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20 Cards in this Set

  • Front
  • Back
death
death is a developmental stage
euthanasia
the hemlock society advocates lethal injection as more humane with less suffering **Nurses need to be an advocate for clients who make a decision to end their lifes.
Living will law
in some states there is a penalty if the MD doesnt comply
living will
is NOT legally binding it states what medical txt a person perfers of chooses to omit or reufuse in he or she can not make a decision at the time of illness.
durable power of attorney
names trusted person to act as a an agent or a proxy in making Health Care decisions in the event of the clients inablility to speak for self
advanced directive
a set of documents that explaines a persons end of life wishes and direscts care when the person is no longer able to do so.
role of a nurse
discerning when to engage in life extention, when to continue life support and when to "let go"
Childs concept of dealth
dealth is personified (5-9)- the child views death as a personality
** children often know more about death than the parents realize- they can realize his or her impeding death
adolescents concept of death
may hide mouring - i cant talk about this"
adults concept of death
negativist - fear of neg concept
Near death experience
NDE is NOT an extraordinary awareness of how death will unfold and what the person will need to die
Near death Awareness
is not extraordinary awareness of how death will unfold and what the person will need to die well.
grief reactions
denial- isolation
anger
depression- review the meaning of life and searches for ways to share insights with people most significatnt to him/her. client as a total must be assessed.
acceptance
oragan donation
the client who has no brain activit aqnd is reliant on the ventalator is correctly referred to as a "dead" not "nearly dead"
client/family assesment
in fostering psycho spiritual growth the nurse doenst have to give answers but rather wait patiently for the client to arrive at his or her own answers
examples of nursing diagnoses
when administering care for the dying patient in a clinical instiutional setting avaid too strict a routine in care.
spiritual and social needs
meaning a search for meaning and purpose in life and suffering
assessing grief
some situations may be considered inappropriate or not liegitimate to greive.
hospice care
the hospice concept is indeed a care system that coexits with a cure system
the concept of an reaction to death and dying
depends on many other factors affecting a person