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M29 Grief & Loss
NUR 111 Module 29 Grief & Loss
| Define: Loss | Valued person object or situation is changed or removed |
| Types of loss | Actual, Perceived Physical, Psychological Situational, Anticipatory |
| Define: Actual loss | Seen by self & others ex: loss of limb ex: loss of job |
| Define: Perceived loss | Loss of youth, financial independence, environment. Experienced by person but not to others |
| Define: Physical loss | Ex: Loss of arm (may also have psychological loss) |
| Define: Psychological loss | Altered self image |
| Define: Situational loss | Loss from unpredictable Ex: natural disaster, PTSD |
| Define: anticipatory loss | Loss or grief behaviors for loss that has not yet occurred Ex: anticipated death of parent |
| Define: Grief | Emotional part of grief |
| Defing: Mourning | Behavioral part of grief |
| Define: bereavement | Subjective response experienced after death of loved one |
| Kubler-Ross states of grieving | Denial & isolation Anger Bargaining (would bargain to chg situation) Depression Acceptance |
| Define: Medical critera for death | Cessation of breathing No response deep painful stimuli Lack of reflexes (gag, corneal, etc) |
| Signs of impending death | Loss muscle tone Slowing of circulation Respiratory changes Sensory changes |
| Define: hospice | Symptomatic care, not curative |
| Define: palliative | Aggressive symptomatic care of "whole" person |
| Advanced directives | DNR - do not resuscitate Living will - patient's wishes for trt Durable POA - legal subst decision maker |
| Define: active\passive euthanasia | Active - direct action to end patient's life Passive - withholding something that causes patient to doe |
| Age at which children are able to understand permanency of death | 6-9 yo |
| Pearson p 610 table 12-5 needs cards | |
| Possible nursing diagnoses | Anticipatory grieving Complicated grieving Death Anxiety Acute or chronic pain Fear Risk for compromised human dignity Risk for caregiver role strain Risk for loneliness Ineffective coping Interrupted family processes |
| Define: Complicated grieving | Extended time of denial Depression Severe physical symptoms Suicidal thoughts |
| Post death changes | Rigor mortis: 2-4h later body stiff Algor mortis: body temp decr to room temp Livor mortis: tissue discoloration in dependent areas Loss of skin elasticity Liquefaction of body tissues |
| Post mortem care | Supine, pillow, close eye, dentures/close mouth, clean soiled areas, clean gown, brush hair, sheet, family comfort, remove supplies, remove tubes - etc, chux under butt, valuables - policy, ID stays, body to morgue/funeral home, shroud body, document |
Created by:
mojoshare
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