death and dying :( Flashcards
necessary loss?
part of maturing
leaving home, graduating, etc.
actual loss?
any loss of person or object that can no longer be felt, experienced
perceived loss?
defined uniquely by the person
maturational loss?
change in developmental process normally expected
situational loss?
sudden, unpredictable event, death for example
multiple losses?
extremely overwhelming, more time required to grieve (tramautic)
ultimate loss?
death
most peoples main fear?
pain and dying alone
grief is?
an emotional response to death
everyone is different based on?
experiences, coping strategies, culture, spiritual beliefs
what is bereavement
grief and mourning, a sate of having lost a SO,
not linear, cant be sequenced
kubler ross stages of grief?
- denial
- anger
- bargaining
- depression
- acceptance
bowlbys phases of mourning?
attachment... Four stages 1. numbing 2. yearning and searching 3. disorganization and despair 4. reorganization
wordens four tasks of mourning?
accept reality of loss
work through pain and grief
adjust in environment without
emotionally relocate
normal grief?
normal feelings, opportunity to cope
anticipatory grief?
before loss, may exhibit few symptoms when death occurs
complicated grief?
chronic, delayed, exaggerated, masked.
longer, can impair function and ruin relationships
disenfranchised grief?
when loss can not always be acknowledged due to stigma?
acute grief?
somatic distress, emotionl pain, gradually subsides
factors affecting loss and grief
- human development
- psychosocial perspectives
- socioeconomic status
- personal relationships
- nature of loss
- culture and ethnicity
- spiritual beliefs
what is HOPE?
hope is the anticipation of a continued good, helps maintain sense of control
in palliative care how can hope help
maintain dignity
sustain relationships
contribute to enhancing control
nursing process and end of life?
-meaning of loss, coping strategies, active listening, physical symptoms
EOL decisions?
-advance directives
patient expectations in the bill of rights?
- be in control
- die in peace
- continued care with goals
- treated as a human etc
EOL decision making is?
very emotional, HCP must be transparent, understand possible adverse effects, pros and cons of treatment
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
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
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
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?
- institutional directive (living will)
- identifies what treatment desired when given situations - proxy directive (POA, decision maker)
- who makes the health care decisions
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
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
definition of death?
irreversibly unconscious (may still be breathing)
7 world traditions
- hinduism
- buddhism
- islam
- judaism
- christianity
- chinese religion
- aboriginal spirituality
