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Fund Final > Loss, Grief and Dying > Flashcards

Loss, Grief and Dying Flashcards

1
Q

Actual loss is…

A

loss that can be identified by others

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2
Q

Physical loss is…

A

Injuries, loss of body function, removal of body organs or limbs

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3
Q

External loss is…

A

Actual losses of objects that are important to the person because of their cost or sentimental value

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4
Q

Perceived loss is…

A

internal,; can only be identified by the person experiencing it

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5
Q

Psychological loss is…

A

Challenge our belief system; involve sexuality, control, meaning, trust

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6
Q

Internal loss is…

A

Same as perceived or psychological

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7
Q

John Bowlby stages of grief

A

Shock and Numbness
Yearning and Searching
Disorganization and Despair
Reorganization

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8
Q

Uncomplicated

A

natural response to a loss. Certain feeling and behaviors are expected within his culture

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9
Q

Complicated

A

not adapting in a healthy way to the loss

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10
Q

Complicated Chronic

A

long-term with little resolution

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11
Q

Complicated Masked

A

expressing grief through changes in behavior (drinking, isolating oneself, working more to forget)

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12
Q

Complicated Delayed

A

putting grieving off until later

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13
Q

Disenfranchised

A

experiencing a loss that is not socially supported or acknowledge by traditional means
Miscarriage, loss of a homosexual partner

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14
Q

Anticipatory

A

experiencing feelings of grief before the loss actually occurs

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15
Q

Physiological stages of dying

A 
1 to 3 months prior to death
Dying person socially withdraws
Sleep increases, appetite decreases
1 to 2 weeks prior to death
Physical changes occur (decrease BP, temp fluctuates, skin becomes pale, periods of apnea during sleep)
Days to hours prior to death
Shallow, rapid breathing followed by Cheyne-Stokes respirations
Peripheral circulation decreases
Body muscles relax
Restlessness and agitation
Moments prior to death
Person cannot be aroused and does not respond to touch or sound
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16
Q

5 Stages of grief

A

Denial – characterized by shock and disbelief, serves as a buffer to mobilize defense mechanism
Anger- resistance of the loss occurs, anger is typically directed toward others
Bargaining - deals are sought with God or other higher power in an effort to postpone the loss
Depression- loss is realized; may talk openly or withdraw.
Acceptance- recognition of the loss occurs, disinterest may occur; future thinking may occur.

17
Q

Types of end-of-life care

A

Palliative

Hospice

18
Q

Palliative care

A

Holistic comfort care
Managing the symptoms of the disease process, not the actual disease
Examples:
Administering medicine for pain/nausea
Providing oral care for pt who can no longer eat/drink
NOT the following
Surgical procedures to sustain life such as inserting a gastrostomy tube
Intubating patient and placing on mechanical ventilation

19
Q

Hospice care

A

Holistic care of dying clients
Physician has determined the patient will likely not survive past 6 months
Key Points
The quality of life is still VERY important
The dying person should be allowed to face death with dignity and surrounded by those people he cherishes
Assisting the family is an integral part of hospice nursing
Priorities are keeping the patient comfortable (pain meds, oral care) NOT forcing them to do things that will really have no bearing on their prognosis (i.e. getting them out of bed, forcing them to eat, even turning them can cause pain)

20
Q

Advance directives

A

Living will
Pt has the right to change this at any time
We do not need a doctor’s order for a Living Will
Durable power of Attorney

21
Q

DNR

A

Do not resuscitate

22
Q

Euthanasia

A

Active: direct action causes death
Passive: withholding care the patient doesn’t want

23
Q

Assisted suicide

A

q

24
Q

Autopsy

A

q

25
Q

Organ donation

A

q

26
Q

Assessment for Terminally Ill Client and Family

A 
Knowledge base
History of loss
Coping abilities and support systems
Meaning of the loss/illness
Physical assessment
Cultural and spiritual assessment
27
Q

Possible Nursing Dx that could have loss and grieving as the etiology (“related to”)

A

Anxiety
Fatigue
Imbalanced Nutrition: Less than Body Requirements
Spiritual Distress

Fund Final (24 decks)

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