Death and Loss Flashcards by Bianca Helfrich

What is loss

Absence of someone or something to which the affected person has formed an ATTACHMENT

How well did you know this?

Not at all

Perfectly

What is grief

Emotional response to a loss

How well did you know this?

Not at all

Perfectly

What does greif produce

Feelings of anger, frustration, loneliness, sadness, guilt, regret, a sense of resolution, and peace

How well did you know this?

Not at all

Perfectly

What is anticipatory grief

Cognitive, affective, cultural, and social reactions to an expected death, felt by the patient as well as family members and friends

How well did you know this?

Not at all

Perfectly

What is mourning

Outward, social expression of loss

How well did you know this?

Not at all

Perfectly

What does bereavement include

Grief and mourning

How well did you know this?

Not at all

Perfectly

What is bereavement

The feelings and outward expressions demonstrated by people experiencing loss

How well did you know this?

Not at all

Perfectly

What are the three different theories and stages of grief

Kubler-Ross 5 stages of greif, Bowlbys model of grief, Shaldon’s stages of grief

How well did you know this?

Not at all

Perfectly

What is kubler-ross’s 5 stages of grief

Denial, anger, bargaining, depression, acceptance

How well did you know this?

Not at all

Perfectly

What is bowlby’s model of grief

Shock and bumbness
Searching and yearning
Disorganization and despair
Reorganization

How well did you know this?

Not at all

Perfectly

What is Shaldon’s stages of grief

Intial shock
Pangs of grief
Despair
Adjustment

How well did you know this?

Not at all

Perfectly

What is important in informed EOL care

Knowledge of disease process, interpersonal skills, ethiical, legal, and professional principles, interprofessional collaboaration

How well did you know this?

Not at all

Perfectly

What do you need to know about EOL care

Scientific and clinical knowledge of the disease precesses and biological dying

How well did you know this?

Not at all

Perfectly

What are some interpersonal skills

Listening, empathy, sensitivity, communicating

How well did you know this?

Not at all

Perfectly

What is ethical, legal, and prefessional principles

Doing good, avoiding harm, integrity, compassion, adavace directives

How well did you know this?

Not at all

Perfectly

Tell me about interprefessional collaboration

Case managers, social work, community-based services, spiritual support

How well did you know this?

Not at all

Perfectly

What are the two different types of grief

Complicated and disenfranchised

How well did you know this?

Not at all

Perfectly

What is complicared grief

Unresolved grief or complex bereavement lasting at leadt 6 months after the death of a significant person

How well did you know this?

Not at all

Perfectly

What are the four types of complicated grief

Chronic, delayed, exaggerated, masked

How well did you know this?

Not at all

Perfectly

What is disenfranchised grief

Any loss that is not validated or recognised, may not be able to be SHARED or acknowledge PUBLICALY by the grieving person

How well did you know this?

Not at all

Perfectly

Who are the persons at risk of disenfranchised grief

Ex-spouse, friends, lovers, affairs, stillbirth, miscarriage

How well did you know this?

Not at all

Perfectly

What are some factors affectign grief and bereavement

Age, health status, status, relationship, coping styles, support systems, socioeconomic, religion, type of loss, complicated loss

How well did you know this?

Not at all

Perfectly

What are some types of loss

Suicide, murder, wrongful death

How well did you know this?

Not at all

Perfectly

What are some complicated loss

Sudden, violent, traumatic, mass casuality, loss of young person, catastrophic ecents, miscarriage, stillbirth, loss of home

How well did you know this?

Not at all

Perfectly

What are the physical symptoms at the end of life

Weaknes, increased drowsiness, decrease eating, surges in energy, changes in bowel elimination

What are the S+S of impending death

Decrease output, cold and mottled extremitites, changes in vitals, and breahting patterns

What are the S+S of death

Absence of HR and RR, involuntary realseases, lack of response, algor/livorrigor mortis

What is algor mortis

Drop in body temp

What is livor mortis

Skin becomse pale and then bluish and blood begins to SETTLE

What is rigor mortis

STIFFENING of the joints of the body

What are the interventions of death and loss

Advance care PLANNING, PALLIATIVE care, HOSPICE care, COMMUNICATION, CARE, AWARENESS, CARE, SUPPORT

What are some advance care planning for EOL

Ongoing DECISIONING of future care, AD

What is palliative care

What the pt NEEDS, can recieve TREATMENT, death is NORMAL, treat S+S

What is hospice care

Pt's with a life expectancy of 6 months or less, no TREATEMTN, comfort for PT and FAMILY

How can you have good communication

SIMPLE, UNCOMPLICATED, avoid OVERLOADING, be OPEN and HONEST with COMPASSION and SUPPORT

How to care for the dying pt

BELONGINGS, PETS, unrestricted HOURS, PRIVACY, only do care if needed, control S+S

Tell me about nearing death awarness

Confused, report seeing people who are already done

Tell me about the care of the family at the time of death

Be PRESENT, COLLABRITATIVE care, allow the family TIME, offer SPIRITUAL SUPPORT

Tell me about bereavement support

Assess REACTIONS, provide FOLLOW-UP support, HOLD the deceased child

What is grief

EMOTIONAL response to loss, the grief can come back when reminded

What is Lindemann's anticipatory grief

The effects of an expected death Nursing- communicate, listening, reminiscence, LIFE REVEIWS

Worden thinks of TASKS of mourning what are those

ACCEPT reality EXPERIENCE the grief ADJUST to an environment RELOCATE the deceased person

Is autopsy okay for judaism

What is bereavement

Both grief and mourning, INNER and OUTWARD feelings

What are the FOUR nursing knowledge necessary for care of the dying pt

Scientific and clinical knowledge Interpersonal skills Ethical, legal, and professional principles Interprofessional

What are the other names of complicated grief

Unresolved frieg or complex bereavement

What are the four types of complicated grief

Chronic, delayed, exaggerated, masked

What is chronic grief

Grief reactions that do no diminish over time

What is delayed grief

Suppression of grief, avoids the pain of the loss

What is exaggerated frief

Cannot function in daily life and may have bad coping such as drugs

What is masked grief

Seem to have normal fucntion but are concealing the grieving process

What is complicated loss

SUDDEN death, VIOLENT trauma, MULTI death, S?OCIAL ?STIGMA?

Toolkit for end of life care

Relationship, type of loss, coping, support systems, health status, religious, stressors, financial, history, family, satifaction

What are the S+S of impending daeth

Decreased urine outpur, cold and mottled extremities, decreased BP, increased or decreased HR, chey stocks, gurrgling

What is algor mortis

Cooling after death

What is livor mortis

Blood seteling

What is rigor mortis

Stiffening

What is respite care

Relief for the caregiver

What are the four domains of QOL

Physical, psychological, social, spirtual

What are four EBP tools

Ask-tell-ask Attend to emotions Give a plan after serious news is shared Revise the plan

What type of meds are given to the dying pt

Pain, nauesea, decrease secretions, O2

Postioning of a dead pt

Supine, arms at side or across the abdomen, one pillow, dentures put in, close eyes, jewelry removed other than wedding ring