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17 Cards in this Set
- Front
- Back
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Loss
Grief
Mourning |
Loss, dying and death are universal incontestable events of human experience that cannot be stopped or controlled.
Grief is individuals response to loss
Mourning: includes those behaviors used to incorporate loss into one's life
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kubler ross theory about the 5 stages of death |
Denial Anger Bargaining Depression Acceptance
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good death |
when own needs are met no pain family around holistic care at the max |
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clarification & control |
assist to confront the loss gather all the info they need consider alternative, control situation not act on impulse |
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collaboration |
collaborate and tell stories give guidance work with them |
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directed relief |
encourage this vent yell scream run |
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cooling off |
time to settle a bit when they are ready make sense of loss and redefine self |
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Anticipatory Grief |
Loss hasn't happened, need to still involve the person, let them make choices, they aren't dead yet |
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Acute Grief |
At time of crisis May come in waves Triggers emotions, can be difficult to function
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disenfranchised |
it has to be hidden like a secret relationship/affair family didn't know about- can't grieve in public/ alone and private |
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nursing interventions |
gently establish rapport be ready to listen offer support and direction Empathize never sympathize encourage griever to talk and tell stories of relationship as it has been |
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the 6 C's approach (must do all for pt to have a healthy death) |
care control composure communication continuity closure
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communication |
1) closed awareness (secret) 2) suspected awareness(patient suspects, not discussed nor confirmed) 3) mutual pretense (everyone knows, but not spoken of) 4) open awareness (everyone knows)
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dying and the nurse |
caring for the older adult requires knowledge of the grieving processes as well as skills in providing relief of symptoms of palliative care. working with the dying day in and day out is an art
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advance care plan nurse's responsibility to ask about acp and get copy of it |
the process of planning for the time when a person may not have the mental capacity to make decisional about his/her health care
it is a way to communicate their wishes and also choose a substitute decision maker |
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Physician assisted suicide / Passive euthanasia
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Physician Assisted Suicide: physician provides pt with sleeping pills and instructions about a lethal dose. This is considered passive euthanasia because physician has not administered the dose that results in death
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Active Euthanasia |
Person who injects a lethal dose into a patient who voluntarily requested to be helped to die would be practicing active euthanasia |
