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9 Cards in this Set

  • Front
  • Back
Types of Grief

Complicated


disenfranchised


incongruent


siblings


anticipatory


all take energy


Factors influencing loss and grief

Developmental stage


person relationships


nature of loss


coping

factors affecting grief


significance of the loss


amount of support


conflict existing at the time of death


circumstances of the loss


Facilitators to providing a good death


making environment changes to facilitate dying with dignity


managing pain and discomfort


knowing and following patients wishes for care


promoting earlier cessation of treatments or not initiating aggressive treatments especially when care seems futile

Theraputic communication


perfect listening skills


encouraging and accept expression of feelings


reassure it is not wrong to feel anger, relief or other unacceptable feelings


respond to non verbal cues


increases self awareness


Facilitating grief

expressing feeling, recalling memories, helping with care, encourage questions, encourage support with other disciplines, provide anticipatory guidance and acknowledge feelings of family

Legal and ethical considerations


advanced directive


DNR or DNAR or allow a natural death (peds)


assisted suicide


euthanasia - greek "good death"


autopsy


organ donation- new legislation to signify everyone is an organ donor unless specified

Care of dying person


meeting physiological and psychological needs


addressing spiritual needs/cultural needs




Nurse taking care of ourselves


talk with other colleagues


may attend services


learn how to get support for yourself


understand when you need a break, a respite