Loss, Death, And Grief

Front 1

Nurses role in assisting clients with problems related to loss,death and grief?

Back 1

- to feel the loss
- express the loss
- complete the tasks of the grief process

Front 2

5 stages of Kubler-Ross grief process

Back 2

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

Front 3

Boulby's 4 phages of mourning

Back 3

1-numbing
2-yearning/searching
3-disorganization/despair
4-reorganization

Front 4

Worden's four tasks of mourning

Back 4

1-accept reality of loss
2-work through pain or grief
3-adjust to envir.w/odecease.
4.emotionally relocating the deceased and moving on with life

Front 5

5 categories of loss

Back 5

loss of external objects
loss of known environment
loss of a significant other
loss of an aspect of self
loss of life

Front 6

normal feeling,behaviors, reactions to a loss
-sorrow,anger,crying,loneliness

Back 6

Normal grief

Front 7

"letting go",occurs before and actual loss or death loss occurs?

Back 7

Anticipatory grief

Front 8

bereavement "goes wrong",loss never resolves

Back 8

Complicated grief
-chronic
-delayes
-exaggerated
-masked

Front 9

person experiences grief when a loss is experienced and cannt bwe aknowledge,publicly shared

Back 9

Disenfranchised grief:

Front 10

Multiple losses, of grief
mostly seen in adults?

Back 10

Application of grief

Front 11

describe how diff.ages exp grief:
toddlers?
school age?
middle age?
older adults?

Back 11

1.feel anxiety over loss of object or seperation
2.grief over loss of body part or function
3.sensitive to own physical changes
4.anticipatory grief of loss of self care abilities

Front 12

Nursing plan to cope with grief and loss?

Back 12

reinforcement of clients coping mechanisms
introduce new coping mechanisms

Front 13

name physiological symptoms

Back 13

dilated pupils
diaphoresis
increased HR
decreased peristalsis
increase muscle tension

Front 14

name psychological symptoms

Back 14

anxiety
anger
depression
unconscious ego defense mechanism

Front 15

name cognitive symtoms

Back 15

problem solving
structuring
self control
suppression
fantasy
daydreaming

Front 16

ways a person can cope?

Back 16

-altering the stressor
-adapting to the stressor
-coping can be adaptive or maladaptive

Front 17

How can a nurse teach anxiety reduction measures?

Back 17

-health promotion
-info about tests,tx,

Front 18

Name physical manifestations of grief and stress?

Back 18

fatige
headache
altered libido
loss of appetite
difficulty sleeping
chest pain
palpitations
menstrual disturbances

Front 19

Nurses role in carying for the dying clients?

Back 19

-provide hospice,home care
-meet the needs
-spiritual support
-support family
-provide post mortem care

Front 20

body stiffens 2-4hrs after death occurs 1st in voluntary muscles(heart),then the head,extremities,leaves the body 96hrs after death?

Back 20

Rigor mortis

Front 21

decrease in body temp occurs after death,drops 1-2 F,

Back 21

Algor Mortis

Front 22

bluish purple discoloration that appears in the dependent areas of the body.
red blood cell breakdown,releasing hgb,discolors tissues?

Back 22

livor mortis

Front 23

a large piece of plastic or cotton material use to enclose a body after death?

Back 23

Shroud

Front 24

clinical signs of impending death?

Back 24

Muscle weakness
respiration change
sensory changes
circulatory changes

Front 25

World medical assemble guidelines for defining death?

Back 25

total lack of response to external stimuli
No muscular movement:no breathing
No reflexes
Flat encephalogram