Hospice 102

This crossword was created by Lorna Bell, RN, CHPN with EclipseCrossword - www.eclipsecrossword.com

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Across

  1. movements of this body part with respiration, as well as cyanosis, absent radial pulse, are symptoms of immenent death
  2. determining prognosis in this end stage lung disease is extremely difficult
  3. This team member is most often noted by families in appreciation for care
  4. Intermittent pain calls for __, or " as needed" medication
  5. Type of viral retinitus for which Gancyclovir is ordered
  6. plan developed by team within 8 days, & reviewed every 14 days by
  7. Superior Vena cava ___________ is caused by tumor invasion, causing edema of arms and faces
  8. _______calcemia, refers to increased calcium in the blood, commonly seen in late stage breast and lung cancer, & multiple myeloma
  9. Constant pain calls for around the clock, or ____ dosing
  10. Medication that can color feces, sweat, & tears red-orange
  11. Group whose service hours must account for 5% of direct care hours in a medicare certified hospice program
  12. This product may be preferable to harsh soaps for fragile skin care
  13. abbreviation for Laxitive of choice, or level of consciousness
  14. care which uses least invasive measures for minimal disturbance
  15. One Tylenol contains 325 mg of this drug, so 12 tabs per day are the maximum allowable ceiling, or 4 Gms
  16. an appropriate ___regimen is the proactive way to manage this expected opiod side effect
  17. jaundice is usually due to obstruction of _____flow
  18. To calculate rescue dose when Fentanyl is used, divide patch mcg by ____. This is the appropriate mg of MSIR
  19. Hycoscymine. of the anticolinergic class, decreases secretions
  20. aka Hydromorphone, may be safer choice in elderly or patients with decreased renal function
  21. by way of
  22. This route is to be avoided in in hospice patients, due to pain and unreliable absorbtion
  23. whose report is to be believed, according to McAfferty , regarding pain
  24. assessing a family's cultural and spiritual _________ is a critical step in preserving dignity, empowerment, and respect

Down

  1. Acetaminophen
  2. This drug, often given as eye drops, when given sublingually, decreases secretions
  3. Combination anti-infective & sulfonomide , often to treat UTI's
  4. Spinal _compression, can progress to paraplegia, and even in hospice care, requires attention
  5. CVA, the 3rd leading cause of death in USA
  6. Malignant states which have been the 2nd cause of death for decades.
  7. Only organization for hospice and palliative nurses, promoting excellence for over 16 years
  8. NSAIDS and Lasix, given together, can cause ________function problems
  9. Dame of hospice, this Saunders founded St. Christopher's , in the 1960's
  10. "____" Hodgkins Lymphomas are more common and have worse prognosis than Hodgkins Disease
  11. Antipsychotic drug used for agitation with potential for physical harm
  12. team, who, along with attending physician, establishes Plan of Care
  13. In 1974, this Haven began seeing home hospice patients in Conn.
  14. Also called Metoclopromide, has antiemetic properties, may be Metoclopromide, has antiemetic properties, helpful for hiccups, but should not be given with bowel obstruction
  15. Percocet without Acetaminophen, this drug is more potent, with fewer metabolites, than Morphine
  16. The ---route is preferred whenever possible
  17. This phenothiazine offers both antianxiety and ant emetoic properties
  18. Long acting Morphine tabs
  19. Dementia has a gradual decline, whereas delerium has a rapid ______
  20. dose limiting side effect in opiod managed patient
  21. adequate rescue dose is 1/3 to one _______ of the 12 hour dose
  22. Immediate Realease Morphine Sulfate
  23. This care incorporates the goals of hospice, helping patients and families cope with incurable illness, afforded at any point, with no time frame of 6 months life expectancy
  24. ____Kuber Ross wrote ON DEATH AND DYING, describing reaction stages of approaching death
  25. This narcotic is NOT preferred in long term chronic pain due to it's short duration & toxic metabolites
  26. prefix to denote route on script


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