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TRANSITIONS
Chapter 44 - Loss, Grief, and Dying
Question | Answer |
---|---|
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 |