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30 Cards in this Set

  • Front
  • Back
What is Grief?
normal natural response to loss
What is Bereavement?
individual response to loss of a significant person
What is Adaptive Grief?
grief that is helpful or assists the person in accepting reality of death
What is Dysfunctional or Maladaptive Grief?
prolonged, unresolved grief
What is Anticipatory Grief?
grieving before death
Who is Kubler Ross?
-Developed the five stages of grieving
-denial
-anger
-bargaining
-depression
-acceptance
What is Denial?
-patient refuses to acknowledge the loss and may put forth a cheereful appearance to prolong the denial of loss
-serves to protect the patient, family, or both from the reality of loss
What is Anger?
-The patient or family members may become angry or outraged with situations
-comparison between their sadness and the happiness of others
-The anger may be directed toward the nurse, the staff, or the instituition, as well as toward significant others
What is Bargaining?
-the person wishes for more time to avoid the loss
-may express feelings that the loss is occurring as a punishment for past actions and may try to bargain with a higher power to gain time
What is Depression?
the person realizes that the loss is final and that the situation cannot be altered
What is Acceptance?
-patient identifies the loss as inevitable and may want to make plans
-acceptance can involve peaceful acknowledgement of the loss
-there is a sense of inner resolution of the loss
What is Closed Awareness?
recognize the patient is ill but does not understand the severity
What is Open Awareness?
freely discusses the disease
What are some bodily changes when dying?
-decreased, slow P
-decreased B/P
-cheyne stokes
-death rattle: in the upper esophagus due to accumulation of fluid
-skin and extremities are cyanotic
-last sense to go is hearing
What is Rigor Mortis?
body stiffens, chemical changes in body cells preventing relaxation
What is Algor Mortis?
skin loses elasticity
What is Livor Mortis?
breakdown of RBC's and causes discoloration in skin
What is Cancer?
uncontrolled growth and spread of abnormal cells
What is Sarcoma?
originate in bone, muscle, connective tissue
What is Carcinoma?
originate from tissue of skin, urinary, respiratory tract
What is Melanomas?
develop from pigment cells in the skin
What is Leukemia and Lymphoma?
blood forming tissues
What are some Radiation Side Effects?
-skin irritation
-fatigue
-skin redness and peeling
-diarrhea
-N/V
-bone marrow suppression
Nutrition with Cancer Patients?
-with persistent N/V patient can develop hypercalcemia and cachexia
What is Hypercalcemia?
-fatigue
-confusion
-weakness
-tachycardia
What is Cachexia?
body wasting
What Nutritional meals to provide for cancer patients?
-small meals
-frequent meals
-high protein
-high calories
-high fat
-snacks
-fluid 2-3 L per day
-vitamins and minerals
Classification:
Antineoplastics
What is it: chemo, suppress growth of cancer cells, improve quality of life and prolong life
S/S: bone marrow suppression with increased infection, N/V, anorexia, xerostomia (dry mouth), stomatitis (inflammation), diarrhea, constipation, cardiomyopathy, pulmonary inflammation, alopecia
What drug is used to treat Breast Cancer?
Tamoxifen
Nutrition Prevention for Cancer?
-decrease fat to 30%
-increase fiber, fruits, vegetables, legumes
-increase citrus fruits
-decrease salt cured, pickled and smoked foods
-minimize contaminants from pesticides
-alcohol used in moderation