Role 3 End of Life UTF8 Flashcards
Loss
actual or potential situation where something of value changed or is gone.
Death is fundametal loss for
the dying person and survivors
Types of Loss
Actual, perceived, anticipatory
actual loss
can be recognized by others
perceived loss
cannot be verified by others
anticipatory loss
feeling of loss before actual lose
Grief is
a total response to the emotional experience of loss
Bereavement is
SUBJECTIVE response by survivors; family gather to share stories
Mourning is
Behavioral process where grief is resolved/altered; RN what (objective) behavior can you assess?
Grieving is
essential for good mental health. It permits ppl to cope with loss gradually to accept as part of reality.
Types of Grief Responses are
abbreviated, anticipatory, disenfranchised, complicated
abbreviated grief response
brief but genuine
anticipatory grief response
grief felt in advance, like cancer
disenfranchised grief response
grief canﾒt be spoken about, like suicide
complicated grief response; like one person grieving alone.
unresolved or chronic
Kubler-Ross five stages of grief are
denial, anger, bargaining, depression, acceptance
denial
refuse to believe; it’s not happening; RN use therapeautic presence and talking
anger
resisting and directing anger towards others; RN this a safety issue. Say I know you’re angry and I understand why. Feeling angry is normal.
bargaining
feels guilty; take me instead; amputee grieve freedom lost; RN provide info to help with decision and do therapeautic talk
depression
grieves over person and all their dreams; may or may not talk; don’t give antidepressants unless > 1 yr complicated grieving; therapeautic listen and talk
acceptance
come to term with loss after a year; begin making plans.
Factors affecting grief and death
culture, gender role, meaning of relationships, spiritual belief, support system, cause of death
