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Additional info for Handbook of Geriatric Nursing Care
This assures family members and health care providers that the directions contained in the document reflect the declarant's current wishes. The natural death act may be revoked by physical destruction or defacement, by a written revocation, or by an oral statement indicating the declarant's wish to revoke it. Some states place fewer restrictions on revocation, for example, allowing the document to be revoked without regard to the patient's mental condition. 19 qualified — that is, when he is diagnosed with a terminal condition and the use of life-support systems would only prolong the death process.
Ensure adequate humidification to help liquefy tenacious secretions. Suction only as needed to maintain PEEP. High-frequency jet ventilation may also be required. Check ventilator settings frequently and monitor peak airway pressures. Monitor ABG levels; document and report changes in arterial oxygen saturation as well as metabolic and respiratory acidosis and PaO2 changes. Because PEEP may lower CO, check for hypotension, tachycardia, and inadequate urine output. Provide other means of communication for the patient on mechanical ventilation.
Acute pain related to surgery and phantom pain Treatment outcome: The patient will experience complete disappearance of phantom pain. Nursing interventions When caring for an amputation patient, your major roles include preparing the patient for surgery and providing care and instruction after the amputation. Before surgery • • If time permits, review the physician's explanation of the scheduled amputation, answering any questions the patient may have. Remember that the patient faces not only the loss of a body part, with an attendant change in body image, but also the threat of loss of mobility and independence.
Handbook of Geriatric Nursing Care by Springhouse