Sample interview questions: Can you discuss your experience in recognizing and addressing signs of impending death in patients with specific diseases, such as cancer or organ failure?
Sample answer:
Recognizing and Addressing Signs of Impending Death in Patients with Specific Diseases
As a hospice nurse, I have extensive experience in recognizing and addressing signs of impending death in patients with various diseases, including cancer and organ failure. Here are some key considerations:
1. Observing Physical Changes:
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Cachexia: Progressive weight loss and muscle wasting are common in advanced stages of cancer and other chronic illnesses.
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Skin Changes: Cool, clammy skin, mottling (discoloration), and loss of skin elasticity can indicate impending death.
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Respiratory Changes: Labored breathing, Cheyne-Stokes respirations (irregular breathing pattern), and shallow breaths are signs of respiratory distress.
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Circulatory Changes: Weak or rapid pulse, low blood pressure, and decreased capillary refill time indicate circulatory compromise.
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Neurological Changes: Confusion, agitation, delirium, and decreased responsiveness are common near the end of life.
2. Understanding Disease Progression:
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Cancer: In advanced cancer, tumor growth and metastasis can lead to organ failure, pain, and other complications.
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Organ Failure: Progressive failure of organs, such as the lungs, heart, liver, or kidneys, can result in systemic dysfunction and death.
3. Assessing Patient and Family Needs:
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Emotional Support: Providing emotional support to patients and families during this challenging time is crucial.
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Communication: Open and honest communication about the patient’s condition and prognosis is essential for informed decision-making.
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Symptom Management: Managing pain, nausea, and other distressing symptoms is a top priority to ensure patient comfort.
4. Implementing Palliati… Read full answer
Source: https://hireabo.com/job/2_0_21/Hospice%20Nurse