RLE diff. topics

• Schizoid Fantasy - act of building internal security into one's imagination to avoid troublesome conditions
• AND - allow natural death
• Advance directives - legal documents that state the patient's wishes when the patient becomes unable to speak for themselves
• Post mortem Care:


  prepare the body for the morgue, prevent discoloration or deformity of the body, protect the body from post mortem discharge
• After patient has been pronounced death by the doctor, place the patient in supine or dorsal position
• Closing the eyes and mouth:

  • Eyes: bring upper lid down and apply gentle pressure
  • Mouth: bring jaws together by placing a rolled os or gauze or towel under the chin
• Lividity - bluish- purple, discoloration of skin after death = cause by blood pooling at lowest point
• Blanching - whitish, discoloration of skin = caused by applied pressure
• Liver Mortis - pooling blood and discoloration, begins 30 minutes after death
• Rigor Mortis - stiffened muscles, begins 2-4 hrs after death
• Pallor mortis - skin becomes pale in colour. Normally has more of a grey appearance
• Algor Mortis - cooling stage. Heat is lost thru radiation, convection, conduction, and evaporation
• Rigor mortis - stiffness starts in the head (eyelids) and gradually works its way down the legs, stiffness disappears after 36 hours. Stiffness = occurs because skeletal muscle are unable to relax and remain contracted
• Livor Mortis -corpse outside in hot summer day = livor mortis takes place faster. Cool = takes slower
• Person maintains balance as long as line of gravity passes through center of gravity and base of support
• Damaged cerebellum result in jerky, poorly coordinated movements
• Assistive device for walking: