Question

Chapter 28 An 87-year-old white woman is diagnosed with end-stage liver disease and is requesting to be discharged to her home to die. The gerontological nurse consults with the health care provider to arrange a referral for hospice care. 1. The gerontological nurse’s decision is based on the knowledge that hospice care is indicated when A. preparation for death with palliative care and comfort are the goals of care. B. clients and families are having difficulty coping with grief reactions. C. clients have unmanageable pain and suffering as a result of a physical condition. D. family members can no longer care for dying loved ones at home.

2. Identify and describe the types of grief that the older adult may experience.

3. Explain the Patient Self-Determination Act (PSDA).

Answer 1

1 The answer is A.

Hospice care is mean that same as palliative care which providing the patient comfort in their end days. It mainly means the end of life care which mainly focus on pain relief and both physical and mental comfort of the patient.

As the nusing states the death can be happen. But it must be a peaceful death.

2.Some of the grief are present in the older adults. But its important that they also have a stage of loss of grief. Also they are better to regulate their emotions than younger persons. The reason can be said as their proximity to death.

Most percentage of older adults are experience the loss of the spouce. This situation provides a stressful experience.so the main grief the older adults experience is the bereavement. Mainly the death of a loved one.

3 its an act instituted in dec 1 1991 which allow all individuals to take decisions regarding the medical care they needed. They have the right to accept or refuse the extent of care they needed.

This law allows the patient to select the nature of care they needed foe ex : nursing facilities, home health agencies, hospice programs, health maintenance organizations, They must provide a written documents regarding their right to under state law to make medical decisions.

In this law mainly give priority to right to refuse the treatment and right to die.

This law helps the people determine its own destiny, political status, economic cultural and social development.