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21 Cards in this Set
- Front
- Back
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What is the death of loved one, theft, deterioration, destruction and natural disaster
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Actual Loss
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What is inernal and only identified by the person experiencing it
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Perceived Loss
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What types of losses commonly occur in our lives?
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Losses occur whenever there is change or growth. Some examples include developmental changes, moving, marriage, divorce, surgery, death of significant others, job loss, and retirement. Losses are actual, perceived, physical, and psychological
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What are the main tasks of the grieving process
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Acknowledging the loss
Feeling the emotions and pain Adjusting to the environment without the loved one Investing emotional energy into something or someone else |
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What factors affect the grieving process
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number of previous losses
person's coping mechanisms circumstances of the loss developmental stage of the grieving person person's spiritual/cultural supports |
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What are advance directives
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Advance directives are a group of instructions (oral or written) stating what a person would want or not want relative to his or her health care in the event that the person is incapacitated or unable to make that decision
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What is the ANA position on assisted suicide
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The ANA position is that the nurse should not participate in assisted suicide because such an act is a violation of the Code for Nurses and the ethical traditions of the profession
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What assessments should you make for your terminally ill patient and his or her family
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When a patient is dying or has experienced a loss, you must carefully assess the patient and significant others for common grief reactions. Other important areas to assess include knowledge base, history of loss, coping patterns and abilities, meaning of the loss/illness, support systems, cultural and spiritual needs, and physical status
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List three nursing diagnosis labels you might consider when dying or grieving is the primary problem.
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Anticipatory Grieving
Dysfunctional Grieving Ineffective Denial Hopelessness Powerlessness Caregiver Role Strain Chronic Sorrow Spiritual Distress |
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List three nursing diagnoses labels that might occur as a result of dying or grieving.
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Acute or Chronic Low Self-Esteem
Anxiety Altered Comfort (not a NANDA diagnosis) Death Anxiety (or Fear) Decisional Conflict Deficient Knowledge Disturbed Sensory Fatigue Imbalanced Nutrition: Less Than Body Requirements Spiritual Distress Self-Care Deficit |
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Describe four ways to facilitate the grief work of a grieving or dying person.
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Help them express feelings
Assist them in recalling memories Assist them to find meaning in their lives or their past by helping them talk about it. Facilitating life review is one technique to help the patient and/or family recognize the unique contributions this person has made to family, friends, and society. You can begin by asking about the various aspects of the patient's life, commenting on pictures in the room, or picking up on verbal cues that are expressed. Provide grief education Help them to normalize their grief |
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What should be the focus of your interventions when the patient is very near death?
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If the person can communicate, ask about immediate concerns (Pitorak, 2003):
"Are you in pain?" "Are you comfortable?" "What are you afraid of now?" "What can we do to help you go peacefully?" "Who do you want in the room with you right now?" If the patient asks whether he is dying, be honest. If the patient cannot communicate, ask the family, who may know what the patient would want. |
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Why is it important to position the body with a pillow under the head and shoulders soon after death?
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To prevent blood from settling there and causing discoloration, which would be upsetting to the family
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Why is it important to close the eyes and mouth of the deceased and position the body within at least 2 to 4 hours after death?
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Rigor mortis occurs about 2 to 4 hours after death. It does not disappear until about 96 hours after death. You would not be able to do these things after the body becomes rigid.
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Match the following terms and definitions:
1. Pattern of emotional and physical response a person experiences after a loss of a significant object, person, belief, or relationship 2. State of intense or severe psychological response that occurs following a loss of a significant object, person, belief, or relationship 3. The socially prescribed behaviors and rituals engaged in after the death of a significant person. 4. Characteristic pattern of emotional and physical responses a person makes to the impending loss (real or imagined) of a significant object, person, belief, or relationship |
Grief
Bereavement Mourning Anticipatory Grief |
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List five factors that influence a person's response to loss or grieving:
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Significance of the loss
Circumstances of the loss Previous losses Developmental stage of the person Spiritual/cultural belief system |
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The Patient Self-Determination Act of 1990 requires that healthcare organizations admitting patients do?
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Inform clients about their rights regarding end-of-life decisions
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Inform clients about their rights regarding end-of-life decisions
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predictable and progresses at a different rate for each person
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Your patient has died. She was 76 and married for 53 years. The doctor told her husband about 20 minutes ago. He appears calm and exhibits no sadness or signs of grief. What would be your most appropriate action?
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Ask him if he would like to spend a few moments with his wife (body)
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In what way does a person's culture and social support system influence his grieving process?
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Culture provides the norms, but each person grieves in his own time and individual manner
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A 30-year-old man is recently divorced. What is a normal adult response to loss
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Experiencing intermittent periods of grief through the 4-year period following the divorce
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