Palliative part 2 Flashcards
Describe the supportive care model
Based on observing the nursing practice in a Pain and Symptom Control clinic
Model consists of six interwoven dimensions
Dimensions are directed towards emotional aspects of dying and practical concerns of patients and carers.
describe valuing
Provides the context for supportive care
Involves respect for a particular individual
Primarily an attitude which underlies action
describe connecting
Connecting with the patient and family
-Establishing a trusting relationship
- Sustaining the connection requires the nurse to spend time with the patient and family and to give of oneself
-After the patient dies connection continues for a time in the form of bereavement support
Eventually the connection will be broken
describe empowering
Building on the strengths of the patient and family
Assess for and support effective coping techniques
Assist with decision making; supporting the choices they make; providing information
Letting them vent
Describe “doing for”
Goal is to free up the person and family so that energy can be focused on really important areas for them
Includes pain and symptom management, co-ordination of care, and advocating for patient and family
Collaborate with patient/family to establish goals and care plan
Describe “finding meaning”
Involves focusing on living and making the best use of time remaining
People need to be able to make sense of what is happening to them
Important to support realistic hope
Care for spiritual needs
Describe “preserving integrity”
The core of the Supportive Care Model
Refers to the integrity of both the patient and the nurse
Nurse needs to be able to maintain a sense of self-worth and to take care of self
Integrity of patient and family is maintained through the balanced attention to all dimensions
Really means: holistic approach to providing care to the person and family
Describe self care
Learning to receive as well as give Learning to grieve Replenishing oneself Staying healthy Being able to let go of personal agendas
What do the terms complicated and anticipatory grief mean?
- abornmal/complicated grief: unresolved issues between people and the individual passes.
- Anticipatory grief: sometimes grieving starts before the individual passes. This could lead to a sense of relief when the person does pass which can create confusion within the person.
Describe disenfranchised grief, shadow grief, and companioning.
- Disenfranchised grief: not something that can be openly talked about e.g. having an abortion, suicide, drunk driver death (family feels grief over loss of drunk driver, however do not feel like they can openly talk about it), grieving your divorced spouse.
- Shadow grief: grief that comes back e.g. often seen around holidays/special events.
- Companioning: walking along side someone as they’re mourning.
What are the 6 R’s of Mourning?
recognize the loss React to the separation Recollect and re-experience the decease Relinquish old attachments Readjust to a new world Reinvest emotionally
What factors influence how a person grieves?
Expected vs unexpected Relationship to the person Learned and adopted coping strategies Developmental stage Support system Belief system Accessibility to help/support system
