CARE OF DYING PATIENT.pptx

CARE OF TERMINALLY ILL
E.THABITHAL
NURSING TUTOR
GANGA COLLEGE OF NURSING
COIMBATORE

CARE OF TERMINALLY ILL PATIENT

Introduction
There are a wide variety of problems in
nursing care for patients with terminally ill. In
care, communication is important in the patient-
nurse relationship, and particularly at the end of
life, effective caring is not possible without
communication.

FACIALAPPROACH
Facial muscle relax, cheek become flaccid moving in and out
with each breath. facial structure may change so the dentures
cannot be worn, mouth structure may collapse , loss of muscles
tone& prominent cheeks, pale, sunken eyes
CHANGES IN SIGHT , SPEECH AND HEARING:
Sight gradually fail. pupil’s fails to react to light, eyes sunken and
half closed, speech becomes increasingly difficult, confused, loss
of hearing

cont......
 DEATH RATTLE: a rattling sound hearing in throat caused by
secretions that the patient cannot cough longer
 GENITO URINARY SYSTEM: retention of urine, distension of the
bladder, incontinence of urine and stool due to loss of sphincter control
 SKIN & MUSCULOSKELETAL SYSTEM: the skin may become pale,
cool and sweats lot( cold sweats).Ears and nose are cold to touch. Skin is
pale & mottled due to congestion of blood in the veins as a result
ofcirculatory failure
 CENTRAL NERVOUS SYSTEM: reflexes and pain are gradually lost.
patient may be restless due to lack of oxygen and due to raised body
temperature, although the body surface is cool.

CARE OF DYING PATIENT
• PSYCHOLOGICAL SUPPORT:

CARE OF DYING PATIENT
PSYCHOLOGICAL SUPPORT:
The psychological need of a dying person can be
summarized as follows:
Relief from loneliness, fear & depression
maintenance of security, self confidence & dignity
maintenance of hope
meeting the spiritual needs according to his religion customs.

SYMPTOMATIC MANAGEMENT
Problems associated with breathing

Problem associated with eating and drinking
 Anorexia, nausea, and vomiting are commonly seen in dying patient.
they are unable to take any form of food and if they taken, they are
unable to retain the food
 the patient is unable to swallow even the sips of water poured in the
mouth. They may need IV fluids
 if they tolerate oral fluids, sips of water is given with teaspoon
 give frequent oral hygiene
 apply emolients to the dry lips
 the denture are removed and kept safely

PROCEDURE
 Warm the cooling extremities by the application of blankets and prevent
draft.
 See that the bedding is light in weight and when the gown is wet with
perspiration should be changed.
 Rub the skin gently with alcohol 70%
 Place patient in a comfortable position preferably on his side and
support back with pillows with head part elevated.
 Turn him toward the light. Never, darken the room.
 Make the room airy.

Routine Procedures to be done as Symptoms of
Approaching Death Develop:
).

IDENTIFICATION TAG SHOULD
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