End-of-Life and Palliative Care Flashcards

A dying resident breathes deeply and rapidly, then stops breathing for several seconds, and the pattern repeats. What is this breathing pattern called?

Answer: Cheyne-Stokes respirations

Cheyne-Stokes respirations alternate periods of deep, rapid breathing with periods of apnea and are common near death.

While bathing a resident in hospice care, the CNA notices purplish, blotchy skin on the knees and feet. What does this most likely indicate?

Answer: Decreased circulation as death approaches

Mottling is caused by slowing circulation and is a common sign that death is near.

A dying resident breathes through the mouth and the lips are cracked and dry. What is the BEST comfort measure?

Answer: Provide frequent mouth care with moist swabs and apply lip moisturizer

Frequent oral care and lip lubricant keep the mouth moist and comfortable without risking aspiration.

In general, what life expectancy must a physician certify for a person to qualify for the Medicare hospice benefit?

Answer: Six months or less if the illness runs its normal course

Hospice eligibility requires certification of a terminal illness with a prognosis of six months or less.

A dying resident no longer responds when spoken to. Which statement should guide how the CNA communicates with the resident?

Answer: Hearing is believed to be one of the last senses lost, so continue to speak calmly and explain care

Because hearing may remain until the end, staff should keep speaking gently and explaining every action.

During postmortem care, why does the CNA place a small pillow under the resident's head?

Answer: To prevent blood from pooling in the face and causing discoloration

Elevating the head helps prevent facial discoloration from blood settling after death.

A resident's daughter is crying in the hallway outside her dying mother's room. What is the MOST appropriate action by the CNA?

Answer: Offer a quiet, private space and listen if she wants to talk

Providing privacy and active listening supports grieving family members without imposing beliefs.