Random Info

Question 1

types of loss

Answer 1

possessions (theft, misplacement)
known environment (leaving home, new job)
significant other (divorce, loss of friend)
aspect of self (body part, job)
life (death of family member, friend)

Question 2

stages of grief with death

Answer 2

denial
anger
bargaining
depression
acceptance

Question 3

how many american children will lose a parent before age 18?

Answer 3

1 in 14

Question 4

SPIKES (breaking bad news)

Answer 4

S - Setting up - plan your approach and arrange for privacy
P - Perception - find out what patient is like outside of the hospital
I - Invitation - understand what the patient/family knows and ask what they would like to know
K - Knowledge - provide info clearly and with a one-sentence headline of most important info and then stop
E - Emotions - acknowledge the patient/family emotion explicitly
S - Strategy - summarize and set out a medical plan of action. if they need more time, hold on this step

Question 5

physical changes hours or days before death

Answer 5

sleeping/unresponsiveness
coolness and color changes (cyanosis etc.)
incontinence
decreased and dark-colored urine
confusion
decreased appetite
congestion
altered breathing
decreased muscle tone
weakness and fatigue