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FUNDA > Death and Dying > Flashcards

Death and Dying Flashcards

1
Q

seeks to bargain to avoid loss

A

Stage 3: Bargaining

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2
Q

TYPES OF GRIEF RESPONSES

contributing factors: prior traumatic loss, family or cultural barriers to the emotional expression of grief, sudden death, strained relationships , lack of adequate support

A

COMPLICATED

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3
Q

CHARACTERISTICS OF NORMAL GRIEF REACTION

A
  1. PHYSICAL SYMPTOMS
  2. PREOCCUPATION WITH IMAGE OF THE DECEASED OR LOSS
  3. FEELINGS OF GUILT
  4. LOSS OF USUAL BEHAVIOR
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4
Q

TYPES OF GRIEF RESPONSES

occurs when a person is unable to acknowledge the loss to other persons

A

DISENFRANCHISED GRIEF

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5
Q

total response to the emotional experience related to the loss

A

Grief

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6
Q

taking care of the whole person-body, mind, and spirit,
heart and soul

A

Palliative Care

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7
Q

become angry with God, with oneself or with others

A

Stage 2: Anger

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8
Q

(Types of Loss)

occurs in the process of normal development

A

DEVELOPMENTAL LOSS

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9
Q

refuses to believe that a loss is happening

A

Stage 1: Denial

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10
Q

Grieves over what has happened and what cannot be

A

Stage 4: Depression

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11
Q

TYPES OF GRIEF RESPONSES

exists when the strategies to cope with the loss are maladaptive

A

COMPLICATED

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12
Q

What should you do in Meeting Physiologic Needs of the Dying Client

A
  • providing personal hygiene measures
  • controlling pain
  • relieving respiratory difficulties
  • assisting with movement, nutrition, hydration, and elimination
  • providing measures related to sensory changes
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13
Q

FACTORS INFLUENCING LOSS AND GRIEF RESPONSES

A
  • age
  • significance of the loss
  • culture
  • spiritual beliefs
  • gender
  • socioeconomic status
  • support system
  • cause of the loss or death
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14
Q

ignores the signs of the loss

A

Stage 1: Denial

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15
Q

(Types of Loss)

can be recognized by others and can arise either in response to or in anticipation of a situation

A

Actual Loss

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16
Q

Type of Loss

loss resulting from normal life transitions

A

DEVELOPMENTAL LOSS

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17
Q

behavioral process through which grief is eventually resolved or altered

A

MOURNING

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18
Q

The physician is usually responsible for deciding what, when, and how the patient should be told.

A

Care of Terminally Ill Patients and Their Families

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19
Q

May cry and talk freely about the loss or may withdraw

A

Stage 4: Depression

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20
Q

strike a deal with God to make the loss go away

A

Stage 3: Bargaining

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21
Q

manifested in thoughts, feelings, and behaviors associated with overwhelming distress or sorrow

A

Grief

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22
Q

may express feelings of guilt or fear of punishment for past sins, real or imagined

A

Stage 3: Bargaining

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23
Q

FEARS EXPERIENCED BY THE DYING PERSON

A

Fear of the unknown
Fear of abandonment and loneliness
Fear of loss of relationships and experiences in
the future
Fear of dependency and loss of independence
Fear of pain

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24
Q

Death is an ______, a ________

A

an event, a state

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25
Q

often influenced by culture, spiritual beliefs, and custom

A

MOURNING

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26
Q

making arrangements with the patient for funeral or memorial services

A

Impact on Family

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27
Q

TYPES OF GRIEF RESPONSES

often relate to a socially unacceptable loss that cannot be spoken about

A

DISENFRANCHISED GRIEF

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28
Q

Goals of Hospice Care

A
  1. To control and relieve pain and symptoms of the illness
  2. To provide physical comfort for the terminally ill
  3. To provide social, emotional, and spiritual comfort for the client, family, and friends throughout the final stage of illness, at the time of death, and during the bereavement period of survivors
29
Q

hospice care

A

Palliative Care

30
Q

May begin to experience:
- guilt
- remorse
- loss of hope
- loss of faith and trust

A

Stage 4: Depression

31
Q

participation in planning the patient’s care

A

Impact on Family

32
Q

isolates self from reality and represses what is discussed

A

Stage 1: Denial

33
Q

subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship

A

BEREAVEMENT

34
Q

may begin putting affairs in order

A

Stage 3: Bargaining

35
Q

NURSING RESPONSIBILITIES FOR DYING CLIENTS (Specific)

A
  1. To provide relief from loneliness, fear and depression
  2. To maintain the client’s sense of security, self-
    confidence, dignity, and self-worth
  3. To maintain hope
  4. To help the client accept losses
  5. To provide physical comfort
36
Q

Type of Loss

experienced as a result of an unpredictable event

A

SITUATIONAL LOSS

37
Q

occurs when a valued person or object, or situation is changed or made inaccessible so that its value is diminished or removed

A

Loss

38
Q

(Types of Loss)

experienced by one person but cannot be verified by or is intangible to others

A

PERCEIVED LOSS

39
Q

Focus of Nursing

A

HEALTH MAINTENANCE and HEALTH RESTORATION, with an emphasis on maintaining maximum potential
in wellness

40
Q

May begin to use:
* rational thinking
* adaptive behavior
* appropriate emotion
* patience and self-understanding
* self- confidence

A

Stage 5: Acceptance

41
Q

to promote “_____ _______” through compassionate palliative care and to facilitate coping with disability and death

A

good dying

42
Q

Patients must be allowed to go through the stages of
grieving process and to make decisions about their care

A

Impact on Patient

43
Q

Initial stage: “It can’t be happening.”

A

Stage 1: Denial

44
Q

focus on support and care of the dying person and family

A

Hospice Home Care

45
Q

Comes to terms with loss

A

Stage 5: Acceptance

46
Q

Goal: facilitating a PEACEFUL and DIGNIFIED DEATH

A

Hospice Home Care

47
Q

Sources of Loss

inanimate objects that have importance to the person

A

Loss of External Objects

48
Q

May have decreased interest in surroundings and signifacnt others

A

Stage 5: Acceptance

49
Q

an actual or potential situation in which something that is valued is changed, no longer available, or gone

A

Loss

50
Q

TYPES OF GRIEF RESPONSES

brief but genuinely felt

A

ABBREVIATED GRIEF

51
Q

4 Sources of Loss

A

1.Loss of an Aspect of Self
2. Loss of External Objects
3. Loss of a Familiar Environment
4. Loss of a Loved One or Valued Person

52
Q

Types of Griefs in Complicated Grief Response

A

a. unresolved /chronic grief
b. inhibited grief
c. delayed grief
d. exagerrated grief

53
Q

May begin to:
* shop around
* gamble
* take risks
* sacrifice

A

Stage 3: Bargaining

54
Q

Who made 5 stages of Grief?

A

Kubler-Ross

55
Q

Goal of Palliative Care: to give patients with life-threatening illnesses the
______ ______ of life they can have by the aggressive
management of symptoms

A

best quality of life

56
Q

Ability to function as a significant and integrated person

A

Helping clients die with dignity

57
Q

Sources of Loss

body part, physiological function, psychological function

A

Loss of an Aspect of Self

58
Q

Sources of Loss

a fundamental loss both for the dying person and those who survive

A

Loss of a loved one

59
Q

(Types of Loss)

experienced before the loss actually occurs

A
  • ANTICIPATORY LOSS
60
Q

NURSING RESPONSIBILITIES FOR DYING CLIENTS (Major)

A

to assist the client to a peaceful death

61
Q

TYPES OF GRIEF RESPONSES

experienced in advance of the event

A

ABBREVIATED GRIEF

62
Q

Type of Loss

occurs suddenly in response to specific external event

A

SITUATIONAL LOSS

63
Q

It is a subjective and private experience a dynamic process, a stage of life

A

Dying

64
Q

________ is often the key person in providing support and care when loss or death occurs. To be effective, the nurse must have accepted her/his own feelings about death and understand the stages of grieving and dying.

A

Nurse

65
Q

Can now:
- describe the terms and conditions involved in the loss
- cope with the loss
- test the concepts and alternatives available in dealing with the loss

A

Stage 5: Acceptance

66
Q

may be artificially cheerful in order to prolong the denial

A

Stage 1: Denial

67
Q

may begin to use:
* self blaming
* switching blame

A

Stage 2: Anger

68
Q

Sources of Loss

can stimulate people to grow in their understanding of themselves and others

A

Loss of a loved one

FUNDA (9 decks)

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