434 Final Exam New Content Questions with Complete Solutions
END OF LIFE CARE
Infant causes of death - Correct Answers ✅-Congenital anomalies, respiratory distress syndrome -Disorders related to prematurity and low birth weight -Sudden Infant Death syndrome (SIDS) Children ages 5-9 causes of death - Correct Answers ✅- Injuries (accidents), malignant neoplasms, -Congenital anomalies, assault (homicide) -Heart disease Children ages 10-14 causes of death - Correct Answers ✅- Injuries (accidents), malignant neoplasm -Suicide (3rd leading cause of death) Youth ages 15-19 causes of death - Correct Answers ✅- Assault (homicide), suicide -Malignant neoplasms, heart disease 1 / 4
434 Final Exam New Content Questions with Complete Solutions Palliative care - Correct Answers ✅When cure is no longer possible and life-prolonging measures result in pain, suffering, and distress to the child, parents need information about care options that are available to assist then in deciding how they want the remaining time with their child to be managed by the health care team.It is important that families are reassured that although their child cannot be cured, active care will continue to be provided to maintain the child's comfort.Support is provided to assist the child and family during the dying process.Ethical considerations at end of life - Correct Answers ✅- When the prognosis for a patient is poor and death is the
expected outcome, it is ethically acceptable to:
- Withhold or withdraw treatments that may cause pain and
suffering -Provide interventions that promote comfort and quality of life Treatment options for terminally ill children - Correct Answers ✅•Hospital 2 / 4
434 Final Exam New Content Questions with Complete Solutions -If home care is not an option -Make hospital room as home-like as possible •Home Care •Hospice Care -Family members are usually the principal caregivers with support from professionals -The family needs are considered as important as the patient's -Concerned with the family's post-death adjustment and care may be continued for 1 year or longer Parent fears - Correct Answers ✅•Pain & Symptom Management -Must be given the highest priority -Provide continuous pain medication -Symptoms - from the disease or side effects from medications -Treat aggressively 3 / 4
434 Final Exam New Content Questions with Complete Solutions •Fear of child dying alone or of not being present when the child dies •Parents' and siblings' need for education and support Grief process - Correct Answers ✅Grief is a process, not an event, of experiencing physiologic, psychologic, behavioral, social, and spiritual reactions to the loss of a child.Grief is high individualized. It is neither orderly or predictable.parental grief - Correct Answers ✅Parental grief after a death of a child has been found to be the most intense, complex, long-lasting, and fluctuating grief experience.Different grieving styles between the parents can hinder communication and support for each other and can put a strain on their relationship.Sibling grief - Correct Answers ✅Sibling grief - depends on their understanding (based on their age and developmental level).Children express their grief through play and behavior.
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