lecture 10 Flashcards
dying and spirituality
1
Q
what is bereavement?
A
the state of having suffered a loss
2
Q
what is grief?
A
- a natural reaction to any perceived loss
- unique reactions while in bereavement
3
Q
what is mourning?
A
- the social expression of grief
- entails culturally defined acts
4
Q
what is prolonged grief disorder (complicated grief)?
A
- occurs when there is a debilitating intensity of duration of normal grief responses
- adversely affects ability to cope with normal life events
5
Q
what are the 3 types of loss? what occurs with each?
A
- actual: perceived by others
- perceived: cannot be verified by others
- anticipatory: experienced before loss occurs
6
Q
what is situational loss? what are 3 examples?
A
- unexpected/unusual circumstances
- job loss
- death of a child
- loss of funcitonal ability r/t illness/injury
7
Q
what is developmental loss?
A
- normal development
- children leave home, retirement, death of parents
8
Q
what are the stages of grief?
A
- denial
- anger
- depression
- bargaining
- acceptance
9
Q
what 8 factors influence loss and grief?
A
- age
- significance of loss
- culture
- spiritual beliefs
- gender
- socio-economic status
- support systems
- cause of death
10
Q
what are 5 signs of impending clinical death?
A
- loss of muscle tone
- slow circulation
- respiration changes
- sensory impairment
- various consciousness levels
11
Q
what are 3 challenges of addressing spirituality in nursing?
A
- lack of time
- technological focus of practice
- personal discomfort addressing the issue
12
Q
what is the TRUST model for spiritual assessment and care?
A
- traditions: spiritual or religious practices
- reconciliation: unresolved issues and exploration of how these might be reconciled
- understandings: personal beliefs
- searching: existential/belief questions
- teachers: spiritual/religious mentors
