Grief/Concept of Death/Abuse Flashcards
When should nurse report abuse?
Mandatory reporters at any suspicion of abuse. Does not need to be definitive
What’s important to know about stories related to child abuse?
Ensure that the stories match up to the developmental age of the child
What are the three types of burns rt child abuse?
Tip/Walker: splash across the body (can be accidental)
Dip: burn up to a certain line
Stocking/glove burn: on hands and feet. child tries to pull away put parents hold them into tub
What injury might happen as a result of force feeding
Frenulum tear
Why are fractured ribs a sign of abuse?
Children ribs are not ossified, meaning they are very hard to break
What is important to note before you can suspect abuse? Rule out?
Need to rule out conditions such as hemophilia and osteogenesis Imperfecta
What conditions rt child/parent put child at risk for abuse from parents
Child: Congenital anomalies, colic, different looks than parents hoped for
Parental: Age (very young), having poor support systems, drug abuse, mental health
What are signs of shaken baby syndrome?
Retinal hemorrhage, subdural hemorrhage
Differences between palliative care and hospice care?
Hospice is typically last 6mo of life. Palliative: patient is still being treated for their disease. Hospice is supportive care and symptomatic relief.
What are the three types of grief?
Grief: normal emotions/reactions to passing of a loved one
Anticipatory grief: feelings of grief or loss that are felt before the loss actually happens
Complicated grief: heightened state of mourning that goes past the normal time frame (~1 yr)
What’s unique about grief of children?
They grieve in spurts
What are the 5 stages of grief?
Denial
Anger
Bargaining
Depression
Acceptance
When does palliative and hospice care end?
Continue through the death of the patient and after the patient passes away
Infant concept of death
No concept of death
Toddler concept of death
Egocentric: disruption in routine is most important to them
