Grief/Loss(30%) Flashcards

1
Q

Actual loss

Def/examples

A

Recognized by others as well as person experiencing the loss

Example: limb, child, job, money

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2
Q

Perceived loss

Def/Ex.

A

Experienced by the person. It so easily recognized by others

Ex: loss of youth, finical independence

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3
Q

Maturational loss

Def/example

A

Any loss normally EXPECTED due to development processing of life

Ex: Empty-nesting, child with blanket

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4
Q

Situational loss

Def/ex

A

Unanticipated loss caused by an external event

Ex: fire, child death, divorce, disaster/car crash

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5
Q

Anticipatory loss

Def/Ex:

A

Loss you know that is going to happen

Ex: serious life threatening illness/ cancer

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6
Q

Grief

Def/Ex:

A

Internal EMOTIONAL reaction to loss

Ex: insomnia, fatigue, isolation, sad

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7
Q

Mourning

Def/Ex:

A

Actions/expressions of grief

Ex: crying, anxiety

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8
Q

5 stages of Grief

Examples:

A
Denial- not worried, back to normal 
Anger- lash out
Bargaining- negotiates 
Depression- withdrawn. Isolation 
Acceptance- plans for future
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9
Q

Complicated grief

3 examples / time frame

A

Feeling of loneliness, disturbance in personal life, intense thoughts last longer than 6 months after loss

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10
Q

Examples of complicated grief (4)

A

CHRONIC- grieving longer than 6 months, reduced ability to return to normal
INHIBITED -unable to work through grief/ mourning
DELAYED- may not grieve initially, extreme grief later
EXAGGERATED-celebrity death) mourning may not correlate with degree of loss

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11
Q

Definition of death

A

Not breathing, no response to painful stimuli or lack of reflexes and spontaneous movement

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12
Q

Definition of good death

A

Allows person to die on ones own terms, with dignity and free of pain

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13
Q

Signs of approaching death(7)

A
Decrease LOC
Cheyne stokes breathing 
Cool extremities 
Perspiration 
Decrease output 
Inability to swallow 
Mottling
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14
Q

Definition of Palliative Care

Time frame offered: goal

A

Offered right when person gets diagnosed

Give someone with a life threatening illness best quality of life with aggressive management of their symptoms

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15
Q

Definition of Hospice Care

A

End of life care for someone less than 6 months to live

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16
Q

Advanced directives (2)

POLST

A

Living Will

Durable Power of Attorney

Physician Order of Life sustaining treatment

17
Q

“Slow Code”

Def/ charged with ?

A

Physician believes pt will not benefit from resuscitation measures. Calling code is delayed. Nurse can be charged with negligence if pt ends up dying

18
Q

Developmental knowledge of death

1-3) (3-5) (9-12

A

(1-3) regress, little no concept of death, mirror parents emotions
(3-5) view death as temporary, punishment, guilt
(9-12) start to realize death is irreversible