6.5 Bereavement and Nursing Process Flashcards
1
Q
Maladaptive Assessment
A
- Financial issues posed by loss
- Lack of coping skills
- Emotional/Physical dependence on the lost person/item
- History of substance abuse
- History of trauma and abuse
- Multiple losses in a short time
2
Q
Outcomes
A
- Acknowledges awareness of loss
- Able to express feelings about loss
- Verbalizes stages of grief process and behaviors associated with each
- Express personal satisfaction and support from spiritual practices.
3
Q
Short Term Goals
A
- Acknowledge awareness of loss
- Express feelings about loss
- Verbalize own position in the grief process
- Identify meaning/purpose in life, moving forward with hope for the future
4
Q
Long Term Goals
A
- Progress through the grieving process in a healthy manner towards resolution
- Express achievement of support and personal satisfaction of spiritual practices
5
Q
Interventions
A
- Assistance through grief process
- Encourage patient to express feelings about the loss
- Encourage participation in usual religious practices where they derive support
- Assist patient in identifying positive aspects about their life
- Encourage patients to ventilate the meaning of their own existence
6
Q
Hospice
A
- Service that provides supportive and palliative care to meet special needs of a dying patient and their families
- Physical, psychological, spiritual and social support for those where aggressive treatment is no longer appropriate
- FOCUS IS QUALITY OF LIFE
7
Q
TEAM FOR HOSPICE CARE
A
8
Q
Nurses
A
- Case managers
- Establish needs and goals of the family, assist caregivers, evaluate care, education
9
Q
Attendants
A
- Assist in personal care and activities of daily living. Spend the most time with patients
10
Q
Physicians
A
- May continue medical orders
- Hospice consultant manages pain management treatment
11
Q
Social Workers
A
- Assists with psychosocial stress including patient condition, financial issues, legal needs, bereavement concerns
12
Q
Volunteers
A
- Provide services that otherwise may be financially impossible. Provide transportation, companionship, respite care, house keeping etc.
13
Q
Rehabilitation Therapist
A
- Physical therapist assist in minimizing physical disability.
- Occupational therapist help patients accomplish daily activities as independently as possible
14
Q
Dietician
A
- Help manage patients experiencing n/v, diarrhea, weight loss.
15
Q
Counselor
A
- Helps with mental illness or neurocognitive disorders. Usually a psychiatrist or psychologist