Today our topic of discussion is Care of Dyeing Person.
Care of Dyeing Person
CARE OF DYING PATIENT AND AFTER DEATH
Providing care to the patient who is close to death and being present at the time of details can be one at the most rewarding experiences of nurse can give (Fig. 26.7).
Signals of Approaching Death
- Facial appearance: Facial muscle relax, checks become flaccid, moving in and out with each breaths. Facial structure may change, so the dentures cannot be works with the dentures removal mouth structure t may collapse, lips pucks end sink in.
- Changes in the sight speech and hearing: Sight gradually fails the pupil’s tidal to react to light. Eyes are sunbeam and held closed and film appear over the eyes.
- Changes in the respiration: Respiration become irregular, Cheyne-Stokes rapid and shallow are very and stertorous.
- Circulatory system: Circulatory changes cause alterations in the temperature pulse and respiration. Radial pulse gradually fails.
- Gastrointestinal system: Nausea, vomiting, abdominal distension are seen. The grasp reflex disappears the patient feeds the inability to swallow.
- Genitourinary systems: Retention of urine, distension of bladder, incontinence of course and stool due to loss of optional control.
- Skin and muscular system: The skin may become pale, cool sweat profusely ear and nose are cold to touch skin is pale.
- Central nervous system: Red lexes and pain is gradually tool. Patient may be restless due to lack of oxygen and raised body temperature.
Signs of Clinical Death
- Absence of pulse heartbeat and respiration.
- Red blood cells rolling to a drop or forming rouleaux in retinal vessels.
- Pupils fixed and non-reactive to light.
- Absence of all reflexes.
- Rigor mortis.
- Postmortem hypostasis.
- Autolysis.
Care of Dying Person
The five stages that dying person’s pre through are:
- Denial
- Anger
- Bargaining
- Depression
- . Acceptance.
The psychological needs (Fig. 26.8):
- Relied from loneliness, fort and depression
- Maintenance of security self-confidence
- Maintenance of hope.
Symptomatic Management
Problems associated with breathing: Shortness of breaths give oxygen interactions to cage his discomfort.
Problems associated with eating and drinking: Anorexia nervosa and vomiting are commonly seen in the dyingpatient. Provide IV floods, sips of fluids which help the patient to keep the mouth moist.
Problems associated with elimination: Constipation urinary retention, etc. occurs. The problems should be prevented or treated if possible.
Problems associated with immobility: Patients about be comfortably and their position frequently changed.
Problems associated with sense organs: Since the patient lags sight before giving any care, the nurse showed touch the patient and say what she want to do.
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