Lect 5 - End of Life, trauma.docx - End of Life Trauma Chronic care End of Life Trauma leading cause of death 1-19 years CA leading cause of death by

Lect 5 - End of Life, trauma.docx - End of Life Trauma...

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End of Life, Trauma, Chronic care End of Life Trauma leading cause of death 1-19 years CA leading cause of death by disease Causes of death – neonatal (<28 days old) Causes of death – first year o SIDS still leading cause of death o Suffocation & drowning  trauma causes Causes of death – age 1 – 4 o males more likely to have trauma & more likely to have more severe trauma (x2) o DROWNING o Burns, falls, poisoning - COMMON o Number one cause of death is head injuries o Diapered children = more abuse, increased risk if poor, young, single, abuse drugs/ETOH Causes of death – age 5-9 o CA moved up
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o Top age group for upper extremities fractures Causes of death – age 10-14  o Suicides  think about pt’s mental health Pt has more risky behaviors o Highest population of brain injuries & lower limb fractures Due to car drives Causes of death – age 15-19 o Homicide moved up significantly End of Life Care and Bereavement Cultural beliefs, spiritual beliefs, and social support systems are central to a family’s response to death and loss.
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Not only have child but have siblings present. o What are the child’s thoughts and feelings and what are the siblings’? Child’s developmental level determines how they think of death o Infants and toddlers Don’t have mature understanding of death Feed off of what parents are doing Help parents cope; those kids cope better Child reaction shadow’s parents’ reactions o Pre-school Death temporary state – can come back Blame themselves – siblings think its their fault Patient can feel their body being sick & deteriorate Bad dreams, spider on the wall, they know something is happening but they can’t always verbalize how they are feeling Feel effects of medications & how they make them feel o School By 7 – death is irreversible & do not come back Still no mature understanding of death Zombies, body parts fall off, don’t truly understand death Fears of body integrity o Adolescents Have mature understanding of death Remember stage they are in in identity vs role confusion They are trying to establish who they are – have hard time with crisis of identity & dying Less likely to bring up issues with family They know they are at end of life – less likely to start fights Less likely to express themselves & plans for their future Don’t want people to have bad memories of them... Culture Each culture has its own way of defining, addressing, and acknowledging death Baptism at bedside o Whatever religious leader they want to come in and perform religious rights o Some want bath before passing, some bathe after Dispensation of body Autopsy Suspect foul play – homicide, pt wil always have autopsy o Unless have defined reason for death – most will have autopsy Donation Keeping vigil o No candles at bedside – do have battery operated candles Returning to a prior faith
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