life-threatening illness / EOL (3) Flashcards
what is the leading cause of death in chlidren under 18
injury
what are the cognitive and behavioral responses that help a person manage internal and external demands
coping
what are defense mechanisms that may be shown in children with life-threatening illness
Regression: returning to younger behavior
Repression: involuntary forgetting
Denial
Postponement
Bargaining
what are the stages of grief parents go through about a terminally ill child
shock/disbelief → anger/guilt → deprivation/loss of control → anticipatory waiting → readjustment (if they live) → mouring (if they die)
why do parents experience anger/guilt for their child
they could not protect their child
what kind of behavior will siblings of a terminal child present?
envy, resentment, guilt, hostility, anger, insecurity, regression, fear
how do infants perceive death?
as separation and abandonment
how do toddlers perceive death
no understanding, someone is missing, separation anxiety
how do pre-schoolers perceive death
?
temporary, think they will return, think they caused
by what age do kids understand death is permanenet
6 y.o.
cultural implications of death?
each culture recognizes death differently, rituals differ
what are the kubler-ross stages of grief
Denial
Anger
Bargaining
Depression
acceptance
what are the worden tasks of grief
Accept reality of loss
Process the pain of grief
Adjust to life without your loved one
Find an enduring connection as life goes on
what is an interdisciplinary approach to anticipate, prevent and relieve suffering in a manner that enhances quality of life of patients and families regardless of the stage of disease
palliative care
when does palliative care begin
upon diagnosis
