Ch 43 Loss grief and dying Flashcards
Active euthanasia
Someone other than the patient commits an action with the intent to end the patient’s life, for example, injecting the patient with a lethal dose of the drug
Actual loss
Loss that can be recognized by others as well as by the person sustaining the lose, such as the loss of a limb or a spouse
Advance care planning ACP
Process of planning for future care in the event a person becomes unable to make his or her own decisions
Advance directive
Written directive that allows people to state in advance what their choices for healthcare would be if certain circumstances should develop
Allow natural death AND Order
An order that no attempts are to be made to resuscitate a patient who stops breathing or his heart stops beating
Anticipatory loss
Condition in which a person displays loss and grief behaviors for a loss that is yet to take place
Bereavement
State of grieving are going through the grief process
Comfort measures only order
An order written to indicate that the goal of treatment is a comfortable, dignified death and that further life-sustaining measures are no longer indicated
Death
- Irreversible cessation of all functions of circulatory and respiratory functions
- Irreversible cessation of all functions of the entire brain, including the brain stem
Do not resuscitate DNR Order
An order specified that there be no attempt to resuscitate a patient in the event of, cardiopulmonary arrest
Dysfunctional grief
Abnormal or distorted grief that may be either unresolved or inhibited
Euthanasia
Mercy killing, the deliberate termination of the life of a person
Grief
Emotional response to loss. Dysfunctional grief; distorted or abnormal grief process including inhibited grief, suppression of grief reaction, and unresolved grief, lengthy or denied grief graphic rectify reaction, abbreviate a grief, short but genuine grief reaction, anticipatory grief, grief reaction before actual loss
Hospice care
A type of end of life care for persons who are terminally ill, characterized by the following
- Patients are kept as free of pain as possible so they may die comfortably and with dignity
- Patients receive continuity of care, are not abandoned, and do not lose personal identity
- Patients retain as much control as possible over decisions regarding their care and are allowed to refuse further life-prolonging Technologic interventions
- Patients are viewed as individuals with personal fears thoughts feelings values and hopes
Loss
And accessibility or change in a valued person, object, or situation. Actual loss loss tangible to both the person sustaining the loss and to others. Perceived loss, loss tangible only to the person sustaining it. Physical loss loss of life, lamb, an object, person, Pet, our job. Psychological loss, loss that affects a person self image. Anticipatory loss, loss behaviors displayed before the actual loss occurs.
MOLST. Form
Stands for medical order for life-sustaining treatment, a medical order indicating a patient’s wishes regarding treatments commonly used in medical crisis
Mourning 
Period during which a person learns to accept grief
Palliative care
Hospice care, taking care of the whole person body, mind, spirit spirit, heart, and soul with the goal of giving patients with life-threatening illness is the best quality of life they can have through the aggressive management of symptoms
Palliative sedation
The lowering of patient consciousness with medication for the express purpose of limiting the patient’s awareness of suffering that is intractable and intolerable
Perceived loss
Loss of youth, financial independence, and a valued environment experienced by a person, but intangible to others
POLST
Stands for physician order for life-sustaining treatment, a medical order indicating a patient’s wishes regarding treatments commonly used in a medical crisis; must be completed and signed by a healthcare professional, not the patient
Terminal illness
Illness from which there is no reasonable expectation of recovery or cure
Terminal weaning
Withdrawal of life-sustaining therapy with the understanding the death may result, generally after decision is made that the therapy question is medically futile or disproportionately burdensome