A client with end-stage chronic obstructive pulmonary disease (COPD) is in the final days of life and has completely stopped eating and drinking. The client's spouse is visibly distressed and attempts to force the client to consume a nutritional supplement, stating, "If you do not drink this, you are going to starve to death." Which action is most appropriate for the practical nurse to take?
- AAsk the spouse, "Why do you feel the need to force the client to drink when they are clearly unable to swallow it?"
- Gently explain to the spouse that a decreased desire for food and fluids is a natural, expected change during the dying process.Answer
- CTell the spouse, "Do not worry, it is very likely that the client's appetite will improve after getting a few hours of uninterrupted rest."
- DInform the spouse that they are currently exhibiting the anger stage of grief and need time to reach acceptance.
Answer
Gently explain to the spouse that a decreased desire for food and fluids is a natural, expected change during the dying process.
As death approaches, the body's metabolic needs significantly decrease, and the gastrointestinal system slows down. A complete loss of appetite and thirst is a natural, painless, and expected part of the active dying process. Educating the family about this physiological change helps reduce their anxiety, validates their concerns, and prevents them from unintentionally causing discomfort by forcing food or fluids on a client who can no longer process them.
Step-by-Step Solution
Key Concept
End-of-Life Anorexia and Family Education
Estimated Time:1m 0s