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10 Cards in this Set
- Front
- Back
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5 Stages of the grieving process
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1) Denial
2) Anger 3) Bargaining 4) Depression 5) Acceptance |
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regression
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moving back in the stages, aka from depression back to anger
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what stage do people usually get stuck in?
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depression
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What are the steps to correctly informing the family of death
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1) give circumstances of death
2) tell what you did (protocols) 3) use the words "dead" & "death" 4) don't use "passed on" etc 5) be professionally compassionate (offer to call minister / answer all questions) 6) allow patient to see dead loved one (after made presentable, cut ET tubes, remove IV's, cover with blanket |
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Paramedic needs when dealing with death and dying
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A) same stages of grief (infant/child death, known person)
B) know resources available (CISD, Case reviews, Religious Affiliation) C) Know your job |
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Denial
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1st Stage
"not me, not him" predictable response/defense mechanism -too overwhelming to accept, allows day to day functioning Seek second opinions -another doctor for diagnosis -another source of confirmation -have EMS transport |
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Anger
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2nd Stage
stage quickly entered "why me" most difficult time Family anger at emt -why cant you help -dangerous time for emt, you have uniform/target and were called for help non consolable we listen w/o judgement and argument -if not we fuel anger and make scene dangerous try to redirect focus -call their doctor -call their minister -call police Transport (even if against protocol) -continue working code -removes fuel from fire |
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Bargaining
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3rd Stage
"yes, me but..." attempts to buy more time bargain for -change in outcome -delay to say goodbye to friends and family bargaining addressed to -religion -self |
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Depression
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4th Stage
"yes, me" reaction can last for years -sadness and despair -putting affairs in order -highest chance of suicide |
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Acceptance
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5th Stage
"Yes" realization of fact of one's own death level of comfort reached -still sadness difficult stage for family -EMT;s dealing with family |
