DEATH AND DYING

Question 1

what is anticipatory grief?

Answer 1

when death is expected or a possibility

Question 2

what is complicated grief?

Answer 2

extends for greater than 1 year following the loss

Question 3

what is parental grief?

Answer 3

absence of hopes and dreams and a disruption of the family unit

Question 4

how does an infant view the concept of death?

Answer 4

1. little to no concept of death
2. egocentric thinking which prevents understanding of death
3. mirror parental emotions

Question 5

how does a preschooler view the concept of death?

Answer 5

1. egocentric thinking
2. magical thinking –> child feels guilt and sham e
3. views dying as temporary and does not see death as permanent

Question 6

how does a school age child view the concept of death?

Answer 6

1. begins to have adult concept of death around 9 years of age
2. experiences fear which if often displayed through uncooperative behaviors

Question 7

what does palliative care focus on?

Answer 7

1. focuses on comfort measures but physical care still comes first
2. provide an environment as close to home as possible and encourage parents to remain with patient
3. respect cultural/religious preferences

Question 8

what are manifestations of death?

Answer 8

1. body feels cool
2. swallowing difficulties
3. loss of bowel + bladder control
4. cheyne stokes respirations
5. loss of sense–> hearing goes last

Question 9

how can the nurse play a role with a patient who is dying?

Answer 9

nurses can attend the patient’s funeral and can maintain contact with the family