Families Exam 5 - death and dying Flashcards
When does anticipatory grief occur?
when death is expected or is a possible outcome
At what point in time is grief considered complicated?
when it lasts longer than a year
What are characteristics of parental grief?
- intense
- long
- complex
What secondary losses do parents feel related to the death of a child?
- absence of hopes and dreams
- disruption of the family unit
- loss of identity as a parent
What age group does not understand the concept of death?
infants
What age group views dying as temporary?
preschool
When do children view dying as permanent?
school-age
When might a child mirror their parents and possibly regress to earlier stages of behavior after death?
infant/toddler
When might a child feel guilt and shame after death?
preschool
Who experiences magical thinking vs. logical thinking after death?
- magical: preschool
- logical: school-age
What age-group fears but is also curious about the death process?
school-age
What age group experiences feelings of invisibility/isolation and possible suicide and violence after death?
adolescents
What should be encouraged after experiencing a death?
- memories
- laughter
- time
If a child is dying, how should you let them have a say in how their life will end?
-encourage the conversation, even though the parents will make the final decision
What should you explain to a preschooler after they experience a death?
that it was not their fault
What are the 4 p’s that should be managed with palliative care?
- pain
- puking
- pooping
- panic
What type of environment should be provided for a child in palliative care?
as close to being like home as possible
How should the nurse provide patient-centered care to a patient in palliative care?
- consult patient and family for desired measures
- respect cultural/religious preferences
- provide and clarify info
- encourage physical contact
- address feelings
- show concern, empathy, support
How can pain be treated with palliative care?
- pain meds
- relaxation
- imagery
- distraction
