Relational Practice, Loss & Grief Flashcards
What are the 5 behaviour-oriented stages of grief according to Kubler-Ross?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
What are the 4 attachment-oriented phases of mourning according to Bowlby?
- Numbing –> Protects the person from the full impact of loss
- Yearning and screening –> Acute distress
- Disorganization and despair –> Examines loss and expresses anger
- Reorganizing –> Begins to accept change
What are the 4 tasks of mourning according to Worden?
- To accept the reality of the loss
- Work through/Experience the pain of grief
- Adjust to the environment in which the deceased is missing
- Emotionally relocate the deceased and Reinvest in the new reality
What are the 4 types of grief?
- Uncomplicated grief (‘normal’)
- Anticipatory grief
- Complicated grief (not legitimized by society)
- Disenfranchised grief (chronic, delayed, exaggerated, masked)
What is palliative care?
Approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems
What are the major components of palliative care?
- Symptom control
- Managing dignity and self-esteem
- Preventing abandonment and isolation
- Providing a comfortable and peaceful environment
- Fear of dying and death
- Supporting grieving family
What is hospice care?
An alternative care delivery model for terminally ill patients that provides family-centered care to maintain a satisfactory lifestyle until death
What strategies can be used to care for yourself as a healthcare provider?
- Debriefing
- Reflection
- Rituals
- Hospital support
What is relational practice?
An inquiry that is guided by conscious participation with clients using a number of relational skills
Relational practice encompasses therapeutic nurse-client relationships and relationships among healthcare providers
What are the 7 nursing values and ethical responsibilities?
- Providing safe, compassionate, competent and ethical care
- Promoting health and well-being
- Promoting and respecting informed decision-making
- Honouring dignity
- Maintaining privacy and confidentiality
- Promoting justice
- Being accountable
What are the elements of professional communication?
- Courtesy
- Use of names
- Trustworthiness
- Autonomy and responsibility
- Assertiveness
What are the 5 critical principles of a therapeutic nurse-client relationship?
- Trust
- Respect
- Professional intimacy
- Empathy
- Power
Regaring therapeutic nurse-client relationships, nurses are accountable for what according to the CNO? (4)
- Therapeutic communication skills to establish the therapeutic relationship
- Client-centred care
- Maintaining boundaries
- Protecting clients from abuse
What are the 4 requisite capacities related to the establishment of a therapeutic relationship?
- Self-awareness
- Self-knowledge
- Empathy
- Awareness of boundaries and limits of the professional role
What are the 4 phases of the therapeutic relationship?
- Preinteraction phase –> plan for initial interaction
- Orientation phase –> first encounter with patient
- Working phase –> working together to solve problems and achieve goals
- Termination phase –> ending of nurse-patient relationship
