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Unit 6 continued

Uniquely described by greiving patient. It is less obvious to others. loss of confidence and loss of prestige. Perceived loss
Denial,Anger,Bargaining,Depression,Acceptance Kubler-Ross
Letting go by actual death occurs Anticipatory Grief
Loss never resolved, cant go thru normal stages of greiving Complicated Dereivement
Loss is not socially exceptably to grief, such as miscarriage, mistress death, or homosexuality Disenfranchised Grief
Portray Hope, Use outside coping skills Nursing Care of Pt and Family
sleep disturbance, appetite loss, dreams of deceased, sighing, crying Behavior of Grief
sad, anger, lonely, fatigue, relief, yearning, shock Feelings of Grief
Holloweness in stomach, tightness of chest/throat, oversensitivity to noise, short of breath, dry mouth, muscle weakness, lack of energy, depersonalization Physical symp of Grief
confused, disbelief, hopelessness, hallucinations, preoccupied with deceased, sense presence of dead Thoughts of Grief
Live as actively as possible until death. Pysch care, pain relief, do not hasten or postpone death Pallative Care
prevent symptoms such as constipation due to narcotics Sx control w/ Pallative care
Fear of dying alone. Encourage families to talk about current activities and reminice Prevention of Abandonment and injuries
Hold hand, encourage to express grief openly with patient Support Grieving Family
Listen, sit close, eye contact, touch.Pt sets pace. His emotions are OK, Therapeutic Communication
stereotype fit person into a particular patttern w/o further assessment
culture integrated pattern of human behaviors
illness personal, interpersonal, and cultural reaction to disease
disease malfunctioning and maladaptation
worldview phenomenon, characteristics of particular cultural groups which are T/F
emic worldview inside viewing culture
Body image culture/society defines norms
self-esteem evaluation of worth
Role behaviors you have to do
Identity sameness overtime
Sexuality thoughts and feelings about your body
Role Stressor inability to balance family and career, empty nest, responibilities for aging parent
Idenitity Stressor job loss, divorce, neglect, rape, assault, repeated failure
Sexuality contraception, abortion, sexual dysfunction, STD
Spirituality relationship btwn beliefs and healing. Hope tends to do better
Faith relationship w higher being. Gives meaning to life
Religion organized and followed
Hope attitude of something to live for. Expectations for future
Health Promotion for Spiritual health establish prescense, healing relationship
Acute Care for Spiritual health support system-family, care around rituals,
Restorative Care for Spiritual health prayer and meditation
Created by: allicat21