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M6 13-005
Exam 18: Loss, Grief and the Dying Patient (Key Terms)
| Term | Definition |
|---|---|
| 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. |
| The Patient Self Determination Act | requires health care institutions to inquire whether a patient has created an Advanced Directive |
| Anticipatory grief | To prepare oneself for the loss of a family member or loved one |
| Autopsy | Postmortem examination performed to determine the cause of death |
| Bereavement | Common depressed reaction to the death of a loved one |
| Death | Cessation of life |
| 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 |
| If there is not a DNR order | a code must be called if the patient arrests |
| DNR orders do not mean | withhold any other health care |
| 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 |
| Dysfunctional grieving | Unresolved grief or complicated mourning |
| Euthanasia | An action taken deliberately with the purposes of shortening life to end suffering or to carry out the wishes of the terminally ill |
| Passive euthanasia | Treatments withheld that may have extended the patient's life but result in death |
| Grief | A pattern of physical and emotional responses to bereavement, separation or loss |
| 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 |
| Grief work | Adaptation process of mourning a loss |
| Living Will | Legal document that describes in detail what medical care a person wants if they become terminally ill |
| Loss | To no longer possess or have an object, person, or situation |
| Maturational loss | Loss resulting from normal life transitions |
| Morbidity | Illness or abnormal condition or quality |
| Mortality | Condition of being subject to death |
| Mortician | Person trained in the care of the dead |
| Mourning | Reaction activated by a person to assist in overcoming a great personal loss |
| Post mortem care | Care for patient's body after death |
| Situational loss | Loss occurring suddenly in response to a specific external event |
| Thanatologist | Person who studies death and dying |
| Thanatology | Study of death and dying |
| Hospice care | Hospice is a philosophy of care that provides support to patients with a terminal illness and their families |
| Palliative care | Therapy that is not curative in nature but designed to relieve pain and distress and control symptoms of the disease |
| 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. |