Spritual Health: Loss & Grief Flashcards

1
Q

definition of SPIRITUALITY

A

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

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2
Q

how does one’s own SPIRITUALITY relate to the healing process?

A
  • can give a POSITIVE IMPACT on the ability to cope
  • healing often takes place because of believing
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3
Q

self-transcendence

A

the sense of AUTHENTICALLY connecting to one’s inner self
- transcendence; belief in an outside force

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4
Q

connectedness

A

being connected with SELF, OTHERS, ENVIRONMENT, God or
other higher power

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5
Q

faith

A

a SET OF BELIEFS that relate to oneself, others, or a supreme being despite lack of evidence

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6
Q

hope

A

confident but UNCERTAIN EXPECTATION of achieving a future goal
- brought by FAITH; specific attitude, gives comfort

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7
Q

spiritual well being

A

specific DIMENSIONS of meaning & purpose; gives a SENSE OF PEACE & FUFILLMENT with others & God

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8
Q

definition of SPIRITUAL HEALTH

A
  • represents a BALANCE; and begins to MATURE over time and as one becomes aware of own purpose
  • can change and develop
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9
Q

spiritual distress

A

a specific DISRUPTION in the LIFE PRINCIPLE and transcends person’s biologic & psychosocial nature; can make ONE QUESTION their IDENTITY and VALUES

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10
Q

how do the sets of ILLNESS influence spirituality?

A
  • 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
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11
Q

FICA

A
  • faith
  • importance
  • community
  • address
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12
Q

spiritual well-being (SWB) scale

A

type of 20 question scale; assessing the patient’s relationship with god + sense of life purpose

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13
Q

NANDAs

A
  • risk for spiritual distress
  • defective spiritual distress
  • hopelessness
  • spiritual distress
  • decreased spiritual distress
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14
Q

how can we PROMOTE spiritual health?

A
  • have an ESTABLISHING PRESENCE; answer questions/be with the patient
  • have a SUPPORTIVE RELATIONSHIP
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15
Q

what are the TYPES OF LOSS?

A
  • ACTUAL LOSS
  • PERCEIVED LOSS
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16
Q

what are the types of ACTUAL LOSS?

A
  • 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
17
Q

perceived loss

A

UNIQUE to the person and can be LESS OBVIOUS to others
ex. feelings of REJECTION from FRIENDS or SOCIAL GROUP

18
Q

grief

A

feelings of SORROW; involves THOUGHTS, FEELINGS, BEHAVIOR, any response to loss

19
Q

mourning

A

the PROCESS OF GRIEVING

20
Q

bereavement

A

a SUBJECTIVE EXPERIENCE; response to LOSS through DEATH; involves grief & mourning

21
Q

what are the TYPES OF GRIEF? (5)

A
  • 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)
22
Q

what are the STAGES OF GRIEF?

A
  1. DENIAL
  2. ANGER
  3. BARGAINING
  4. DEPRESSION
  5. ACCEPTANCE
23
Q

what are the R’s in RANDO’s R PROCESS MODEL? (7)

A
  • recognize
  • react
  • recollect
  • re-experience
  • relinquish
  • readjust
  • reinvest
24
Q

ELNEC

A

provides nurses education to care for patients and families experiencing loss, grief, death, or bereavement

25
ANA
develops scope & standards of hospice & palliative nursing care
26
ASPM (american society of pain management nurses)
EBP guidelines for pain management/EOL
27
AACCN (american asso. of critical care nurses)
guidelines for EOL clinical & ethical issues
28
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?
29
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
30
NANDAS
 Impaired family coping  Death anxiety  Pain (Acute or Chronic)  Dysfunctional Grief  Anticipatory Grief
31
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
32
definition of HOSPICE CARE
- specific to TERMINALLY ILL PATIENTS - focus; pain management and ensuring quality of life - more TIME-SENSITIVE
33
modeling
seen at the end of life; darkening of the extremities--body is shutting down
34
autopsy
the SURGICAL DISSECTION of the body after DEATH to determine the cause of death
35
postmortem care
care with RESPECT and DIGNITY immediately after death - preventing of DISCOLORATION, TISSUE DAMAGE, or DEFORMITIES