CHN CU:9 Flashcards
is a variety of services which help meet both the medical and non medical needs of people with a chronic illness or disability who cannot care for themselves for
long periods.
Long-term care
must provide services and activities to attain or maintain the highest
practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care.
NURSING HOMES STANDARDS
are small private facilities, usually with 20 or fewer residents
NURSING HOME RESIDENTS
designed for older adults who are able to remain independent and active, but need a helping hand
ASSISSTED LIVING COMMUNITIES
is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and
mitigating suffering among people with serious, complex illness. whose diseases is not responsive to curative treatment
PALLIATIVE CARE
a way of caring for terminally ill individual and their families
HOSPICE
first hospice program was
St. Christophers’ Hospice in London
Parting with an object, person, belief or relationship that one values
DEATH AND DYING
Any significant loss of someone or something that can no longer be seen or felt, heard, known or experienced & that requires individual adaptation through the
grieving process
Personal loss
Loss that is less tangible & uniquely defined by the grieving client. Experienced by one person but cannot be verified by others.
Perceived loss
Change in developmental process that is normally expected during a lifetime. Loss that occur on the process of normal development.
Maturational loss
Loss of a person, thing or quality resulting from a change in a life situation, including
changes related to illness, body image, environment and death
Situational loss
Can be identified by others & can arise either in response to or in anticipation of a
situation.
Any loss of a person or object that can no longer be felt, heard, known, or experienced by the individual.
Actual loss
The total response to the emotional experience related to loss which is usually resolved within 6 months to 2 years
Grief
Grief which is brief but genuinely felt; lost may not have been sufficiently important to
the grieving person or may have been replaced immediately by another, equally
esteemed object.
Abbreviated grief
Process of accomplishing part of the grief work before an actual loss; grief response in which the person begins grieving process before an actual loss.
Anticipatory grief
prolonged emotional instability, withdrawal from usual task or
activities that previously gave pleasure & lack of progression from one level to successful coping with the loss
Dysfunctional grief
extended in length and severity,
bereaved may also have difficulty expressing the grief
Unresolved Grief
many of normal symptoms of grief are suppressed and other
effects, including somatic are experienced instead.
Inhibited Grief
Sequence of affective, cognitive & physiological states through which the person responds to and finally accepts an irretrievable loss
Grieving process
The behavioral process through which grief is eventually resolved or altered
Process by which people adapt to a loss which is influenced by cultural, customs, rituals, and society’s rules for coping with loss.
Mourning
Characterized by a confident, yet uncertain expectation of achieving a goal.
Hope
The point at which the loss has been resolved and the grieving individual can move on with life without focusing on the loss.
Closure
Any change the person perceives as negative in the way the person relates to the environment is loss of self.
Loss of Aspect of Self
Loss of inanimate object that has importance to the person
External Object
Separation from an environment and people who provide security.
Accustomed Environment
Loss of valued person or loved ones through illness, separation, divorce, broken relationship, moving, running away, promotion at work, or death
Loved Ones
Physical death, brain death, ability to reason. About pain and loss of control, fear of separation, abandonment, loneliness or mutilation.
Loss of Life
Occurs when the higher brain center, the cerebral cortex, is irreversibly destroyed
Cerebral Death
Stiffening of the body that occurs about 2 to 4 hours after death due to lack of
Adenosine Triphosphate (ATP),which is not synthesized because of a lack of glycogen
in the body.
Rigor Mortis
Gradual decrease of the body’s temperature after death
Algor Mortis
Bluish discoloration of the skin after death.
Livor Mortis
Injection of chemicals in the body to destroy the bacteria.
Embalming
It is the immediate response to loss experienced by most people and it is a useful tool
for coping.
Denial
The client has no control over the situation and thus becomes angry in response to this
powerlessness
Anger
The anticipation of the loss through death brings about bargaining through which the client attempts to postpone or reverse the inevitable
Bargaining
When the realization comes that the loss can no longer be delayed, the client moves to the stage of depression
Depression
accept the inevitability of death, many want to talk about their
feelings with family members
Acceptance
