Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

FONDATION OF NURSING

FINAL CHAPT 43

QuestionAnswer
Loss & Grief-RESPECT CULTURE AND BELIEF Actual or potential situation in which something valued is changed or no longer available OCCURS AT DIFFERENT STAGES
Types of Loss Actual Recognized by others I.E MASECTOMY Perceived Experienced by one person but cannot be verified by others I.E LOSS JOB THAT MADE MORE MONEY Anticipatory Experienced before loss occurs, A SICK PERSON Can be actual or perceived
TYPE OF LOSS Situational -UNPREDICATED Loss of job ,Death of child MaturationaL Departure of children from homeRetirement
Grief, Bereavement, Mourning INDIVIDUALIZE, CULTURE AND SPIRITUAL BASED Grief Total response to emotional experience of loss BereavemenT Subjective response by surviving loved ones Mourning-EXPRESSING LOSS(WEAR BLACK) Behavioral process through which grief is resolved or altered
Stages of Grief & Dying STAGES MAY OVERLAP Shock & disbelief Refuses to accept or intellectually accepts loss Developing awareness Reality sets in with psychological pain, crying, anger Restitution Noted by the work of the mourning process-
LOSS= Resolving the loss-Energy focused on thoughts of the deceased IDEALIZATION=GOOD FEELINGS-REMEBER GOOD TIME Idealization Negative feelings toward deceased are repressedThen, griever able to incorporate characteristics of deceased into own personality Outcome Dependence on deceased decreases; griever able to move on with own life
Dysfunctional Grief=DO NOT MOVE ALONG Abnormal or distorted Person may have difficulty expressing feelings of loss or may deny themGrief period may be extended for long period of timePerson may suppress grief feelings; may have physical symptoms instead of expressing feelings
Definition of Death CESSATION OF BREATHING, NOT RESPONDING TO PAINFUL STIMULI Lack of reflexes (such as the gag or corneal reflex) and spontaneous movement Flat encephalogram (brain waves)
DEATH-PATIENT IN SUPINE POSITION-MAKE THEM LOOKING GOOD An individual who has sustained either (1) irreversible ces sation of all functions of circulatory and respiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brainstem, is dead
Clinical Signs of Impending Death THIS WILL HELP FAMILY MEMBER TO PROGRESS-HELP PATIENTS COPE AND NURSSES NEEDS COUNSELING, SUPPORT STILL PROVIDE CARE-CLEANING, COMBING HAIR, Weak, slow, or irregular pulse Loss of movement, sensation, and reflexe Noisy, irregular, or Cheyne-Stokes respirationsRestlessness and/or agitation Urinary and/or bowel incontinence or constipation Dec BP
Components of a Good Death-EDUCATE THE FAMILIES MEMBERS Relatively free of pain, and with dignity KEEP PATIENT COMFORTABLE Control of symptoms Preparation for death Opportunity to have a sense of completion of one’s life Good relationship with health care professionals
Kübler-Ross’ Stages of Grief & Dying EVERY DEATH MUST BE REPORTED MOTICIAN HAS TO SIGN DEATH CERTIFICATED LINK HEALTH-HARVEST ORGANS Denial Cannot belief that loss is true Anger Angry at others (including God) & at self Bargaining Try to exchange promises for longer life Depression Reality of loss becomes realAcceptanceDeals with reality of loss & ready to move on
Terminal Illness-BE FACTUAL-Cultural influences may dictate how much information is desired and which family members are to be informed TELL WHATS GOING ON-EVERYONE HAS TO BE ON THE SAME PAGE FAMILY MUSTBE INCLUDED IN EVERYTHING-PROVIDE SUPPORT Allows them to work through grief processAllows them to make informed decisions about what treatment to have or to choose not to have treatment
PALLATIVE CARE RELIEVE SYMPTOMS-INTENTED TO CURE
HOSPICE CARE RELIEVING SYMPTOMS - AND SUPPORTING CLIENT with limitedlife expectancy of months & their familieS NO INTENTION TO CURE-EN OF LIFE
Ethical & Legal Dimensions Need for self-reflection
Advance Care Planning 18 AND OLDER WHO CAN SEE YOUR PHI OR NOT Does not guide Emergency Medical Personnel Guides inpatient treatment decisions when made available LIVING WILLS-WISHED FOR TREATMENT , WHAT YOU WANT OR DONT WANT-SPECIFIC INSTRUCTION Durable power of attorney-PERSON MAKES DECISON WHILE ALIVE, CANT MAKE DECISON ENT WHILE SICK(WHAT YOU WANT DONE)
WHAT IS Physician Order for Life-Sustaining Treatment (POLST)? Medical order indicating patient’s wishes regarding treatments commonly used in medical crisis Must be signed by healthcare professional Can go wherever patient goes
Special Orders HELP EVERYONE TO BE ON THE SAME PAG Allow natural death, do-not-resuscitate, or SHOW no-code orders Active euthanasia Comfort measures only orders -GOAL OF TREATMENT Terminal weaning Voluntary cessation of eating and drinking Active and passive euthanasia-WITHDRAW TREATEMENT
Factors Affecting Grief & Dying Developmental considerations ChildhoodChildren grieve Developmental delaysEarly and middle adulthood Death of parentsLoss from impaired health, functionLate adulthoodLoss of friends, longtime mate
Factors Affecting Grief & Dying Family/support systemPeople closest to grieving individual First to provide supportNeed for ongoing support may be unmetRoles of family membersSocioeconomic statusEffects available support system; available resources such as life insurancePossible lack of finances
Factors Affecting Grief & Dying Spiritual beliefsMost religious groups have practices related to dying Cause of loss or deathSome diseases considered "clean," engender compassion Preventable death may be viewed as less acceptable-UNEXPECTED-SEAT BELT
Suicide Prevention ADDRESS SUICIDE Rise in suicide rates-IN COVID Do nurses have responsibility to prevent suicide? Suicide prevention in inpatient facilities
SUICIDE PREVENTIONQUESTIONAIRE-ALGEE Assess for risk of suicide or harm Listen nonjudgmentallyGive reassurance & information Encourage appropriate professional help Encourage self-help & other support strategies
Nurse as Role Model PROVIDING COMPASSIONATE CARE TO DYING AND NON-DYING, FAMILIES Existence of an advance directive (It is critical that the authorized decision maker be known to all members of the health care team.)
Assessing- Where are they in the grief process?Use of non-judgmental approach What are patient’s & family’s knowledge & perception of situation and the illness?What are patient’s personal resources & personal stressors?What are patient’s social supports? Patient’s coping skills?
Nursing Actions Provide comfort, maintain dignity, and promote independence Use therapeutic communicationProvide emotional supportAcknowledge grief of significant othersOffer choicesProvide information on how to access community resourcesSuggest additional sources of information
Nursing Actions Develop trusting nurse-patient relationship Explain patient’s condition & treatment Teach self-care & promoting self-esteemMeet needs of the dying patient Physiologic needs: physical needs, such as hygiene, pain control, nutritional needsPsychological needs: patient needs control over fear of the unknown, pain, separation, leaving loved ones, loss of dignity, loss of control, unfinished business, isolation
NURSING ACTION Spiritual needs: patient needs meaning and purpose, love and relatedness, forgiveness and hope Needs for intimacy: patient needs ways to be physically intimate that meets needs of both partners
ACTION Support those who feel unable to care for or be with the dying Show an appropriate waiting area if they wish to remain nearbyMeet family needsHow do you feel about patients talking to you about their dying? About their fear of dying?
Providing Postmortem Care Encourage family to view the body if they wantIf family or friends wish to view the bodyMake environment as clean and as pleasant as possibleMake body appear natural and comfortable
Providing Postmortem Care Place one pillow under the head and shoulders Close eyelids Insert dentures Close mouth Wash soiled areas of the body Place absorbent pads under the buttocks Place a clean gown on the clientBrush and comb the hair
Created by: Seka_nurse
Popular Science sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards