week 3 - palliative approach, loss, grief & bereavement

Question 1

what are the 4 medico-legal aspects associated with supporting the person with palliative and end of life care needs?

Answer 1

1. advanced care planning
2. informed consent
3. pain management - legal regulations/guidlines
4. patient privacy

Question 2

what are the 8 ethical aspects associated with supporting the person with palliative and end of life care needs?

“HR WaS ABCD”

Answer 2

1. honesty
2. resource allocation
3. withdrawal of treatment
4. supporting family/surrogates
5. autonomy/respect
6. beneficence/non-maleficence
7. cultural/religious sensitivity
8. dignity/respect

Question 3

what is the Kubler-Ross model

Answer 3

5 stages of grief

Question 4

what are the 5 stages of grief?

Answer 4

1. denial
2. anger
3. bargaining
4. depression
5. acceptance

Question 5

what is the Strobe & Schut model?

Answer 5

dual process model of coping w/ bereavement

Question 6

what is the dual process model of coping w/ bereavement?

Answer 6

balance between loss-oriented & restoration-oriented coping

alternate between focussing on emotional aspects of grief & practical aspects of adapting w/out the deceased

Question 7

what does the Woden’s model of grief consist of?

Answer 7

4 tasks/stages

Question 8

what is task 1 in Worden’s stages of grief?

Answer 8

accepting the reality of the loss

Question 9

what is task 2 in Worden’s stages of grief?

Answer 9

processing the pain of grief

Question 10

what is task 3 in Worden’s stages of grief?

Answer 10

adjusting to an environment in which the deceased is missing

Question 11

what is task 4 in Worden’s stages of grief?

Answer 11

finding an enduring connection w/ the deceased while moving on

Question 12

comment on emotional responses, duration, functioning, physical symptoms & list one other aspect of uncomplicated grief

Answer 12

1. do not dominate daily living
2. first few months signs/symptoms same as complicated but gradually fade over time
3. able to function
4. physical symptoms fade over time
5. seeking support

Question 13

comment on emotional responses, duration, functioning, physical symptoms & list 3 other aspect of complicated grief

Answer 13

1. intense emotions
2. linger or get worse after first few months
3. impaired functioning
4. persistent physical symptoms
5. avoidance/isolation
6. rumination/guilt
7. risk of mental health disorders