Major Concepts - Preparedness For End of Life: Dementia (SS)

Question 1

What is the role of the nurse for this theory?

Answer 1

To enhance preparedness of the caregiver for death of the person with dementia

Question 2

What are three components of preparedness according to Durepos?
(DCS)

Answer 2

1. Sense of control, managing the situation
   -organizing, planning, and meeting the person’s wishes and needs
2. Doing right, fulfilling obligations
   -moral (saying goodbye), legal (finances)
3. Coming to terms, adapting to terms
   -acceptance

Question 3

What are the 4 domains of preparedness?
(SPPM)

Answer 3

1. Medical - signs, symptoms, indications of dying/death
2. Practical - legal, financial
3. Psychospiritual - emotions, grief response
4. Spiritual - finding the silver-lining, completing loved-one’s life, accepting losses

Question 4

What are the three underlying traits of preparedness?
(CAB)

Answer 4

1. Cognitive = knowledge
2. Affective = emotions
3. Behaviors = skills, actions

Question 5

What are interventions for preparedness?

Answer 5

-Discussing prognosis, recognizing changes, information on what death/dying looks like with dementia
-Advanced care planning
-Life closure activities
-Emotional/spiritual support
-After-death planning, policies, procedures are discussed

Question 6

How long a person has been caregiving does _______ equate to how prepared they are for death.

Answer 6

NOT

Question 7

What are three outcomes of preparedness?

Answer 7

-satisfaction with EOL care and quality of dying
-caregiver mental health and well-being (no/poor preparedness = complicated grief)
-adaptation and adjustment in bereavement

Question 8

Why do families often feel unprepared for their loved-one’s death?

Answer 8

B/C of a lack of communication that their family member was dying
-doctors often assume that the family understands this when the person who is dying has been in care for a long/drawn out time.