Death & Dieing - Unit 1 :( Flashcards Preview

Peds - Spring 2016 > Death & Dieing - Unit 1 :( > Flashcards

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1

What are some conditions leading to death in childhood?

Cancer, complications of prematurity, anomalies, trauma, etc.

2

Palliative care - def

Interdisciplinary approach to management of child's life threatening or life-limiting illness from diagnosis through death when cure may not be possible - focuses on preventing or relieving the child's symptoms and support of the child and family.

3

Palliative care - intended to hasten death. T/F?

FALSE - it is not intended to hasten death, just help the kid.

4

What are some pros to pain control?

Comfort, quality of life, easier dying

5

What are some cons to pain control?

Decreased LOC, opiate side effects, fears of addiction

6

Chemo - cons? pros?

prolongs life, quality of life, but could cause low blood counts, risk of infection, painful side effects.

7

Supplemental nutrition - pros and cons?

Pros = belief that child is thirsty or hungry so parents feel better, helps with fear of starvation, etc.....but can cause N/V, CHF, respiratory secretions, etc.

8

If a kid says they're ready to see Jesus or saw Jesus...believe them. T/F?

True - they're ready, and they know that.

9

Should we fib and not provide support and not remain neutral when discussing changing from curative to comfort measures?

NO

10

Should children be told?

YES. They need honest and accurate information.

11

Encourage parents to approach the discussion of death gently. T/F/

True

12

Let the child's questions guide the conversation. T/F/

True

13

Don't use words like die ...be vague. T/F?

FALSE

14

Don't say "died because sick" - T/F?

True

15

How do infants and toddlers react to death?

Likely have no concept, very egocentric, don't like how parents are acting, etc.

16

How do preschoolers reacher to death?

Magical thinking (they think they caused it), they think death is temporary and they think literally

17

How do school age children perceive death?

Better understanding, still have some magical thinking, guilt, personify death as devil, god, ghost or bogeyman, may be preoccupied with what happens to the dead body.

18

School age kids - dont' fear the process of dying and death itself. T/F?

FALSE- they do fear it.

19

For school age kids, we need to prepare them for the death of a loved one. T/F?

True

20

Adolescents - not mature about death. T/F?

FALSE

21

Adolescents - do they think they'll die?

NO

22

Hospital rooms - make as comfy and homey as possible. T/F?

True

23

Most children want to die at home. T/F?

True

24

Palliative care - distraciton, relaxation techniques and guided imagery can be a part of it. T/F?

True

25

Prepare the families for things that can occur with certain diseased areas, like brain tumors and seizures. T/F?

True

26

Parents need to know what to expect and what to do when it happens. T/F?

True

27

What are some signs that death is near?

Sleeping more, decreased appetite, urinary frequency decreased, less responsive, slow & shallow breathing, cheyne-stokes (irregular, deep and gasping with long periods of apnea), pale/grayish blue skin color, cool to touch, fixed gaze

28

Final separation of the parents from the body can be the most traumatic. T/F?

True

29

What's the problem with an unexpected death?

Well, many things but especially that there's no time to prepare.

30

What is grief?

The process of experiencing physiological, psychological, behavioral, social and spiritual reactions to the loss of a child that is highly individualized.