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Loss, Grief & Dying

chapter 43

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
Created by: N119