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Zorluk: OrtaEnd of Life Care

A client in an inpatient palliative care unit has just been pronounced deceased. The healthcare provider has documented the death, and the family has confirmed they do not wish to request an autopsy. The family members are waiting in the nearby lounge to view the body. Arrange the following post-mortem care actions performed by the practical nurse in the correct chronological order.

  1. 1Position the client supine, place a small pillow under the head, and gently close the eyes.
  2. 2Remove all medical equipment, intravenous lines, and indwelling catheters.
  3. 3Wash soiled areas of the body and dress the client in a clean facility gown.
  4. 4Clear away unnecessary medical supplies from the room and invite the family members in for viewing.
  5. 5Secure the required identification tags and prepare the body for transport to the morgue.

Cevap

The correct sequence for standard post-mortem care is: position the head with a pillow and close eyes, remove tubes and lines, cleanse the body and apply a clean gown, tidy the room and allow family viewing, and finally attach identification tags for transport.
Standard post-mortem care prioritizes maintaining the client's dignity and supporting the family's psychosocial needs. The immediate priority is positioning the head on a pillow to prevent facial discoloration. Next, because no autopsy is planned, removing medical equipment and washing the body makes the deceased presentable. After tidying the environment, the family is encouraged to view the body. Formal identification tagging and final shrouding are completed only after the family has said their goodbyes to prevent emotional distress.

Adım Adım Çözüm

1
Elevate the head with a small pillow and close the client's eyes.
Dependent livor mortis (blood pooling) in the face is prevented, and the face is set in a peaceful expression.
Gravity causes blood to pool quickly after death, which can discolor the face and distress the family.
2
Remove intravenous lines, Foley catheters, and other medical devices.
The body is freed from clinical equipment.
Unless an autopsy is requested, lines are removed to ensure the deceased looks natural for the family's viewing.
3
Cleanse soiled skin, change linens, and apply a fresh gown.
The client is made physically clean and presentable.
Providing basic hygiene maintains respect and dignity for the deceased.
4
Tidy the environment and bring the family into the room.
The family safely views their loved one in a supportive environment.
A clean, calm environment supports the initial stages of the grieving process.
5
Attach identification tags and apply the shroud.
The body is legally identified and ready for the mortuary.
Final preparation and tagging are done after the family leaves to avoid causing unnecessary emotional distress during viewing.

Anahtar Kavram

Post-Mortem Care Sequencing
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