Psych-Grief And Loss

Front 1

Nursing Care at the end of life requires ____________.

Back 1

Requires a shift in professional expectations.

Front 2

Nursing Care at the end of life may result in feelings of ________, _____________, and _____________.

Back 2

failure, inadequacy, and frustration

Front 3

What is the art of presence consist of? (2 things)

Back 3

listening and observing

Front 4

________=increased vulnerability to physical and mental illness.

Back 4

GRIEF

Front 5

Sensations of somatic distress include: (10 things)

Back 5

weakness, anorexia, chocking, numbness, SOB, tightness in chest, dry mouth, GI disturbances, fatigue, insomnia

Front 6

Preoccupation with deceased in response to grief leads to ________________________.

Back 6

decreased ability to complete ADLs

Front 7

5 Different responses to Grief

Back 7

1. somatic distress
2. preoccupation with deceased
3. guilt and anger
4. behavioral (depression, disorganization, restlessness)
5. reorganization (renewed interest in activites and others)

Front 8

Grief is a ________, ________ experience.

Back 8

fluid, individual

Front 9

Type of grief associated with predicted loss, where the individual can adapt and prepare for the loss.

Back 9

Anticipatory Grief

Front 10

Painful period after a loss; interfaced with severity of s/s, severity of trauma, nature of the relationship, number of previous losses, and cultural values.

Back 10

Acute Grief

Front 11

Type of grief that has a dysfunctional pattern of grieving that exists over an extended period of time and is characterized by greater disability.

Back 11

Maladaptive Grieving

Front 12

An example of traumatic grief is _____.

Back 12

PTSD

Front 13

Type of grief in which there are intense feeling of grief lasting more than 6 months.

Back 13

Chronic grief

Front 14

Type of grief that is not congruent with socially or sanctioned relationship.

Back 14

Disenfranchised grief

Front 15

Response to an ongoing loss.

Back 15

Chronic sorrow

Front 16

What grief therapy focuses on emtional responses to the loss and problem-solving related to moving forward.

Back 16

Problem-Oriented Grief Therapy

Front 17

What type of grief therapy discourages the use of anti-anxiety medications or antidepressants?

Back 17

Problem-Oriented Grief Therapy

Front 18

In problem-oriented grief therapy, nurses should provide _______ to the indiviudal and the family in regards to ______ grief responses.

Back 18

education; normal

Front 19

_______in _____ work are the framework for problem-oriented grief therapy.

Back 19

Tasks; grief

Front 20

What are 3 Nursing Diagnosis for acute grief?

Back 20

1. Personal identity disturbance
2. Situational low self-esteem
3. Impaired social interaction

Front 21

5 Nursing Diagnosis for COMPLICATED GRIEF

Back 21

1. Grieving
2. Complicated Grieving
3. Risk for Complicated Grieving
4. Risk for Violence: self-directed or other-directed
5. Anticipatory grieving

Front 22

Nursing Interventions for COMPLICATED GRIEF (8)

Back 22

Assess potential for violence
Promote a therapeutic alliance
Introduce the possibility of associated feelings
Help the pt express the feelings
Link together the full spectrum of feelings
Promote interction with others
Promote the pt's ability to express sadness & pain, rather than anger & guilt.
Encourage the pt. to closely monitor physical health status.

Front 23

The Sociologic Theory on suicide was presented by _________ & includes ___ subcategories.

Back 23

Durkheim, 4

Front 24

Subtheory of Sociologic theory; estrangement from importanct relationships.

Back 24

ANOMIC

Front 25

Subtheory of Sociologic theory; individuals forced to turn against their own conscience.

Back 25

EGOISTIC

Front 26

Subtheory of Sociologic Theory; obedience to the group.

Back 26

ALTRUISTIC

Front 27

Subtheory of Sociologic Theory; result of excessive regulation.

Back 27

FATALISTIC

Front 28

Suicide is prevalent in ______ & __________ and crosses all __________ boundaries.

Back 28

elderly, youth; socioeconomic

Front 29

Suicide: Related Health Issues

Back 29

depression, schizo, panic disorder, borderline personality disorder, alcohol & drug abuse, medical illness

Front 30

Suicide Risk Assessment Includes:

Back 30

physical & emotional symptoms, suicidial plan, hospitalized clients, hx of pervious attempts, lack of social support, recent loss or anniversary, diminished problem solving ability, offering others important personal possessions

Front 31

Primary Nursing Diagnosis for Suicide

Back 31

1. Risk for suicide
2. Risk for injury
3. Risk for violence: self-directed/other directed

Front 32

Secondary Nursing Diagnosis for Suicide

Back 32

1. Defensive coping
2. Ineffective coping
3. Hopelessness
4. Powerlessness
5. Knowledge deficit
6. Chroic low or situational low self-esteem
7. Social isolation
8. Spiritual distress
9. Disabled family coping

Front 33

Nursing Intervention: Patients must be cloself monitored _______ initation of antidepressant therapy; as energy ________, suicide risk _______.

Back 33

after, increases, increases

Front 34

Nursing Intervention: Create a supporting ___________ with an oppurtunity to share a commitment to life, hope and caring.

Back 34

enviornment

Front 35

Nursing Intervention: Assist client in the development of improved _____________ skills.

Back 35

coping