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Loss, Grief & Dying
chapter 43
| Question | Answer |
|---|---|
| types of loss | actual, perceived, physical, psychological,maturational, situational, anticipatory |
| actual loss | can be recognized by others |
| perceived loss | is felt by the pt but intangible to others |
| maturational loss | experienced as a result of natural developmental process |
| situational loss | experienced as a result of an unpredictable event |
| anticipatory loss | loss not taken place yet |
| grief | internal emotiona reaction to loss |
| bereavement | state of grieving from loss of a loved one |
| mourning | actions of grief that make up outward expression of grief |
| uniform definition of death act | individual who has sustained irreversibe cessation of all functions including the brain stem |
| components of a good death | pain management, preparation for death, affirmation of the whole person |
| clinical signs of death | difficulty swallowing, incontinence, loss of movement, weak pulse, decreasing BP, restlessness, cool extremities, noisy respirations, decreasing body temp |
| 5 stages of grief | denial, anger, bargaining, depression, acceptance |
| advance directives | decides who will make decisions for the pt |
| factors affecting grief | developmental stage, family, socioeconomic factors, gender, religion, cause of death |
| needs of dying pt | physiologic, psychological, sexual, spiritual |
| physiologic needs of dying pt | hygiene, pain control, nutritional needs |
| psychological needs of dying pt | control over fear of the unknown, pain, separation, loss of dignity, loss of control |
| sexual needs of dying pt | pt needs ways to be physically intimate that meets needs of both partners |
| spiritual needs | pt needs meaning and purpose, love, forgivness and hope |
| nurse/pt relationship for dying pt | explain condition, teach self-care, teach family to assist in care, meet needs of dying pt, meet needs of family |
| postmortem care | care of the body, care of the family, label body, review organ donation, care of other pts |
| postmortem care of body | prepare body for discahrge, place body in anatomical positiojn, id body, follow law if death by communicable disease |
| postmortem care of the family | liste to family's concerns, offer solace and support, arrange for family to view body, provide private place for family to view body, attend funeral and follow up visit |
| promoting self worth of a dying pt | can be achieved by the RN by regular visits to the pt |
| The RN must first evaluate ______________ to be effective when caring for a dying pt. | their own values/beliefs on death and dying and their own mortality |
| goal of grief | to integrate and accommodate loss |
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N119
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