Nursing 4400A/B Lecture Notes - Lecture 8: Dementia, Good Energy, Canadian Cancer Society

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Alleviation of symptoms is intimately tied to the palliative care goal of maximizing the quality of life. Qoc = control symptoms = qol undertreated. 5 domains of quality end-of-life carernao best practice guideline (2011):end-of-life care during the last. Subjective experience of difficult or uncomfortable breathing. Impact - family distressing of sob and struggle to breathe. Management: pharmacologic opioids (lower rr, anxiety, pain, nondrug interventions o2, fan on face, diaphragmic breathing. A decrease in the passage of formed stool, characterized by stools that are hard or difficult to pass. Cant bear down because you are in so much pain, creates impaction. A state of extreme tiredness, exhaustion, weariness, or lethargy, usually unrelieved by rest. Fatigue: prevention, pharmacologic - laxatives, nondrug diet, fiber, fluid, exercise, abdo massage. Stimulate environment sunlight, exercise, family: pharmacologic, nonpharmacologic. An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.

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