Geriatric Nursing
Geriatric Nursing
Geriatric Nursing
Legalities
now must have information on advanced directives concerning
durable power of attorney & living will
durable power/ healthcare proxy-individual has power even if
elder becomes disabled or incapacitated
living will
1.
1. document to prevent "heroic measures" to extend
life
2. written earlier
3. most states accept
4. copies should be available for all concerned
individuals
5. should talk with family
6. do not put in safety deposit box
Dying
Grief
natural & normal process experienced with loss
Kubler-Ross- 5 stages (denial, anger, bargaining, depression,
acceptance)
Nursing
1. pain mgt.- routine meds with prn for breakthrough pain
2. physical- mouth care, eye drops, turn at least q2h, skin
care, bowel & bladder care, grooming
3. be aware of cultural aspects
Death
Impending Signs
Cheyne-Stokes (apnea alternating with dyspnea)
extremities- cold, pale, & mottled
skin moist & cool
B/P & temp decrease, pulse increases
pupils nonreactive
verbal- weak or absent