Pn Nursing Fundamentals

Front 1

Hinduism

Back 1

Priest ties thread around neck or wrist and pours water in mouth

Front 2

Buddhism

Back 2

Buddhism priest is present, last rite is chanted

Front 3

Islam

Back 3

Before death client confesses sins and ask forgiveness of family. Only family touches and washes body

Front 4

Judaism

Back 4

Jews oppose autopsy and cremation/fetus is buried, Ritual cleansing of body is done bymembers of ritual burial society

Front 5

Christianity

Back 5

Last rites optional for some protestants and are mandatory for Eastern Orthodox Christians and Roman Catholics

Front 6

What are 5 stages of Grief

Back 6

Denial, anger, Bargaining, Depression, Acceptance

Front 7

Denial Stage and Nurse response.

Back 7

Refuses to believe that the loss is happening and not ready to deal with it.

Front 8

Nurse response to the denial stage.

Back 8

Verbally support client but do not reinforce the denial/examine your own behavior to ensure you do not share in the pt denial

Front 9

Anger Stage

Back 9

Directs anger to nurse or about a situation

Front 10

Nurses response to Anger Stage

Back 10

1. Help client understand that anger is a normal response to loss 2. avoid withdrawal or retaliation/dont take personally.3 Deal with clients needs. 4. Allow pt as much control over their lives as possible. 5. Provide structure and continuity to promote security

Front 11

Bargaining stage

Back 11

Pt promises to change a behavior to avoid loss and express feelings of guilt and fear.

Front 12

Nursing response to Bargaining stage

Back 12

Listen attentively and encourage client to talk to releive guilt and irrational fear. If appropriate offer spiritual support.

Front 13

Depression Stage

Back 13

The client grieves over what happens and what cannot be

Front 14

Nurses response to depression stage

Back 14

Allow pt to express sadness. Communicate nonverbally by sitting without conversation. Convey caring by touch.

Front 15

Acceptance stage

Back 15

Pt comes to terms with loss and have decreased interest in physical surroundings and support people

Front 16

Nurses response to acceptance stage of Grief

Back 16

Help family and friends understand clients decreases need to socialize. Encourage client to participate as much as possible in the treatment program.