healthy working conditions by conducting scientific
research, gathering information, and providing education
and training in occupational safety and health
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Occupational Safety and Health
Administration (OSHA)
The federal agency that sets exposure standards and is
responsible for enforcement of safety and health legislation
Copyright © 2020 Wolters Kluwer · All Rights Reserved

Primary Responsibility
❖ Injury prevention and health promotion, including
recognition of conditions that may harm the individual
worker or the community
❖ Nursing process begins with an assessment of both the
worker and the workplace.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
The Worker and the Workplace
The occupational health nursing process begins with an
assessment of both the worker and the workplace.
Hazards
❖ Biologic
❖ Chemical
❖ Physical
❖ Psychosocial
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Occupational Health Nursing (OHN)
❖ History
❖ Standards of practice
o The primary responsibility of the OHN is that of
injury prevention and health promotion, including
recognition of conditions that may harm the
individual worker or the community.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Conceptual Frameworks
❖ The epidemiologic triad
o Host
o Agent
o Environment
❖ Practice models
o Hanasaari
o Collaboration and reciprocation
Copyright © 2020 Wolters Kluwer · All Rights Reserved
OHN: Practice
❖ Clinician
❖ Worker assessment
❖ Workplace assessment
❖ Case manager
❖ Counselor/consultant
❖ Health promotion specialist
❖ Manager/administrator
❖ Researcher
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Implementing Health Promotion in the
Workplace
❖ Developing a team approach
❖ Choosing interventions
❖ Implementing a program
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Epidemiology and Occupational Health
❖ Epidemiologic surveillance
o Incidence
o Prevalence
o Ratios
❖ Epidemiologic studies
o The knowledge base generated through
epidemiologic studies is used to identify and prevent
injury and disease.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Emergency Preparedness Planning and
Disaster Management
❖ Concepts of an emergency preparedness plan
❖ Critical functions of the plan
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Nanotechnology and Occupational Safety
and Health
❖ Nanotechnology
❖ Nanomaterials
❖ Potential for health hazards to workers, the environment,
and consumers
Copyright © 2020 Wolters Kluwer · All Rights Reserved

Purchase answer to see full
attachment

  
error: Content is protected !!