Spritual Health: Loss & Grief

Question 1

definition of SPIRITUALITY

Answer 1

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

Question 2

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

Answer 2

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

Question 3

self-transcendence

Answer 3

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

Question 4

connectedness

Answer 4

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

Question 5

faith

Answer 5

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

Question 6

hope

Answer 6

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

Question 7

spiritual well being

Answer 7

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

Question 8

definition of SPIRITUAL HEALTH

Answer 8

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

Question 9

spiritual distress

Answer 9

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

Question 10

how do the sets of ILLNESS influence spirituality?

Answer 10

• 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

Question 11

FICA

Answer 11

• faith
• importance
• community
• address

Question 12

spiritual well-being (SWB) scale

Answer 12

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

Question 13

NANDAs

Answer 13

• risk for spiritual distress
• defective spiritual distress
• hopelessness
• spiritual distress
• decreased spiritual distress

Question 14

how can we PROMOTE spiritual health?

Answer 14

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

Question 15

what are the TYPES OF LOSS?

Answer 15

• ACTUAL LOSS
• PERCEIVED LOSS

Question 16

what are the types of ACTUAL LOSS?

Answer 16

• 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

Question 17

perceived loss

Answer 17

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

Question 18

grief

Answer 18

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

Question 19

mourning

Answer 19

the PROCESS OF GRIEVING

Question 20

bereavement

Answer 20

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

Question 21

what are the TYPES OF GRIEF? (5)

Answer 21

• 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)

Question 22

what are the STAGES OF GRIEF?

Answer 22

1. DENIAL
2. ANGER
3. BARGAINING
4. DEPRESSION
5. ACCEPTANCE

Question 23

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

Answer 23

• recognize
• react
• recollect
• re-experience
• relinquish
• readjust
• reinvest

Question 24

ELNEC

Answer 24

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

Question 25

ANA

Answer 25

develops scope & standards of hospice & palliative nursing care

Question 26

ASPM (american society of pain management nurses)

Answer 26

EBP guidelines for pain management/EOL

Question 27

AACCN (american asso. of critical care nurses)

Answer 27

guidelines for EOL clinical & ethical issues

Question 28

factors to consider about LOSS & GRIEF

Answer 28

• 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?

Question 29

what to consider during GRIEF?

Answer 29

• coping style
• grief response; cannot eat/sleep, crying, being absent-minded
• being PRESENT always for the patient and the family

Question 30

NANDAS

Answer 30

 Impaired family coping
 Death anxiety
 Pain (Acute or Chronic)
 Dysfunctional Grief
 Anticipatory Grief

Question 31

definition of PALLIATIVE CARE

Answer 31

• not focused on CURATIVE CARE for the patient
• focus; PREVENTION, RELIEF, and REDUCTION of SYMPTOMS
• achieving the BEST POSSIBLE QUALITY of LIFE

Question 32

definition of HOSPICE CARE

Answer 32

• specific to TERMINALLY ILL PATIENTS
• focus; pain management and ensuring quality of life
• more TIME-SENSITIVE

Question 33

modeling

Answer 33

seen at the end of life; darkening of the extremities–body is shutting down

Question 34

autopsy

Answer 34

the SURGICAL DISSECTION of the body after DEATH to determine the cause of death

Question 35

postmortem care

Answer 35

care with RESPECT and DIGNITY immediately after death
- preventing of DISCOLORATION, TISSUE DAMAGE, or DEFORMITIES