Exam 18: Loss, Grief and the Dying Patient (Key Terms)
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| Advanced directives | Legal documents providing specific instructions for health care treatment in the event a person is unable to make decisions at the time they are needed.
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| The Patient Self Determination Act | requires health care institutions to inquire whether a patient has created an Advanced Directive
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| Anticipatory grief | To prepare oneself for the loss of a family member or loved one
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| Autopsy | Postmortem examination performed to determine the cause of death
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| Bereavement | Common depressed reaction to the death of a loved one
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| Death | Cessation of life
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| Do Not Resuscitate (DNR) | A written doctor's order that no cardio-resuscitation will be performed for a patient. A joint decision involving the patient, family and doctor
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| If there is not a DNR order | a code must be called if the patient arrests
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| DNR orders do not mean | withhold any other health care
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| Durable Power of Attorney | A legal document that must be notarized and that gives one or more individuals the right to make decisions on behalf of the person
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| Dysfunctional grieving | Unresolved grief or complicated mourning
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| Euthanasia | An action taken deliberately with the purposes of shortening life to end suffering or to carry out the wishes of the terminally ill
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| Passive euthanasia | Treatments withheld that may have extended the patient's life but result in death
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| Grief | A pattern of physical and emotional responses to bereavement, separation or loss
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| Grief therapy | Mental treatment aimed at helping a patient deal with the pain of loss; a program to assist the bereaved to cope with their loss
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| Grief work | Adaptation process of mourning a loss
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| Living Will | Legal document that describes in detail what medical care a person wants if they become terminally ill
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| Loss | To no longer possess or have an object, person, or situation
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| Maturational loss | Loss resulting from normal life transitions
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| Morbidity | Illness or abnormal condition or quality
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| Mortality | Condition of being subject to death
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| Mortician | Person trained in the care of the dead
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| Mourning | Reaction activated by a person to assist in overcoming a great personal loss
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| Post mortem care | Care for patient's body after death
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| Situational loss | Loss occurring suddenly in response to a specific external event
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| Thanatologist | Person who studies death and dying
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| Thanatology | Study of death and dying
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| Hospice care | Hospice is a philosophy of care that provides support to patients with a terminal illness and their families
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| Palliative care | Therapy that is not curative in nature but designed to relieve pain and distress and control symptoms of the disease
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| Palliative care provides nursing interventions for the following | Basic needs and ADLs.
Pain and symptom management.
Spiritual and psychological support for the patient, family and significant
others.
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