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chapter 43

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
types of loss   actual, perceived, physical, psychological,maturational, situational, anticipatory  
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actual loss   can be recognized by others  
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perceived loss   is felt by the pt but intangible to others  
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maturational loss   experienced as a result of natural developmental process  
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situational loss   experienced as a result of an unpredictable event  
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anticipatory loss   loss not taken place yet  
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grief   internal emotiona reaction to loss  
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bereavement   state of grieving from loss of a loved one  
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mourning   actions of grief that make up outward expression of grief  
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uniform definition of death act   individual who has sustained irreversibe cessation of all functions including the brain stem  
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components of a good death   pain management, preparation for death, affirmation of the whole person  
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clinical signs of death   difficulty swallowing, incontinence, loss of movement, weak pulse, decreasing BP, restlessness, cool extremities, noisy respirations, decreasing body temp  
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5 stages of grief   denial, anger, bargaining, depression, acceptance  
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advance directives   decides who will make decisions for the pt  
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factors affecting grief   developmental stage, family, socioeconomic factors, gender, religion, cause of death  
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needs of dying pt   physiologic, psychological, sexual, spiritual  
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physiologic needs of dying pt   hygiene, pain control, nutritional needs  
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psychological needs of dying pt   control over fear of the unknown, pain, separation, loss of dignity, loss of control  
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sexual needs of dying pt   pt needs ways to be physically intimate that meets needs of both partners  
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spiritual needs   pt needs meaning and purpose, love, forgivness and hope  
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nurse/pt relationship for dying pt   explain condition, teach self-care, teach family to assist in care, meet needs of dying pt, meet needs of family  
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postmortem care   care of the body, care of the family, label body, review organ donation, care of other pts  
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postmortem care of body   prepare body for discahrge, place body in anatomical positiojn, id body, follow law if death by communicable disease  
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postmortem care of the family   liste to family's concerns, offer solace and support, arrange for family to view body, provide private place for family to view body, attend funeral and follow up visit  
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promoting self worth of a dying pt   can be achieved by the RN by regular visits to the pt  
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The RN must first evaluate ______________ to be effective when caring for a dying pt.   their own values/beliefs on death and dying and their own mortality  
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goal of grief   to integrate and accommodate loss  
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Created by: N119
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