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25 Cards in this Set

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Nurses role in assisting clients with problems related to loss,death and grief?
- to feel the loss
- express the loss
- complete the tasks of the grief process
5 stages of Kubler-Ross grief process
1-denial
2-anger
3-bargaining
4-depression
5-acceptance
Boulby's 4 phages of mourning
1-numbing
2-yearning/searching
3-disorganization/despair
4-reorganization
Worden's four tasks of mourning
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
5 categories of loss
loss of external objects
loss of known environment
loss of a significant other
loss of an aspect of self
loss of life
normal feeling,behaviors, reactions to a loss
-sorrow,anger,crying,loneliness
Normal grief
"letting go",occurs before and actual loss or death loss occurs?
Anticipatory grief
bereavement "goes wrong",loss never resolves
Complicated grief
-chronic
-delayes
-exaggerated
-masked
person experiences grief when a loss is experienced and cannt bwe aknowledge,publicly shared
Disenfranchised grief:
Multiple losses, of grief
mostly seen in adults?
Application of grief
describe how diff.ages exp grief:
toddlers?
school age?
middle age?
older adults?
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
Nursing plan to cope with grief and loss?
reinforcement of clients coping mechanisms
introduce new coping mechanisms
name physiological symptoms
dilated pupils
diaphoresis
increased HR
decreased peristalsis
increase muscle tension
name psychological symptoms
anxiety
anger
depression
unconscious ego defense mechanism
name cognitive symtoms
problem solving
structuring
self control
suppression
fantasy
daydreaming
ways a person can cope?
-altering the stressor
-adapting to the stressor
-coping can be adaptive or maladaptive
How can a nurse teach anxiety reduction measures?
-health promotion
-info about tests,tx,
Name physical manifestations of grief and stress?
fatige
headache
altered libido
loss of appetite
difficulty sleeping
chest pain
palpitations
menstrual disturbances
Nurses role in carying for the dying clients?
-provide hospice,home care
-meet the needs
-spiritual support
-support family
-provide post mortem care
body stiffens 2-4hrs after death occurs 1st in voluntary muscles(heart),then the head,extremities,leaves the body 96hrs after death?
Rigor mortis
decrease in body temp occurs after death,drops 1-2 F,
Algor Mortis
bluish purple discoloration that appears in the dependent areas of the body.
red blood cell breakdown,releasing hgb,discolors tissues?
livor mortis
a large piece of plastic or cotton material use to enclose a body after death?
Shroud
clinical signs of impending death?
Muscle weakness
respiration change
sensory changes
circulatory changes
World medical assemble guidelines for defining death?
total lack of response to external stimuli
No muscular movement:no breathing
No reflexes
Flat encephalogram