death and dying :(

Question 1

necessary loss?

Answer 1

part of maturing

leaving home, graduating, etc.

Question 2

actual loss?

Answer 2

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

Question 3

perceived loss?

Answer 3

defined uniquely by the person

Question 4

maturational loss?

Answer 4

change in developmental process normally expected

Question 5

situational loss?

Answer 5

sudden, unpredictable event, death for example

Question 6

multiple losses?

Answer 6

extremely overwhelming, more time required to grieve (tramautic)

Question 7

ultimate loss?

Answer 7

death

Question 8

most peoples main fear?

Answer 8

pain and dying alone

Question 9

grief is?

Answer 9

an emotional response to death

Question 10

everyone is different based on?

Answer 10

experiences, coping strategies, culture, spiritual beliefs

Question 11

what is bereavement

Answer 11

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

not linear, cant be sequenced

Question 12

kubler ross stages of grief?

Answer 12

1. denial
2. anger
3. bargaining
4. depression
5. acceptance

Question 13

bowlbys phases of mourning?

Answer 13

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

Question 14

wordens four tasks of mourning?

Answer 14

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

Question 15

normal grief?

Answer 15

normal feelings, opportunity to cope

Question 16

anticipatory grief?

Answer 16

before loss, may exhibit few symptoms when death occurs

Question 17

complicated grief?

Answer 17

chronic, delayed, exaggerated, masked.

longer, can impair function and ruin relationships

Question 18

disenfranchised grief?

Answer 18

when loss can not always be acknowledged due to stigma?

Question 19

acute grief?

Answer 19

somatic distress, emotionl pain, gradually subsides

Question 20

factors affecting loss and grief

Answer 20

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

Question 21

what is HOPE?

Answer 21

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

Question 22

in palliative care how can hope help

Answer 22

maintain dignity
sustain relationships
contribute to enhancing control

Question 23

nursing process and end of life?

Answer 23

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

Question 24

EOL decisions?

Answer 24

-advance directives

Question 25

patient expectations in the bill of rights?

Answer 25

• be in control
• die in peace
• continued care with goals
• treated as a human etc

Question 26

EOL decision making is?

Answer 26

very emotional, HCP must be transparent, understand possible adverse effects, pros and cons of treatment

Question 27

what are advanced directives?

Answer 27

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

Question 28

advance care planning for death?

Answer 28

• discussion with family, providers, friends about beliefs values and issues
• document the values and wishes
• identify the treatment they do or do not want

Question 29

who is power of attorney?

Answer 29

alternate decision maker for financial concerns and decisions
-must be competent adult to carry out the wishes of the client

Question 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?

Answer 30

1. institutional directive (living will)
   - identifies what treatment desired when given situations
2. proxy directive (POA, decision maker)
   - who makes the health care decisions

Question 31

what is MAiD

Answer 31

medical assistance in dying

• now legal in canada, must be legally elligible
• RN do not direct or counsel clients, aid in provision of it

Question 32

what is palliative care?

Answer 32

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

Question 33

definition of death?

Answer 33

irreversibly unconscious (may still be breathing)

Question 34

7 world traditions

Answer 34

• hinduism
• buddhism
• islam
• judaism
• christianity
• chinese religion
• aboriginal spirituality