Policy Manual sample

MDT Home Health Care Agency, Inc. NURSING PROCEDURES FOR THE DYING (when we provide staffing to an in-patient facility) Routine nursing care given normally throughout a patient's illness should continue as long as possible. Procedures may tend to become more time consuming since the patient can no longer care for himself. There are several points to be kept in mind: 1. Do not close shades or drapes. The patient's eyesight may become lessened and his fear of darkness is increasing. 2. Position frequently since decubitus will form more easily. 3. Force fluids for as long as possible. 4. Provide for proper elimination frequently. 5. Keep lips and nostrils moistened. 6. Keep odors under control as much as possible. 7. Do not talk in whispers, or about the patient, even if he seems unconscious. Hearing is still acute, even if patient does not seem aware. Signs and symptoms of death: 1. Face becomes pale, eyes seem to stare. 2. Patient seems to perspire more, but body seems cool to touch. 3. Muscle tone decreases, mouth remains partially open and body becomes limp. 4. Respirations become slow and difficult. 5. Pulse is rapid with increasing irregularity. NOTE: Most of us tend to think of death as a painful experience. It is important therefore to remember that death and pain are not necessarily companions. As the patient's condition worsens, less blood reaches the brain so the patient loses awareness. Understanding this fact often makes the death of a loved one easier for family and friends. The single most important fact to remember when caring for a dying patient is that he is as important to you as the patient who is going to recover. You will not experience the satisfaction of contributing to his recovery, but you will know that you have helped a human being end his fife in peace, comfort, and dignity. We all must die. Surely all of us would prefer to die in a kind and understanding atmosphere. Home Health Agency Nursing Care & Procedures K-73