mental health Flashcards
S/sx of final days
person starts to withdraw, decrease socialization, decreased LOC, increased sleeping, decreased ability to swallow
physical signs: loss of bladder & bowel, decrease of urine, change in temp, skin appearance and breathing pattern
how to support the family
provide privacy, encourage, accept and allow for expressions of grief and sadness
create peaceful environment (soft lightening, decrease clutter)
signs of impending death
irregular breathing, extremities cool to touch, mottling in color, non responsive to voice and touch
signs of death
absence of breathing & heart rate for 3 minutes, eyes fixed and slightly open, color change
family reactions to a fatal illness
discovery and diagnosis induction and remission maintenance recover relapse terminal stage
care of body after death
avoid using strings (leaves indentations)
use wide gauze to loosely wraparound fingers
don’t use chin strap
put something small under head for normal positioning
do not put body face down
if plastic bags are used keep loose at the head
going through stages of grief before death, preparations
anticipatory grieving
outward expression of our grief, what others see
mourning
out internal suffering, what others don’t see
grief
when dealing with death and dying what must you do
must first examine own mortality, be compassionate and caring and be a good listener
ability to cope is based on what
post experience, methods of coping, support systems and suddenness
Elizabeth Kubler-Ross stages of dying
denial "no, not me" rage/anger "why me" bargaining "yes me, but" depression "yes me" acceptance "its all right"
what are the three cardinal rules for death and dying cultural beliefs and practices
ask the pt about cultural practices
respect values and traditions
accommodate requests whenever possible
Davidson normal grief response
shock and numbness ‘failure to accept reality”
searching and yearning “guilt”
disorientation “ loneliness, isolation”
reorganization “accepts or is resigned to the loss”
normal grief response
is predictable but can dkip, have overlapping and repeats
abnormal grief
if after 3 years…
deceased room and belongings intact, talk about loss as though it has just happened, inability to remember the deceased, preoccupied with thoughts of deceased, talks about deceased as though still alive
nursing dx
anticipatory grief
prolonged grief
no resumption of normal activities of daily living within 4-8 weeks of a loss
when should someone find help
don’t begin to feel better over time
abuse alcohol or meds to help feel better
think about suicide
the persistent effect the birth of a special needs child brings
chronic sorrow
the final stages for chronic grief
restitution (acceptance)
stages of chronic sorrow
defense mechanisms (denial and disbelief) phase of developing awareness, characterized by overwhelming emotion restitution/acceptance
does chronic grief prevent parents from feeling jow, happiness, satisfaction, and accomplishment for the child they love
no it does not
what are the 2 pathological reaction patterns of chronic grief
extreme guilt (look for signs of excessive over protectiveness) parents may be intolerant of the child and deny relationship
