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Nursing Term 1 ALY JENNA > UNIT 5 - ch. 12 spirituality & ch.13 experiencing loss > Flashcards

UNIT 5 - ch. 12 spirituality & ch.13 experiencing loss Flashcards

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1
Q

Define compassion

A

the force that empowers one to recognize and help someone in need

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2
Q

how should a nurses presence feel

A

calming, healing presence for patients

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3
Q

What are some factors during a nurse presence that can impact how the family feels? ( actions or behaviors of the nurse)

A

Eye contact
body language
calm voice
correct attitude
perceptions
care provided

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4
Q

What is compassion fatigue (how is it prevalent in a nurse role)

A

extreme state of distress associated with being in an environment where there is a constant exposure to high stress environments where therapeutic care by the nurse is constantly needed, can feel burnt out.

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5
Q

Define spirituality

A

the expression of meaning and purpose in life

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6
Q

Define spirit

A

the dimension of ones self

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7
Q

Define transcendence

A

the process of moving beyond ones self

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8
Q

define faith

A

a belief beyond self and what can be seen

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9
Q

define hope

A

confident expression for a better outcome

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10
Q

Define religion

A

a map that outlines beliefs, values and codes of conduct shared by a group of people.

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11
Q

Define spiritual distress

A

the disruption in the belief or value system of a person (situations, people, diagnosis, - anything that cause a dramatic reevaluation of ones life

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12
Q

What are some verbal signs someone is in spiritual distress

A

asking for a religious or spiritual leader (chaplain)
asking for prayer
talks about topics relating to life, purpose, or death.

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13
Q

What are some nonverbal signs that someone is in spiritual distress

A

exhibits neediness
depressed or withdrawn behavior
angry or noncompliant

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14
Q

What are some environmental signs that someone is in spiritual distress

A

has religious books, jewelry or symbols
displays family pictures

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15
Q

What are some situational signs that someone is in spiritual distress

A
  • has had a life- threatening diagnosis
  • is facing death
  • unexpected change
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16
Q

when conducting a initial spiritual assessment what 4 patient cues do you need to assess for

A
  • verbal
  • nonverbal
  • environmental
  • situational
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17
Q

What does FICA stand for in a focused spiritual assessment?

A

F: Faith and belief
I: importance of faith
C: Faith community involvement
A: Address spirituality

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18
Q

What does SPIRIT stand for in a focused spiritual assessment?

A

S: spiritual belief system
P: Personal spirituality
I: involvement in a spiritual community
R: Ritualized practices and restrictions
I: implications for medical care
T: terminal- events planning (advance directives)

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19
Q

What does HOPE stand for in a focused spiritual assessment?

A

H: Sources of hope, meaning, comfort, strength, people, love and connection
O: organized religion
P: personal spirituality and practice
E: Effects on medical care and end-of-life issues

20
Q

When doing a focused spiritual assessment what frameworks do you assess for (3)

A

F.I.C.A
S.P.I.R.I.T
H.O.P.E

know what these stand for

21
Q

List some nursing interventions to promote client spirituality.

A
  • allow time and self disclosure by the patient
  • be physically present and actively listen
  • support spiritual growth and the clients spiritual requests or needs
  • pray, encourage, support
  • arrange for a baptism for an at risk infant in emergency
22
Q

What is an Ethical responsibly of a nurse when providing spiritual care to a client

A

it is the nurses job to provide patient with their needs, this includes spiritual. if nurse refuses to provide spiritual care for patient’s because of bias or fear this represents a violation of the nurse’s commitment to nonmaleficence (inflicting the least harm possible)

23
Q

What are some barriers to providing spiritual care

A
  • lack of awareness or knowledge of needs
  • differences between patient or nurse (causes fear or bias)
24
Q

what is algor mortis

A

the cooling of the body after death

25
Q

what is liver mortis

A

the skin becoming bluish as it settles

26
Q

what is rigor mortis

A

the stiffening of the joints after death

27
Q

define loss

A

the absence of something valued or important

28
Q

Define greif

A

the emotional response to loss

29
Q

Define mourning

A

outward, social expression of loss and greif

30
Q

What are the five stages of grief

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. acceptance
31
Q

what are some problems associated with greif
(list 4)

A
  • unresolved greif
  • dysfunctional greif
  • complicated greif
  • disenfranchised greif
32
Q

Define unresolved greif (what is another name for this)

A

disturbances in the regular process of grief to resolution.

“complicated grief”

33
Q

Define dysfunctional greif

A

getting stuck in one or more steps in the grief cycle, being unable to express feelings or move onto acceptance / resolution
- for example staying in the depression phase

34
Q

What is another name for Complicated grief ( what 4 types does it include)

A

“unresolved grief”

types:
- chronic grief
- delayed grief
- exaggerated grief
- masked grief

35
Q

Define Disenfranchised grief

A

defined as any loss that is not validated or recognized
(job, miscarried, pet)

36
Q

What is complicated loss

A

a sudden, unexpected loss, or violent / traumatic death
- sudden death does not allow the survivor time to prepare for the impending loss
- leads to shock, disbelief or a dysfunctional way of processing grief.

37
Q

What are end of life signs in a focused assessment

A
  • decreased breathing
  • unresponsiveness
  • fatigue
  • Discoloration
  • apnea episodes
  • changes in bowel or bladder
  • no response to tactile or verbal stimuli
38
Q

What is the nurses role in end of life assessments

A
  • assess for end of life signs
  • call family members
  • respect patient wishes
  • assess for grieving behavior
  • providing the needs associated with patient request / religion/ cultural practices
  • provide empathetic support, therapeutic communication and validating feelings.
  • collaborate with team or religious leaders
39
Q

Documentation guidelines to postmortem care

A
  • must be objective data
  • complete / accurate
  • legible
  • it should be in time order as they occurred
  • The last entry to state where and to whom the body was transferred
40
Q

What are the steps to postmortem care in a nurses role

A
  • the body should be cared for as soon as possible after death
  • respecting cultural preferences and wishes of patient and family members
  • position patient as naturally as possible and decrease environmental stimuli before family comes in
  • offer time for family
  • use dignity and respect even to a dead patient
  • Do not personalize the situation - remain professional and a support to others
  • clean / bathe body unless stated otherwise by family cultural preferences
  • remove all tubes and drains (unless autopsy or crime victim)
  • apply toe tags, bag tags and tags to belongings.
  • Document (wishes, events, place and to whom body was transferred)
41
Q

When should you not remove tubes and drains during post mortem care

A

if an autopsy is going to be done or if the patient was a crime victim, everything can be detached from the wall but not removed from patient.

42
Q

if a postmortem patient has a high drainage wound what is the appropriate action by the nurse.

what is the wound was not draining.

A

remove soiled dressings and apply clean ones

if not high drainage, nurse can remove dressings completely.

43
Q

can the nurse state the the Time of death?

A

depends on facility protocol!!!

the majority of the time the doctor has to be called and state the TOD, or two RN’s can.

44
Q

Postmortem mouth care…?

A
  • align head in natural position
  • close eyes
  • close jaw or tie shut
  • KEEP DENTURES IN!!!
45
Q

How long after death does rigor mortis start?

A

2-4 hours after death

Nursing Term 1 ALY JENNA (24 decks)

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