DEATH AND DYING ; POST MORTEM CARE Flashcards
actual or potential situation in which
something that is valued is changed or no
longer available.
loss
4 types of loss
actual
perceived
anticipatory
situational
developmental
loss of body parts, child, etc
actual
loss of confidence, youth, financial independence
perceived
experience before loss occurs ; can be actual or perceived
anticipatory
loss of job, death of child, loss of functional ability because of acute illness or injury
situational
departure of children from home, retirements from a career, and death of aged parents
developmental
Is manifested in thoughts, feelings, and
behaviors associated with overwhelming
distress or sorrow.
grief
Is the total response to the emotional
experience related to loss.
→ Grief is a social process it is best
shared and carried out with assistance
of others
→ It is essential for good mental and
physical health that permits the
individual to cope with the loss
gradually and to accept it as part of
reality
grief
Subjective response experienced by the
surviving loved ones after the death of a
person with whom they have shared a
significant relationship
bereavement
• Behavioural process through which grief is
eventually resolved or altered;
• often influenced by culture, spiritual beliefs,
and custo
mourning
Psychiatrist who wrote on the book “On
Death and Dying”
elisabeth kubler ross
when was elizabeth born and where
july 8, 1926 in zurich switzerland
when did elisabeth die
august 24, 2004
what are the stages of grieving
denial
anger
bargaining
depression
acceptance
• Refuses to believe that loss is happening.
• Is unready to deal with practical
problems.
• May assume artificial cheerfulness to
prolong denial.
denial
• Client or family may direct anger at nurse
or staff about matters that normally would
not bother them.
anger
Behavioral responses
• May express feelings of guilt or fear of
punishment for past sins, real or imagined.
bargaining
• Grieves over what has happened and
what cannot be.
depression
• May have decreased interest in
surroundings and support people.
acceptance
Death seen as reversible ; • Most aware of changes in patterns of care • Asking questions repeatedly
ages 2-4
• Death still seen as reversible.
Grief Response
• Great concern with process. How? Why?
• May act as though nothing has
happened.
→ He would continue his normal activity
but allow them to verbalize general
distress and confusion
ages 4-7
• Death still seen as reversible.
Grief Response
• Great concern with process. How? Why?
• May act as though nothing has
happened.
→ He would continue his normal activity
but allow them to verbalize general
distress and confusion
ages 7-11
Concept of Death
• Ability to abstract
• Beginning to conceptualize death.
Grief Response
• Extreme sadness
• Denial
• Regression
• Risk taking
ages 11-18
→ Caring for the patient’s body
→ Caring for the family
→ Discharging specific legal responsibilities
providing post mortem care
→ Support and care to the patient’s family.
→ Death of a patient may cause depression
in other patients.
care of the body
stiffening of the body 2-4 hrs after death ; involuntary muscles until other body parts ; leave for about 96hrs after death
rigor mortis
decreased body temperature; slowly go down every hour ; skin loses elasticity
algor mortis
red blood cells will break down and the hemoglobin will get released causing discoloration ; appears in the lowermost areas or around it
livor mortis
prevents the process of bacterial fermentation by injecting chemicals into the body
embalming
a professional that is trained to take care of the dead
mortician
the body will be wrapped by the
shroud
cessation of apical pulse, respi, blood pressure
heart lung death
when the cerebral cortex is irreversibly destroyed
cerebral death
client has lost cognitive function and awareness but respi and circu remain
persistent vegetative state
prohibited by eastern orthodox, muslims, hindus, and jehovahs witness
autopsy
prohibited by baha’i, mormon, eastern orthodox, islamic and roman catholic faiths
organ donation
hindus prefer this and cast the ashesin the holy river
cremation
in hopeless illness, buddhists may permit
euthanasia
painless killing of a patient suffering from an incurable and painful disease
euthanasia
