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255 exam 1

Death, Disability, Grief

QuestionAnswer
losses may be.... sudden, gradual, anticipated, uncertain partial, total, temporary, permanent
sudden loss traumatic brain injury sustained in an MVA, 
gradual loss progressive muscular dystrophy),
Anticipated loss age-related changes in hearing, vision, and the musculoskeletal system,
uncertain loss opportunistic infections associated with acquire immunodeficiency syndrome). 
partial loss torn anterior cruciate ligament
total loss death or predicted death
temporary loss muscular strain of low back
permanent complete spinal cord injury
5 stages of death and dying denial anger bargaining depression acceptance
denial numbness, shock, isolate self from reality blame something, ask for more tests.
anger fear, loss of autonomy, “why me” Behaviors – displaced anger on many people, god, MD, self
bargaining making deals, setting time goals Behaviors – “God if you allow me…” “If you let me live…”
depression sense of loss, grief, sadness, response to overwhelming circumstance. Behaviors – quiet, isolation, sleep disturbances, lethargy
acceptance coming to terms with fate. Live well! Behaviors – live for moment, Advanced Directives, No Code
do the stages of grief have to be in order? no, can jump between them, people tend to get stuck in depression
fears of disability and dying fear of isolation, fear of pain, fear of dependence, fear of death
fear of isolation feel alone, fear of rejection, people giving up
fear of pain will it hurt, anxiety and depression increase pain awareness
fear of dependence continued independence if crucial! Avoid pity
fear of death uncertainty of unknown
therapeutic presence connect, listen, do not discount their feeling, try not to personalize anger, importance of touch
Created by: bdavis53102
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