Legal, Ethical, Grief and Loss Flashcards
conservatorship
control of a persons property, money, etc.
guardianship
control of the person
utilitarianism
decisions based on the greatest good for the greatest number
deontology
decisions on whether action is morally right or wrong, with no regard for consequences
autonomy
right to self-determination
beneficence
duty to benefit others or promote good
nonmaleficence
requirement to do no harm
justice
fairness
veracity
honesty, truthfulness
fidelity
obligation to honor commitments and contracts
grieving/bereavement
the process by which a person experiences grief; the content and the process
mourning
outward expression of grief, may include cultural practices or rituals
anticipatory grieving
when facing an imminent loss, people begin to deal with the very real possibility of loss or death in the near future
Kubler-Ross’s Five Stages of Grief
denial, anger, bargaining, depression, acceptance
Engel’s Stages of Grieving
shock and disbelief, developing awareness, restitution (rituals related to loss), resolution of the loss (preoccupied with the loss), recovery
Worden’s Tasks of Grieving
accept, process, adjust, find
Dimensions of Grieving
cognitive, emotional, spiritual, behavioral, physiologic
Palliative Care
provides symptom management, not necessarily terminal, improves quality of life while continuing conventional treatment
Hospice Care
terminally ill, care provided at the end of life, improves quality of life, conventional treatments are typically stopped
Disenfranchised Grief
grief over a loss that is not or cannot be openly acknowledged, mourned publicly, or supported socially
Complicated Grief
person devoid of emotion or grieving for a prolonged period of time, expressions of grief that seem disproportionate to the event
signs of complicated grief
avoidance, feeling overwhelmed, panic, reactive psychosis, suicidal ideation, inappropriately hostile feelings, maladaptive avoidance, flooding with negative images, recurrent nightmares, self-injurious behaviors, failure to negotiate the process of mourning, feeling of inability to integrate the death with a sense of self and continued life
6 Nursing Interventions for Grieving
- Offer an attentive presence
- explore the perception of loss
- promote positive coping mechanisms
- utilize support groups and peer support
- respect the clients unique process of grieving
- use simple nonjudgmental statements to acknowledge the loss
