Loss Flashcards
WHO definition of HEALTH
a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
–>realistic medicine
just coz u can offer treatment, doesn’t mean you should
can’t stop death, but can manage
15-24 age biggest cause of death
road traffic accidents
suicide
under 15 biggest cause of death
life limiting diseases
murder
what are the leading causes of death in Scotland 2018
ischaemic heart disease
dementia/ alzheimer’s
lung c
cerebrovascular disease (including stroke)
chronic lower respiratory diseases (bronchitis, emphysema)
what is a gradual death
old age, chronic illness
what is a premature death
sudden. accidents
what is a catastrophic death
war, disaster, terrorist
how when does sudden death happen
often untimely (young)
often traumatic (RTA, crime, suicide, violent)
might be a time lapse between death and family involvement- weeks before they can see body
always involve PROCURATOR FISCAL AND POLICE- coroner in rest of uk, they decide what happens to the body
what is observatory resuscitation
they know everything is done that could be done
what was a big thing about covid and death
inability of loved ones to be present- anxiety, distress, moral injury
also for healthcare workers
what are the significant changes to how we care for dying and support bereaved since covid
working in unknown
changes to traditional patterns of practice/working
clinical/ ethical decisions ITU, DNCPR
use of tech- lack of human contact
disruption to education/ training
disruption to personal life
what basic principles of end of life care remain
dignity
compassion
respect
self care
what is the theory for grief
dual process model of coping with bereavement
LOSS-ORIENTED (if depressed, will stay in this and not go back and forward)
RESTORATION-ORIENTED
Is grief normal reaction
yes-
sense of unreality/helplessness
strong emotions- anger, crying, guilt
blame– HCP, other fam members
how do you know how long someone has
deteriorating by months, months left
deteriorating by weeks, weeks left
deteriorating by days, days left
memory boxes
write letters etc just incase
what are the golden rules
they have died, not passed
avoid platitudes, especially with children around
-she’s gone to a better place
-hes at peace now
hold the space
-dont be afraid of emotions
-dont be afraid of silence
-TIME AND PRESENCE
how to live and work with gried
self-care
understand your feelings
consider what you think about death and dying
safe place and people USE them
clinical/pastoral supervision
reflective practice
mindfulness and meditation
education programmes
SAD uk
think about what you believe
be prepared to change views
care for deceased as people
care for bereaved
care for yourself
dont worry
