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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
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what is a loss?
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a valuable person, object, or situation is changed or inaccessible so that it's value is diminished or removed
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an actual loss?
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recognized by others and person experiencing loss
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ex: loss of a limb, child, spouse, job
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perceived loss?
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experienced by the person but intangible to others
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ex: loss of youth, financial independent, environment
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NEED TO KNOW:
types of loss? |
maturational, situational, anticipatory
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maturational?
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loss experienced as a result of the natural development process
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situational?
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loss experienced as a result of ab unpredictable event
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anticipatory?
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person displays loss and grief behavior for a loss that has yet to take place
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seen in families of terminally ill
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what is grief?
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internal emotional reaction to loss
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what is the mourning process?
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ceremonies like funerals, wakes, celebration of life, memorial services
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NEED TO KNOW:
stages of grief? |
denial, anger, bargaining, depression, acceptance
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dabda
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who is kubler ross?
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wrote book "on death and dying" in 1969, inspired hospice movement
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NEED TO KNOW:
factors affect grief and dying |
development consideration, family, socioeconomic factors, cultural, gender, and religious influence, cause of death
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uniform definition of death act?
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1981, irreversible cessation of all functions of circulatory and respiratory systems and of the entire brain including brain stem
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Harvard criteria?
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cessation of breathing, no response to deep painful stimuli, lack of reflexes, lack of spontaneous movement
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clinical signs of approaching death?
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difficult talking of swallowing, nausea, flatulence, abdominal distention, urinary or bowel incontinence, loss of movement, decrease body temp with cold, clammy skin, weak heart, decrease BP
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a "good death"?
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allows person to die on own terms w/o pain, free from distress and suffering, general accord with patients families wishes, reasonably consistent with clinical, cultural, and ethical standards
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some factors for a "good death"
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control of symptoms, preparation for death, opportunities to have a sense of completed life, good relationship with health care.providers
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what are some ethical and legal issues for end of life care?
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advanced directives, DNR, assisted suicide, hospice, organ donation
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what are advanced directives?
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inform family members and health care provider of choices in advanced, gives another individual the permission to make health care related decesions
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NEED TO KNOW:
active vs passive euthanasia |
active: taking steps to cause patients death
passive: withdrawing medical treatment with the known result being patients death |
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terminal weaning: does death occur instantly?
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when withdrawing of mechanical ventilation it might but not uncommon for patients to live hours to days upon removal
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nursing responsibilities for terminal weaning
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inform family and participate in the decesion making process, explain what to expect, support family, maintain sedation and analgesia
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how to meet needs of a dying patient?
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address physiological and psychological needs, address needs for intimacy, and spiritual needs
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NEED TO KNOW:
post mortem care - preparing the body? |
wash, remove tubes and soiled dressing, identification, placement in morgue
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NEED TO KNOW:
when a need for an autopsy? |
body must be left intact, no washing and etc, need an autopsy when there was an accident, suicide, homicide, illegal therapeutic practice, death occurs within 24 hours of admission to hospital
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assisted suicide is active or passive euthanasia?
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active
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terminal weaning is active or passive euthanasia?
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passive
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