death and dying :( Flashcards

1
Q

necessary loss?

A

part of maturing

leaving home, graduating, etc.

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2
Q

actual loss?

A

any loss of person or object that can no longer be felt, experienced

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3
Q

perceived loss?

A

defined uniquely by the person

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4
Q

maturational loss?

A

change in developmental process normally expected

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5
Q

situational loss?

A

sudden, unpredictable event, death for example

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6
Q

multiple losses?

A

extremely overwhelming, more time required to grieve (tramautic)

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7
Q

ultimate loss?

A

death

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8
Q

most peoples main fear?

A

pain and dying alone

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9
Q

grief is?

A

an emotional response to death

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10
Q

everyone is different based on?

A

experiences, coping strategies, culture, spiritual beliefs

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11
Q

what is bereavement

A

grief and mourning, a sate of having lost a SO,

not linear, cant be sequenced

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12
Q

kubler ross stages of grief?

A
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
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13
Q

bowlbys phases of mourning?

A
attachment...
Four stages
1. numbing 
2. yearning and searching
3. disorganization and despair
4. reorganization
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14
Q

wordens four tasks of mourning?

A

accept reality of loss
work through pain and grief
adjust in environment without
emotionally relocate

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15
Q

normal grief?

A

normal feelings, opportunity to cope

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16
Q

anticipatory grief?

A

before loss, may exhibit few symptoms when death occurs

17
Q

complicated grief?

A

chronic, delayed, exaggerated, masked.

longer, can impair function and ruin relationships

18
Q

disenfranchised grief?

A

when loss can not always be acknowledged due to stigma?

19
Q

acute grief?

A

somatic distress, emotionl pain, gradually subsides

20
Q

factors affecting loss and grief

A
  • human development
  • psychosocial perspectives
  • socioeconomic status
  • personal relationships
  • nature of loss
  • culture and ethnicity
  • spiritual beliefs
21
Q

what is HOPE?

A

hope is the anticipation of a continued good, helps maintain sense of control

22
Q

in palliative care how can hope help

A

maintain dignity
sustain relationships
contribute to enhancing control

23
Q

nursing process and end of life?

A

-meaning of loss, coping strategies, active listening, physical symptoms

24
Q

EOL decisions?

A

-advance directives

25
patient expectations in the bill of rights?
- be in control - die in peace - continued care with goals - treated as a human etc
26
EOL decision making is?
very emotional, HCP must be transparent, understand possible adverse effects, pros and cons of treatment
27
what are advanced directives?
MOST, should be revised periodically, done while client is in control of their decisions -family help if patient is unable to verbalize how they want to be treated
28
advance care planning for death?
- discussion with family, providers, friends about beliefs values and issues - document the values and wishes - identify the treatment they do or do not want
29
who is power of attorney?
alternate decision maker for financial concerns and decisions -must be competent adult to carry out the wishes of the client
30
so advance directives are given by a competent individual about what, how or by whom decisions about health care are made in the event the individual becomes incapacitated in the future, 2 types?
1. institutional directive (living will) - identifies what treatment desired when given situations 2. proxy directive (POA, decision maker) - who makes the health care decisions
31
what is MAiD
medical assistance in dying - now legal in canada, must be legally elligible - RN do not direct or counsel clients, aid in provision of it
32
what is palliative care?
relief from suffering and improving quality of life and dying - affirm life as dying as normal - symptom control - dignity, respect, self esteem - prevent abandonment and isolation - comfortable and peaceful environment - support for grieving family
33
definition of death?
irreversibly unconscious (may still be breathing)
34
7 world traditions
- hinduism - buddhism - islam - judaism - christianity - chinese religion - aboriginal spirituality