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
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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.
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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
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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
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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
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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
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7
Q

TEAM FOR HOSPICE CARE

A
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8
Q

Nurses

A
  • Case managers
  • Establish needs and goals of the family, assist caregivers, evaluate care, education
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9
Q

Attendants

A
  • Assist in personal care and activities of daily living. Spend the most time with patients
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10
Q

Physicians

A
  • May continue medical orders
  • Hospice consultant manages pain management treatment
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11
Q

Social Workers

A
  • Assists with psychosocial stress including patient condition, financial issues, legal needs, bereavement concerns
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12
Q

Volunteers

A
  • Provide services that otherwise may be financially impossible. Provide transportation, companionship, respite care, house keeping etc.
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13
Q

Rehabilitation Therapist

A
  • Physical therapist assist in minimizing physical disability.
  • Occupational therapist help patients accomplish daily activities as independently as possible
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14
Q

Dietician

A
  • Help manage patients experiencing n/v, diarrhea, weight loss.
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15
Q

Counselor

A
  • Helps with mental illness or neurocognitive disorders. Usually a psychiatrist or psychologist
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16
Q

Advance Directive

A
  • Gives individual power to provide directions for future medical care
  • Durable power of attorney
  • Healthcare Proxy
17
Q

Living Will

A
  • Written document by the individual about future medical care when they can no longer make decisions for themselves.
18
Q

When Advanced Directives Are Not Honored

A
  • Advance directive not available at the time where a decision needs to be made
  • Advance directive is not clear in their wording
  • Healthcare proxy is unsure of patients wishes