chapter 24 - ATI Testing

Care of Those Who are Dying and/or Grieving◯◯◯◯◯◯Provide privacy so family members have the opportunity to communicate and expressfeelings among themselves without including the client.Determine family members’ desire to provide physical care. Provide instruction asnecessary.Educate families about physical changes to expect as the client moves closer to death.Client Outcomes●●●●●●The client verbalizes that pain and discomfort are controlled.The client rests comfortably and exhibits minimal signs of distress.The client and family participate in care as much as client and family desires.POSTMORTEM CAREOverview●●●●A nurse is responsible for following federal and state laws regarding requests for organor tissue donation, obtaining permission for autopsy, certification and appropriatedocumentation of the death, and providing safe postmortem (after-death) care.The client’s family now becomes the nurse’s primary focus.Nursing Interventions●●Care of the Body◯◯◯◯◯◯Provide care with respect and compassion while attending to the desires of the clientand family per their cultural, religious, and social practices.Recognize that the provider certifies the client’s death by pronouncing time anddocumenting therapies used, and actions taken prior to the death.Preparing the body for viewing■■■■■■■■■■■■Maintain privacyShave facial hair (if applicable) if desired by the familyRemove all tubes and soiled linens, unless organs are to be donated or it is acoroner’s caseRemove all personal belongings to be given to the familyCleanse and position the body with a pillow under the head, arms outside thesheet and blanket, dentures in place, and eyes closedApply fresh linens and a gownPN MENTAL HEALTH NURSING 233