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Nursing 4 Exam 1
death & dying & the grieving process
Question | Answer |
---|---|
loss | separation from something of personal importance |
resolution of the grief process | is able to remember comfortably and realistically both the pleasures and disappointments of that which is lost |
acute grief | usually last 6-8 wks |
grieving process is | varies per individual and may last for many years |
the grief process can be more difficult if: | strong dependence, ambivalent relationship, had a number of recent losses, the loss is that of a young person, bereaved person's health is unstable, bereaved person perceives some responsibility for the loss |
the length of the grief process may be facilitated if: | has the support of sig others, individual has time to prepare for the loss(anticipatory grieving) |
delayed or inhibited grief | absence of grief, not dealing w/the reality of the loss, grief triggered much later in response to a subsequent loss, remains fixed:denial or anger stage |
distorted(exaggerated) grief | symptoms of normal grieving exaggerated, incapable of managing activities of daily living, depressed mood disorder, |
chronic or prolonged grieving | may be considered maladaptive |
concepts of death birth-5 yrs | sensitive to emotions; use of play |
concepts of death ages 6-9 | depression; regressive behavior |
concepts of death ages 10-12 | death is final, feelings of anger,guilt,and depression |
developmental issues adolescents | difficulty perceiving their own death, may/may not cry;may withdrawal, may ehibit acting-out behaviors |
debvelopmental issues elderly adults | many losses, depression |
cultural issues African Americans | similar to those of the american culture w/a blending of cultural practices form the african heritage; feelings are expressed openly and publicly |
cultural issies chines-americans | centered on ancestor worship; avoid references to death; do not openly express their emotions |
cultural issues japanese-americans | predominant religion is buddhism; body is prepared by close family members; cremation is common |
cultural issues vietnamese americans | buddhism is predominant religion, creamtion is common, the 1 yr anniversary of an individual's death is celebrated |
cultural issues filipino-americans | catholic(sacrament of sick, priest be called, infant baptism even if dead); emotional outbursts and fainting are common expressions of grief,; mourning lasts for 1 yr |
cultural issues jewish-american | dying person is never left alone, no wake and no viewing;burial within 24-48 hrs. body wrapped in a shroud and placed in a wooden, unadorned casket |
cultural issues orthodox jews (hasidic) | post mortem care done by same sex, cremation is prohibited, 7 day period beginning w/the burial is call shiva, during which mourners think only about the deceased |
cultural issues mexican americans | don't like to tell client of the terminal illness, info handled by the oldest in family, death rituals reflect catholic beliefs, burial is preceded by a velorio, a festive watch over the body |
cultural issues native americans | navajo of the southwest conduct a cleansing ceremony before burial; dead are buried w/their shoes on the wrong feet & rings on their index fingers,; dont express grief openly |
cultural issues mormons | baptism of the dead is very important; baptism is done for 8 yrs or older |
cultural issues muslim | special procedure for washing the body/shrouding |
advance directives | a living will or durable power of attorney; allows an individual to provide directions about his or her future medical care |
hospice | provides around the clock palliative and supportive care to the dying and their families |
nursing care of the grieving individual is aimed at? | helping the client achieve support, allow to progress at own pace, be accepting & non-judgemental, attentive listening, use of silence, help for the health care giver |