Loss, Death and Palliative Care Flashcards
What is the grieving process?
-first there is physical and psychological manifestations of acute grief (when it is first felt)
-middle period in which the manifestations of grief affect the person’s day-to-day functioning
-ending phase where the person learns to adjust to life in a new way without that which has been lost
Describe Worden’s Model of Bereavement
Four tasks:
-accept reality of the loss
-work through the physical and emotional pain
-adjust to life without the lost person
-find an enduring connection with the deceased and move on with life
Describe the Loss Response Model
-incorporates a systems approach that provides a framework for the design of nursing interventions
What are the types of grief?
-anticipatory
-acute
-persistent or complicated
-disenfranchised
What are the 7 stages of grief?
1) shock
2) denial
3) anger
4) bargaining
5) depression
6) testing
7) acceptance
What are the ways of countercoping?
-clarification and control
-collaboration
-directed relief
-cooling off
Describe the Living-Dying Interval model of dying
-dying begins at a moment called the “crisis knowledge of death” (when someone receives info that they will not live as long as anticipated) and ends at the moment of physiological death
What are the three distinct illness trajectories?
1) short period of decline over weeks, months, and occasionally years
2) long-term functional limitations and gradual deterioration in health and functioning, with intermittent exacerbations
3) prolonged dwindling over years
What are the 6 Cs?
-care
-control
-composure
-continuity
-closure
Define palliative care
an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual
