Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
Fundamentals Ch. 15
Loss, Grief, the Dying Patient & Palliative Care
| Question | Answer |
|---|---|
| advance directive | consent constructed before the need for it arises, spells out patient's wishes regarding surgery, diagnostic & therapeutic treatments |
| durable power of attorney for health care | legal document that appoints a person chosen by the patient to carry out his wishes expressed in an advance directive |
| health care proxy | durable power of attorney for health care |
| grief | total emotional response of pain & distress that a person experiences as a reaction to loss |
| grieving process | process that occurs over a period of time as a person adapts & moves through the pain of loss |
| dysfunctional | not natural or normally functioning |
| anticipatory grieving | grieving that occurs before the loss actually happens |
| bereavement | state of having suffered a loss by death |
| loss | to no longer have or possess an object, person or situation |
| death | cessation of all physical & chemical processes that invariably occurs in all living organisms, a stage of life |
| obituary | a notice of death published in the newspapers |
| Cheyne-Stokes respirations | respirations that gradually become more shallow & are followed by periods od apnea with repetition of the pattern |
| brain death | permanent stopping of integrated functioning of the person as a whole; cessation of brain functioning |
| rigor mortis | stiffening of the body |
| shroud | cover with which the body is wrapped after death |
| postmortem | after death |
| coronor | a person with legal authority to determine cause of death |
| autopsy | an examination of the body organs & tissues to determine the cause of death |
| thanatology | study of death |
| denial | defense mechanism in which the existance of intolerable conditions is unconsciously rejected; 1st stage in the acceptance of death |
| closure | to say good-bye to those people & things that are important |
| hope | an inner postitive lifesource, a feeling that what is desired is possible |
| hospice | philosophy of care for the dying |
| comfort care | identifying symptoms that cause the patient distress & adequately treating those symptoms |
| palliation | treatment provided solely for comfort |
| assisted suicide | making available to patients the means to end their lives with knowledge that suicide is their attempt |
| euthanasia | an easy or painless death |
| types of euthanasia | active-the deliberate ending of the life of a person who is incurably & terminally illpassive euthanasia - witholding of heroic measures & allowing the person to die |
| acceptance | admission of reality, final stage in dealing with death |
| bargaining | an attempt to make an arrangement whereby one gives something in order to gain something in return, 3rd stege of grieving process |
| 2 factors that influence person't reaction to loss | the importance of what was lost & the culture in which the person was raised |
| dysfuntional grief | when it falls outside normal reponses |
| validate the loss | reassure person that the loss was important and undersood |
| symptoms of grief | depression/sadness,anxiety,anger confusion/disorientation,helpless,restless, fatigue, apathy, lack of interest/apetite, shortness of breath, change in sexual interest, seeing loved one's presence,hearing their voice,need to tell/retell abt loved one |
| stages of grief | denial, anger, bargaining, depression, acceptance |
| stages of coping with death | denial, anger, bargaining, depression, acceptance |
| example of denial when coping with death | patient can't believe diagnosis |
| example of anger when coping with death | person looks for a cause or fixes blame |
| example of bargaining when coping with death | wish for extension of life or relief from pain |
| example of depression when coping with death | sense of great loss or hopelessness |
| examples of acceptance when dealing with death | pain gone, found peace, withdrawel from everyday activities, less verbal and more touch and presence important |
| signs of impending death | decrease urine output, inability to clear secretions, increased pulse rate, decreased blood pressure, skin mottling, Cheyne-Stokes respirations, incontinence, death rattle |
| Coronor cases | suspicious deaths, death from injury, accident, murder, suicide, any death within 24 hours of admission, death of someone not under MD care |
| do not ______ a patient until family members arrive | shroud |
| focus of Hospice care | symptom management and comfort care, quality of remaining life, |
| basis of Hospice care | acceptance of death as a natural part of life |
| 2 factors that influence person't reaction to loss | the importance of what was lost & the culture in which the person was raised |
| dysfuntional grief | when it falls outside normal reponses |
| validate the loss | reassure person that the loss was important and undersood |
| symptoms of grief | depression/sadness,anxiety,anger confusion/disorientation,helpless,restless, fatigue, apathy, lack of interest/apetite, shortness of breath, change in sexual interest, seeing loved one's presence,hearing their voice,need to tell/retell abt loved one |
| stages of grief | denial, anger, bargaining, depression, acceptance |
| stages of coping with death | denial, anger, bargaining, depression, acceptance |
| example of denial when coping with death | patient can't believe diagnosis |
| example of anger when coping with death | person looks for a cause or fixes blame |
| example of bargaining when coping with death | wish for extension of life or relief from pain |
| example of depression when coping with death | sense of great loss or hopelessness |
| examples of acceptance when dealing with death | pain gone, found peace, withdrawel from everyday activities, less verbal and more touch and presence important |
| signs of impending death | decrease urine output, inability to clear secretions, increased pulse rate, decreased blood pressure, skin mottling, Cheyne-Stokes respirations, incontinence, death rattle |
| Coronor cases | suspicious deaths, death from injury, accident, murder, suicide, any death within 24 hours of admission, death of someone not under MD care |
| do not ______ a patient until family members arrive | shroud |
| focus of Hospice care | symptom management and comfort care, quality of remaining life, |
| basis of Hospice care | acceptance of death as a natural part of life |
| necessary for death to be declared | brain death |
| 3 common factors a patient is likely to fear when dying | pain, loneliness, life is meaningless |
| legal form of euthanasia | passive |
| Scopolamine | decreases secretions and eases breathing |
| nursing intervention for pain | hydrotherapy |
| nursing intervention for nausea | antiemetics |
| nursing intervention for dyspnea | scopolomine patch |
| nursing intervention for anxiety | using therapeautic communication to allow patient to express fears, feelings, and needs |
| nursing intervention for constipation | stool softeners |
| nursing intervention for incontinence | keep skin dry by changing frequently |
| nursing interventions for thirst | ice chips, small sips of fluid |
| nursing intervention for anorexia | eliminate unpleasant sights and smells at mealtime |
Created by:
drtediaper
Popular Nursing sets