Spritual Health: Loss & Grief Flashcards
definition of SPIRITUALITY
an AWARENESS of one’s INNER SELF and having a sense of CONNECTION to a higher being, nature or some PURPOSE greater than onself
- important for instilling hope/getting through any difficulties
- different meanings for diff. people
how does one’s own SPIRITUALITY relate to the healing process?
- can give a POSITIVE IMPACT on the ability to cope
- healing often takes place because of believing
self-transcendence
the sense of AUTHENTICALLY connecting to one’s inner self
- transcendence; belief in an outside force
connectedness
being connected with SELF, OTHERS, ENVIRONMENT, God or
other higher power
faith
a SET OF BELIEFS that relate to oneself, others, or a supreme being despite lack of evidence
hope
confident but UNCERTAIN EXPECTATION of achieving a future goal
- brought by FAITH; specific attitude, gives comfort
spiritual well being
specific DIMENSIONS of meaning & purpose; gives a SENSE OF PEACE & FUFILLMENT with others & God
definition of SPIRITUAL HEALTH
- represents a BALANCE; and begins to MATURE over time and as one becomes aware of own purpose
- can change and develop
spiritual distress
a specific DISRUPTION in the LIFE PRINCIPLE and transcends person’s biologic & psychosocial nature; can make ONE QUESTION their IDENTITY and VALUES
how do the sets of ILLNESS influence spirituality?
- ACUTE ILLNESS
can become frustrated - CHRONIC ILLNESS
can feel powerless or like a burden - TERMINAL ILLNESS
feeling uncertain or frustrating - NEAR DEATH EXPERIENCE
- having psychological phenomenons/out-of-body experiences
FICA
- faith
- importance
- community
- address
spiritual well-being (SWB) scale
type of 20 question scale; assessing the patient’s relationship with god + sense of life purpose
NANDAs
- risk for spiritual distress
- defective spiritual distress
- hopelessness
- spiritual distress
- decreased spiritual distress
how can we PROMOTE spiritual health?
- have an ESTABLISHING PRESENCE; answer questions/be with the patient
- have a SUPPORTIVE RELATIONSHIP
what are the TYPES OF LOSS?
- ACTUAL LOSS
- PERCEIVED LOSS
what are the types of ACTUAL LOSS?
- NECESSARY LOSS
often known as MATURATIONAL LOSSES; ex. college student moving away - SITUATIONAL LOSS
changes often from losing a person or quality. ex. illness, death, can be permanent
perceived loss
UNIQUE to the person and can be LESS OBVIOUS to others
ex. feelings of REJECTION from FRIENDS or SOCIAL GROUP
grief
feelings of SORROW; involves THOUGHTS, FEELINGS, BEHAVIOR, any response to loss
mourning
the PROCESS OF GRIEVING
bereavement
a SUBJECTIVE EXPERIENCE; response to LOSS through DEATH; involves grief & mourning
what are the TYPES OF GRIEF? (5)
- NORMAL (UNCOMPLICATED)
- ANTICIPATORY (before loss occurs)
- DISENFRANCHISED **relationship to person that passed; not socially accepted ex. pregnancy loss or former spouse
- AMBIGUOUS - type of disenfranchised grief; where person is not mentally available
- COMPLICATED (chronic, exaggerated, delayed, masked)
what are the STAGES OF GRIEF?
- DENIAL
- ANGER
- BARGAINING
- DEPRESSION
- ACCEPTANCE
what are the R’s in RANDO’s R PROCESS MODEL? (7)
- recognize
- react
- recollect
- re-experience
- relinquish
- readjust
- reinvest
ELNEC
provides nurses education to care for patients and families experiencing loss, grief, death, or bereavement
ANA
develops scope & standards of hospice & palliative nursing care
ASPM (american society of pain management nurses)
EBP guidelines for pain management/EOL
AACCN (american asso. of critical care nurses)
guidelines for EOL clinical & ethical issues
factors to consider about LOSS & GRIEF
- how old is the patient/how old are their family members?
- what is their relationship with the patient?
- how can the patient cope?
- what is their culture/religious beliefs?
what to consider during GRIEF?
- coping style
- grief response; cannot eat/sleep, crying, being absent-minded
- being PRESENT always for the patient and the family
NANDAS
Impaired family coping
Death anxiety
Pain (Acute or Chronic)
Dysfunctional Grief
Anticipatory Grief
definition of PALLIATIVE CARE
- not focused on CURATIVE CARE for the patient
- focus; PREVENTION, RELIEF, and REDUCTION of SYMPTOMS
- achieving the BEST POSSIBLE QUALITY of LIFE
definition of HOSPICE CARE
- specific to TERMINALLY ILL PATIENTS
- focus; pain management and ensuring quality of life
- more TIME-SENSITIVE
modeling
seen at the end of life; darkening of the extremities–body is shutting down
autopsy
the SURGICAL DISSECTION of the body after DEATH to determine the cause of death
postmortem care
care with RESPECT and DIGNITY immediately after death
- preventing of DISCOLORATION, TISSUE DAMAGE, or DEFORMITIES
