20030 Interventions Death And Dying

Front 1

What is Actual Loss?

Back 1

Recognized by the individual and others,
-loss of a spouse
-loss of a job

Front 2

What is perceived loss?

Back 2

recognized by the individual but not by others,
-loss of youth
-loss of dreams and hopes

Front 3

What is grief?

Back 3

-An emotional reaction that involves pain caused by loss. It occurs with all loss, actual and perceived, temporary and permanent.

Front 4

What are the 4 types of grief?

Back 4

-normal grief
-anticipatory grief
-complicated grief
-disenfranchised grief

Front 5

What is normal grief?

Back 5

-feelings of resentment,sorrow, anger,crying,loneliness, and temporary withdraw from activities.

Front 6

What is anticipatory grief?

Back 6

-Feelings and behaviors of grief experienced prior to experiencing the actual loss.

Front 7

What is complicated grief?

Back 7

-Chronic, delayed, exaggerated, masked

Front 8

What is disenfranchised grief?

Back 8

-when loss is experienced but can not be openly acknowledged, socially sanctioned or publicly shared.

Front 9

What are the factors affecting grief?

Back 9

-Developmental stage
-cultuaral influences
-religious beliefs
-circumstances of the death

Front 10

what are the 4 tasks of mourning?

Back 10

1. accept the reality of the loss
2. work through the pain of grief
3. adjust to the enviroment in which the deceased is missing.
4.emotionally relocate the deceased, (learning to love them in a new way)

Front 11

what are some of the ways you can treat the dying client like any other client?

Back 11

-bath
-clean linens
-mouth care
-assess for pain chaplain

Front 12

what are some of the ways you can care for the family and friends of the dying client?

Back 12

-kleenex
-water/coffee
-bedding if they are spending the night
-chaplain

Front 13

what is the definition of death?

Back 13

-the point at which there is complete cessation of:
*respiration
*heartbeat(usually the last vital sign to stop), verify by checking apical pulse
*blood pressure

Front 14

what are clinical signs of impending death?

Back 14

-failure to swallow
-loss of motion and reflexes
-pitting edema
-decreased GI and UT activity
-bowel and bladder incontience
-cyanosis
-decreased HR and BP
-Cheyennes-stokes respirations
-decreased level of consciousness

Front 15

what is rigor mortis?

Back 15

-stiffening of the body

Front 16

what is algor morits?

Back 16

-cooling of the body

Front 17

-what is livor mortis?

Back 17

-skin discoloration

Front 18

when should an autopsy be done?

Back 18

-accident
-suicide
-homocide
-surgery
-illegal therapeutic practice
-suspected drug abuse
-stillbirth
-questionable deaths

Front 19

can a autotopsy be ordered by the coroner, even if the family refuses?

Back 19

Yes.

Front 20

The completion of the death certificate must be signed by whom?

Back 20

the pronouncing physician

Front 21

How do you prepare the deceased's body?

Back 21

-close eyes, place dentures in mouth
-place in supine postion with arms at sides
-remove tubes, if autopsy not ordered

Front 22

how do you prepare the dead body for identification?

Back 22

-leave agency ID bracelet on
-tag on shroud or garmet the body is clothed in
-tag on the toe or ankle
-tag on morgue drawer

Front 23

how do you prepare the body to be viewed by family prior to transfer?

Back 23

-remove all unnecessary or soiled equipment from the room
-keep arms and hands outside the sheets
-put the side rails down
-have extra chairs in the room for family to sit on
-have kleenex available
-provide for privacy and time to say goodbye

Front 24

what should you do once the family has left?

Back 24

-wrap the body in a shroud
-transfer to the morgue refrigerator per agency policy
-the body may require special handling with certain communicable diseases.

Front 25

What are some of the ways you can care for the family?

Back 25

-use a conference room to gather family
-provide access to phones for family to call others.
-offer to call the funeral home and clergy.
-refer to agency's bereavement resources and make them available to family.

Front 26

what are you to remember to document?

Back 26

-time of death
-persons notified
-time of notification
-list and disposition of valuables and personal effects
-time body removed from unit, destination, by whom

Front 27

what is an advanced directive?

Back 27

-a written expression of what the client want to happen or not happen to their body prior, during, and after death.

Front 28

what is palliative care?

Back 28

-the prevention, relief, reduction, or soothing of symptoms or disorders without effecting a cure.

Front 29

what is hospice care?

Back 29

-an alternative way of delivering care to the terminally ill that have less than 6 months to live, client and family directed care.

Front 30

what is bereavement?

Back 30

-the state of desolution that occurs as the result of a loss, partiuclary the death of a significant other, the person's total response to a loss and include emotional, physical,social, and cognitive processes.