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NURS 360 > Final > Flashcards

Final Flashcards

1
Q

narrative ethics

A

framework that helps people tell stories that allows nurses to choose the best way to act

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2
Q

what is narrative ethics interested in

A

preventing mutual misunderstanding

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3
Q

hx of palliative care

A

Economic prosperity following the war resulted in hospital coverage to have deaths in hosptial

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4
Q

principals of palliative care

A

dignity hope comfort QOL relief from suffering

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5
Q

nurses role in palliative care

A

initiates communication that reflects values and honors patients wishes

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6
Q

what is palliative care

A

seeks to improve pts QOL once a chronic/life limiting condition is diagnosed

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7
Q

3 theories and models that assist nurses in working with patients and families

A

shared theory unitary care model transition model

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8
Q

shared theory

A

nursing competence, self competence, interventions, palliatve care behaviours

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9
Q

unitary care model

A

uses interpretive reasoning and reflection to inc knowledge

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10
Q

values in unitary care model

A

pattern, wholeness, consciousness, caring, transformation, relationship meaning

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11
Q

transition model

A

palliative care approaches are similar to chronic condition management

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12
Q

factors that affect palliative care delivery in transition model

A

health problems (non ca pateints recieve more life prolonging interventions) policies nurses education in EOL care

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13
Q

pattern

A

every person is unique

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14
Q

wholeness

A

each person is greater then and different from the sum of their parts

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15
Q

consciousness

A

lots of personal growth, nurse helps family express thoughts and become conciouss of experience

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16
Q

transfomration/transcendence

A

nurse helps transform patients view of illness

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17
Q

relationship

A

connection and caring through dialogue, negotiation, meaning, creating, sharing

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18
Q

meaning

A

consists of understanding of illness and dying learned through nurse

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19
Q

primary nursing role when breaking bad news

A

to provide information and support in response to questions asked by patients and family that is essential to coping

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20
Q

shared minds def

A

new idea and prespective emerge through sharing of thoughts and feelings between 2+ people

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21
Q

interactional shared mind care

A

occurs when pt and HCP are engaged in dialogue and actively participating in process

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22
Q

transactional care shared mine

A

you are going through motions to get the jop done

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23
Q

benefit of interactional shared mine approach

A

allows nurse to connect with the patient

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24
Q

prognostication

A

estimates of a patients survival time

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25
Q

what does prognostication mean for the patient

A

may provide hope or let patient plan

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26
Q

cons of underestimation with prognostication

A

pt may think they are robbed of time

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27
Q

cons overestimation with prognostication

A

may cause excessivley aggressive/toxic treatments or delay referral to PC

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28
Q

disease trajectory

A

pattern in which disease typically follows

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29
Q

disease trajectory helpful

A

can help w prognostication

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30
Q

disease trajectory unhelpful

A

not all diseases follow the same pattern, every patient and disease is unique

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31
Q

what does quality of life mean in EOLC

A

subjective to pt emotionally stable pain controlled hope, dignity

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32
Q

what must the hcp beware of when a patient is making difficult desicions

A

patients often make medical decisions to fulfill someone elses psychological needs

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33
Q

advanced care planning

A

process of reflection and communication, lets people know what kind of health and personal care you would like to receive

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34
Q

what does an advanced care plan mean for the pt

A

that their wishes will be honored

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35
Q

what does advanced care plan mean for the family

A

it allows the family th know what the patient wants

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36
Q

who is involved in advanced care planning

A

doctor, loved ones, nurses

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37
Q

Roles and responsibilities of POA

A

gives someone permission to act on your behalf in legal matters (money business, private affairs)

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38
Q

who is involved in POA process

A

you, lawyer, two witnessess *cant be spouse or children)

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39
Q

temporary decision maker/representation agreement

A

someone who makes decisions temporarily when pt is unable to. POA interms of healthcare

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40
Q

what does a representation agreement mean for the pt

A

someonelse is making their healthcare descisions for a time

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41
Q

who can be involved in representation agreement

A

guardian, spouse, adult child

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42
Q

advanced directive

A

MOST/resus guide

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43
Q

what does Advanced directive mean for the patient

A

lets them choose what degree of intervention they want

44
Q

who is involved in the AD

A

doctor

45
Q

what is the PPS

A

scale used to measure patients performance at EOL

46
Q

how does PPS work

A

based on categories that we score the pt in

47
Q

when is PPS utilized

A

to quickly assess the patients fx level

48
Q

how does PPS inform patient care

A

prognostic value allows us to assess worklaod

49
Q

what is MAiD

A

occurs when an authorized health care provider provides or administers medication that intentionally brings about a person’s death, at that person’s request.

50
Q

what does maid mean for the patient

A

that they may be assisted with death if they meet the requirements

51
Q

nurses role in maid

A

duty to provide care that is safe, competent and ethical

52
Q

what if you are a nurse providing care for maid and you do not agree with it

A

you provide care until somebody is able to relieve you because you cannot abandon pt

53
Q

Grief

A

primarily emotional/affecive process of reacting to significant loss

54
Q

bowlby 4 phases of greif

A

shock and disbelief searching and yearning disorganization/despair rebuilding and healing

55
Q

how does worden view mourning

A

adaptation to loss

56
Q

wordens 4 tasks of mourning

A

accept reality of loss experience , pain and greif , adjust to enviro in which deceased is missing ,withdraw emotional injury/energy and invert into other relationships

57
Q

what is wordens most difficult task

A

Withdraw emotional injury/energy and invert in other relationships (most difficult task)

58
Q

cross cultural sensitivity 4 qs to ask

A

type of death r/t culture bereavement rituals after death ritual/practice appropriate emotional response

59
Q

bereavement

A

objective situation one faces after having lost an important person via death

60
Q

mourning

A

public display or eternal expression of greif

61
Q

sibling bereavement

A

maintain connections w deceased sibling by engaging in specific actions to keep them in touch

62
Q

ongoing attachement categories in sibling bereavement

A

regretting trying to understand catching up reaffirming influencing reuniting

63
Q

compassion fatigue

A

debilitating weariness brought on by repetitive response to the pain and suffering of others

64
Q

burnout

A

r/t stress in work environment

65
Q

3 characteristics of burnout

A

emotional exhaustion alientation from job related activities reduced performance

66
Q

difference between burnout and compassion fatigue

A

burnout springs from where you work, compassion fatigue is associated with the work you do

67
Q

othering

A

how we engage w those percieved different from oneself

68
Q

exclusionary othering

A

uses power within relationships for domination and subordination

69
Q

danger with exclusionary othering

A

uses power within relationship for domination and subordination

70
Q

inclusionary othering

A

uses power within relationships for transformation and relation building recognize respect, value abilities and strengths of others

71
Q

marginalization

A

individuals and groups who are ostrasized and excluded as a result of societal structures around dominat identities and idiologies

72
Q

what does marginalization do in healthcare

A

creates division between HCP and pt l/t suboptimal care

73
Q

racism

A

prejudice or discrimination based on belief that one group is superior

74
Q

oppression

A

situation where ppl are governed in an unfairwait preventing them from having equitable opportunities and freedom

75
Q

healthy immigration effect

A

immigrant comes to canada healtheir then canadians, then health declines

76
Q

stigma

A

set of negative/unfair beliefs that a society or group gave about something

77
Q

disease stigma

A

when groups are blamed for their illness bc they are viewed as lazy or unclean

78
Q

colonialsism

A

invasion, dispossesion, subjucation of ppl

79
Q

social justice

A

fair distrubution of resources and responsibilities among members of populations

80
Q

equity

A

quality of being fair and impartion

81
Q

eqaulity

A

state of being equal, especially in rights and oppurtunities

82
Q

truth and reconcilliation comission

A

desire to put events of the past behind us so we can work towards stronger/healthier future

83
Q

eg of truth and reconcilliation commission

A

response to residential school legacy in as incere indication and acknowledgement of injustices

84
Q

how does truth and reconcilliation commission establish new relationships

A

mutual recognition and respect

85
Q

standard temp descion maker/representation agreement

A

permits representative to make daily living descsions/healthcare, but not decision to refuse healthcare to preserve life

86
Q

non standard descion maker

A

expands representatives authority to include decsisions like refusing/giving conset for life supporting care/tx

87
Q

phase 1 bowbly and parkes

A

shock and disbelief

88
Q

shock and disbelief

A

human does what it needs to do to cope with reality. adaptive need to withdraw

89
Q

phase 2 bowbly and parkes

A

searching and yearning

90
Q

searching and yearning

A

attempt to undo or retract distressful reality, why us why now

91
Q

phase 3 bowlby and parkes

A

disorganization and despair

92
Q

disorganization and despair

A

full penetration of distress and of facing the loss ‘my life is over’

93
Q

phase 4 bowbly and parkes

A

rebuilding and healing

94
Q

rebuilding and healing

A

being restructing to proceed

95
Q

worden task 1 of mourning

A

accept reality of loss

96
Q

worden phase 2 of mourning

A

experience the pain of greif

97
Q

worden phase 3 of mourning

A

adjust to an environment in which the deceased is missing

98
Q

worden phase 4 of mourning

A

withdraw emotional energy and invest it into another relationship

99
Q

schubert and schultz dual process model

A

states that coping and predicting good versus poor adaption to a stressful life event in order to better understand how individuals . come to terms with bereavement

100
Q

treatment for compassion fatigue

A

practice self care

101
Q

treatment for burnout

A

managable workload

102
Q

risk factors for compassion fatigue/burnout

A

being in high acuity areas

caring role

poor self acare

exposure over time

age- old and have had enough

103
Q

self care practices to avoid or mitigate compassion fatigue

A

awareness

balance

connection

104
Q

cultural competence

A

set of congruent behaviours/attitudes and policies that come together in a system agency or among professionals

105
Q
A

NURS 360 (1 decks)

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