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Death and dying

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Taylor Allen Independent Study Mentorship Fall 2017

Mrs.click
Disclamer some of the information is
from outside sources.
My Mentor

 Mrs. Jamie Suarez Rn. is an ICU nurse at Memorial Hermann Southeast

 She has her associates in nursing and working on her bachelors
 She is ACLS and BLS certified
 She has worked four years as a critical care nurse, trained rapid response nurse, and
before she was in a hospital setting she worked as a Real Estate agent for 10 years
 She plans to get her Nurse Practitioner degree and specialize in pediatric cardiology
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What is ISM?
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 Advanced Academic course is designed for students wishing to mentor an adult

professional in a chosen career
 Document a minimum of 3 hours of mentorship each week (Mentorship Activity Log)
 Complete a Journal Entry each week documenting mentorship experiences (ISM
Journal)
 Complete an ISM Professional Portfolio (online format/Weebly) showcasing assignments
completed during the course and the final project
Death and Dying

 I picked “death and dying” as my semester project because this is a big part of the ICU
like it or not many patients pass away. I was also very interested in how different
religions handle death of a loved one.

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 How religion has a part in how
people cope

Religions all have a different belifs when a loved one passes

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 CARE OF HINDU PATIENTS

 They view death not as sad but as milestone

 They belief you’re born and die over and over until your soul is free
 They think of medical help last
 Once someone dies they go through steps
 Focused prayer to lord Vishnu
 A special ritual is placing water in the mouth after they pass
 They wash the dead body
 Another ritual is the priest will come in and tie a cord around either the wrist or the neck of the dead
person
 They believe in cremation
 Doctors can always ask about organ donation but be respectful
CARE OF JEWISH PATIENTS

 There are many different understandings of the faith so not everyone will practice the same thing
 Rabbi or members of their church may come and visit
 Burial time is important as soon as possible is best
 Someone will be there at all times so they won’t die alone and so they can get whatever the need
 Some rituals are the son or other family member may close the eyes and mouth of their loved
one and cover them with a shroud
 Autopsies and cremation are touchy topics with the family because not all believe in these
practices
 They read from the Hebrew bible and the Kaddish prayer
CARE OF BUDDHIST PATIENTS

 They chant and play music to help the sense leave the body
 They believe good comments help the consciousness
 A persons mind set as their dying is important they want to leave in a peaceful way
 After someone passes they still don’t want to disturb the body for 4-8 hours
CARE OF MUSLIM PATIENTS

 When somone passes they have a specific cleaning and burial process
 They believe the dead can still feel things as if they are living so its important to be
gentle
 Priest may visit before or after death and read from the Qur’an
Stages people go through with
depression

Everyone takes death different from the

familys point of view and the patients
view
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How family handles death

 Death affects different people in different ways not only mentally but physically ,emotionally and
spiritually
 There’s many stages of dying not only for the person dying but the family as well
 People go through the stages differently
 Some people stay in a stage for a long time or the stages can over lap
 People can grief for days to months it’s not the same for everyone
 Denial is said to be the first step
 Most people are in shock that their loved ones are dying
 The next step is anger
 Loved ones are angry that someone is being takin away
 They try to get doctors to do more test more to try to make them better
 Depression is the fourth step
 People get sad that their loved ones will soon pass
 Acceptance is the last step
 The family realizes that they will be in a better place and they can’t stop it
 These steps are a little different than their loved one
Patient stages

 They can’t grasp the fact they are dying

 They may not believe the diagnosis so they go to many more doctors
 When they become angry they may take it out on anyone around ex family friends god
doctors
 They often become angry at themselves saying why am I sick why does it have to be
me
 Often times people bargain like saying if I get better I’ll do this or If there’s a cure I’ll
do this this and this for it
 They will become depressed they will fall back and become distant
 Most just don’t want to deal with anything anymore they are tired of waiting
 Finally acceptance they are coming to understand and be as okay as possible with
their passing
 There are physical signs of dying
 People get confused about where they are, the time, who they’re with, and many more
 They sleep more and aren’t very social
 Their breathing changes
 After death the body continues to change
 The body gets stiff after 4 hours
 Body temp goes down and the skin becomes to tear easy
 The body color changes due to the hemoglobin breaking down
Do not resuscitate

 There are many laws and rules in

the medical field.

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DNR

 DNR means do not resuscitate

 This means if a patients heart stops beating or they stop breathing the hospital isn’t
allowed to prefrom CPR
 A DNR is written by the doctor
 Before a emergency happens the patient will have to sign a paper saying they want
the DNR
 In some cases when the patient isnt aware the doctor will go to the family
 If they have no family they are considered a ward of the state and the state will not
sign a DNR because they want to do everything in their power to save the patient
 Theres a type of DNR called unilateral DNR
 This is where the doctor will sign off on a DNR even if the patient or family dosnt want
one
 The hospitals say it’s the doctors right if they want to sign off on a DNR
 New laws are being made trying to limit unilateral DNRs
About the ICU

 This is where very ill patients come

 The patients are treated by well trained nurses doctors repertory therapist physical
therapist and many more
 The ICU is different than units of the hospital in many ways
 The patients need close watching at all times
 ICU nurses only have 1-2 patients per shift
 Patients are more than likely hooked up to big machines for different reasons
visitors

 Visitors are welcomed but should stay in the room

 If they have to go then they are asked to go to the waiting room so they don’t invade
anyone’s privacy
 When the doctors do their rounds they may ask visitors to step out
About the nurses

 Doctors normally do their rounds about 2-3 times a day then the nurses check every
hour
 Nurses may check on patient more than every hour if needed for medicine
 There are many people that go into the room
 Someone goes in and draws blood to make sure everything is okay
Why people go to the ICU

 Patients go to the ICU for many reasons

 Some need to be closely monitored
 Some have brain/head damage
 Some people in the ICU have lung problems
 Some people may die if they are unable to get treatment from the ICU
 Since many people In the ICU are unable to speak for themselves they have closest
family member to sign for then
 They may sign a DNR and that means if they start coding its up to the family if they
give compressions and save them
Conclusion slide

 I learned many things about the ICU. I learned how

the ICU works and about many different patients

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Product slide

 C-Pap machine
 Plan:
 To make it look like a 3D mini C-Pap machine
 I will make it our of cardboard and paint it accordingly
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Thank you

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 I want to thank my mom, meme , Mrs hart, Mrs click and Mrs suarez.
 I want to thank my mom and meme for showing nothing but love and positivity to me
and my hopes and dreams, mrs heart for beliving in me while it felt no other teachers
did and mrs click for accepting and helping me, last id like to thank mrs suarez for
giving me this amazing opertunity and teaching me about the ICU.
 Work cited

 Ackerman, Todd. “New Law Limits Doctors' Ability to Invoke DNR without Patient Consent.”Houston
Chronicle, Todd Ackerman, 17 Sept. 2017, www.houstonchronicle.com/news/medical/article/New-law-
limits-doctors-ability-to-invoke-DNR-12204922.php.
 “Care of Dying and Dead.” Care of Dying and Death, 2011,
currentnursing.com/reviews/care_of_dying_and_death.html.
 “Do-Not-Resuscitate Order.” MedlinePlus Medical Encyclopedia, June 2016,
medlineplus.gov/ency/patientinstructions/000473.htm.
 Yoon, J. “Learning About Your Health.” CPMC Sutter Health, California Pacific Medical Center,
www.cpmc.org/learning/documents/icu-ws.html.