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TRANSITIONS

Chapter 44 - Loss, Grief, and Dying

QuestionAnswer
Occurs when a valued person, object, or situation is changed or becomes inaccessible and is obvious to others. Loss
This could be the loss of one's youth, financial independence, work environment...is experienced by the person, but is intangible to others. Perceived Loss
Experienced as a loss of natural developmental processes...a sibling is born. Maturational Loss
Experienced as a result of an unpredictable event...traumatic, natural disaster, injury, or disease. Situational Loss
A person displays behaviors of grief before the event actually takes place....May lessen the effect of the actual loss. Anticipatory Loss
An internal emotional reaction to loss that occurs with separation or death. Grief
What are the four normal expressions of grief? Physical, Emotional, Social, Spiritual,
The actions and expressions of grief that appear as outward expressions....includes the funeral or memorial service Mourning
State of grieving due to the loss of a loved one Bereavement
Defined the 6 stages of grief reactions as shock and disbelief, developing awareness, restitution, resolving the loss, idealization, and outcome. Engel (1964)
Defined the stages of grief as 5 different stages including: denial and isolation, anger, bargaining, depression, and acceptance. Kibler-Ross (1969)
Defined by the refusal to accept the loss Shock and Disbelief
Characterized by physical and emotional responses such as anger, emptiness, and crying. Developing Awareness
Involves the rituals surrounding death, such as the funeral. Restitution
The exaggeration of the good qualities of the person or object that is gone followed by acceptance. Idealization
An abnormal or distorted, unresolved or inhibited period of grief..... Can be a lengthy stage. Dysfunctional Grief
A person suppresses feelings of grief and manifests somatic (body) symptoms of abdominal pain or heart palpitations. Inhibited Grief
The irreversible cessation of death of circulatory and respiratory functions; irreversible cessation of all functions of the entire brain. Death
An illness in which death is expected within a limited period of time, the health care provider is usually responsible for deciding what, when , and how the patient should be told. Terminal Illness
Involves taking care of the whole person-body, mind, and spirit; heart and soul. Palliative Care
The process of planning for future care in the event a person becomes unable to make their own decisions. Advance Care Planning (ACP)
The two types include a "living will" and a "durable power of attorney" Advance Directives
Provide specific instructions about the kinds of health care that should be provided or foregone in particular situations. Living Will
Appointed to make decisions in the event a person is of subsequent incapacity. a durable power of attorney
A medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis.....MUST be completed and signed by a health care professional and cannot be filled out by a patient. POLST form (Physician Order for Life-Sustaining Treatment)
The gradual withdrawal of a patient with a terminal illness or an irreversible condition with a poor prognosis. Terminal Weaning
Literally means "good dying" Euthanasia
Taking specific steps to cause a person's death. Active Euthanasia
Withdrawing medical treatment with the intention of causing the patient's death. Passive Euthanasia
What is the acronym for the 5 step action plan used in Suicide Prevention? ALGEE
What does the acronym for ALGEE stand for? Assess for risk of suicide or harm, Listen nonjudgmentally, Give reassurance and information, Encourage appropriate professional help, Encourage self-help and other support strategies
This "Act" provides a legal definition of death as either (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain. The Death Act of 1981
A death that allows a person to die on their own terms, relatively free of pain, and with dignity, free from avoidable distress and suffering is called what? A Good Death
Difficulty talking and/or swallowing, incontinence, cold/clammy skin, decreased blood pressure, irregular heart rate and respirations, mottling, restlessness, and decreased body temperature are signs of what? Impending Death
What does VSED stand for? Voluntary Stopping of Eating and Drinking
Created by: bwk
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