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Palliative > 4- Children facing Death > Flashcards

4- Children facing Death Flashcards

1
Q

Can’t differentiate death & separation

Believe death is reversible

A

Children from birth to 4

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2
Q

Come to understand irreversible & final
May believe they can cause death
*Younger-Death is going to sleep or on a trip

A

Children between 4 & 6

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3
Q

Understand death irreversible & universal

Develop logical thought, realistic understanding of cause of death

A

Children between 7 & 11

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4
Q

Abstract understanding of death
May perceive as heroic or tragic
May choose escapism, denial, acting out

A

Children 12 - Adolescent

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5
Q

Myths about grief in children & adolescents include:

A 
Do not grieve
Should not go to funerals
Should always attend funerals
Recover from loss quickly
Shield from los
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6
Q

Children’s grief is commonly..

A

Misunderstood

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7
Q

A child’s grief is manifested by the childs (2)

A

Developmental stage

Access to surround supports

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8
Q

T/F Children should not and cannot be protected from death and loss.

A

TRUE

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9
Q

To assist grieving children it is important that families receive larger…

A

Community Support

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10
Q

Interventions for preschoolers include:

A

Simple terms, open to questions

Age appropriate literature

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11
Q

Interventions for 6-8 include:

A

Encourage participation in rituals

Support in sharing controlled emotions

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12
Q

Interventions for 9-11 include:

A

Encourage participation in care-giving

Give information about dx & px stat

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13
Q

Interventions for Adol 12-14 include:

A

Allow to assist in caregiving, but not 2 burdensome

Allow choice in rituals after death

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14
Q

Interventions for Adol 15-17 include:

A

Discuss ways they can help

Anticipate intense mourning & help them understand grieving process

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15
Q

_____ is a natural medium for children to express their feelings & allows them to feel some control

A

PLAY

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16
Q

T/F Children will express grief through play whether facilitated by adults or other children.

A

TRUE

17
Q

Some helpful activities and toys?

A

Dolls/Action Figures & houses
Puppets
Aggression release (drums, punching bags)

18
Q

Children & teens also benefit from this therapy, providing avenues for expression.

A

ART

19
Q

Hospice & palliative often use ____ with children and adolescents. Funeral homes too!

A

ARTS - collages, scrapbooks, music

20
Q

Children age 1-9 die from..

A

Unintentional/Intentional Injuries
Congenital defects
Cancer

21
Q

Youth 10-19 die from…

A

Unintentional/Intentional injuries
Cancer
Heart disease

22
Q

There are 4 pathways to children death: (SPCP)

A

Sudden
Potentially curable disease
Congenital abnormality
Progressive condition

23
Q

Children with progressive disorders often have multiple episodes until they die. Care-givers who have fought for survival may be..

A

Ill-prepared to provide end-of-life care

24
Q

T/F Children often suffer needlessly at the end of life.

A

TRUE

25
Q

Pediatric palliative care focuses on the….

A

Family & Child is central focus of care

26
Q

1.Important in child palliative is continuity of care by a…

A

Consistent physician

27
Q

2.Families may need ________ care to take breaks from bedside care. Children need available support __/_

A

Respite

24/7

28
Q

Barriers to palliative care for children include:

BLUCS

A 
Belief that children shouldn't die
Compulsion to save life at all costs
Lack of financial resources
Unwillingness to let child go
Switch to palliative not until very end
29
Q

T/F children often suffer pain that is not recognized or treated,

A

TRUE

30
Q

2 Assessments used in childrens pain?

A

Faces

QUESTT

31
Q

QUESTT =

A 
Questioning
Using (scales)
Evaluating clues
Securing parental involvement
Taking cause into account
Taking action
32
Q

If possible a nurse should be with family @ home until…

A

Very End

33
Q

After prognosis, the nurses role becomes:

A

Support parents in understanding implications

34
Q

The first step in working with families is always:

A

Attentive listening to feelings

35
Q

Guidelines in talking to parents include: UUI

A

Use everyday language
Use drawings to explain dx & px
Involve family in developing palliative goals
Listen carefully & pay attention to questions

36
Q

In talking to children facing death: LOB

A

Listen to child’s questions
Beware giving too much/too little info
Offer to talk, but accept silence/subject change

Palliative (14 decks)

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