6.5 Bereavement and Nursing Process

Question 1

Maladaptive Assessment

Answer 1

• Financial issues posed by loss
• Lack of coping skills
• Emotional/Physical dependence on the lost person/item
• History of substance abuse
• History of trauma and abuse
• Multiple losses in a short time

Question 2

Outcomes

Answer 2

• Acknowledges awareness of loss
• Able to express feelings about loss
• Verbalizes stages of grief process and behaviors associated with each
• Express personal satisfaction and support from spiritual practices.

Question 3

Short Term Goals

Answer 3

• Acknowledge awareness of loss
• Express feelings about loss
• Verbalize own position in the grief process
• Identify meaning/purpose in life, moving forward with hope for the future

Question 4

Long Term Goals

Answer 4

• Progress through the grieving process in a healthy manner towards resolution
• Express achievement of support and personal satisfaction of spiritual practices

Question 5

Interventions

Answer 5

• Assistance through grief process
• Encourage patient to express feelings about the loss
• Encourage participation in usual religious practices where they derive support
• Assist patient in identifying positive aspects about their life
• Encourage patients to ventilate the meaning of their own existence

Question 6

Hospice

Answer 6

• Service that provides supportive and palliative care to meet special needs of a dying patient and their families
• Physical, psychological, spiritual and social support for those where aggressive treatment is no longer appropriate
• FOCUS IS QUALITY OF LIFE

Question 7

TEAM FOR HOSPICE CARE

Question 8

Nurses

Answer 8

• Case managers
• Establish needs and goals of the family, assist caregivers, evaluate care, education

Question 9

Attendants

Answer 9

• Assist in personal care and activities of daily living. Spend the most time with patients

Question 10

Physicians

Answer 10

• May continue medical orders
• Hospice consultant manages pain management treatment

Question 11

Social Workers

Answer 11

• Assists with psychosocial stress including patient condition, financial issues, legal needs, bereavement concerns

Question 12

Volunteers

Answer 12

• Provide services that otherwise may be financially impossible. Provide transportation, companionship, respite care, house keeping etc.

Question 13

Rehabilitation Therapist

Answer 13

• Physical therapist assist in minimizing physical disability.
• Occupational therapist help patients accomplish daily activities as independently as possible

Question 14

Dietician

Answer 14

• Help manage patients experiencing n/v, diarrhea, weight loss.

Question 15

Counselor

Answer 15

• Helps with mental illness or neurocognitive disorders. Usually a psychiatrist or psychologist

Question 16

Advance Directive

Answer 16

• Gives individual power to provide directions for future medical care
• Durable power of attorney
• Healthcare Proxy

Question 17

Living Will

Answer 17

• Written document by the individual about future medical care when they can no longer make decisions for themselves.

Question 18

When Advanced Directives Are Not Honored

Answer 18

• Advance directive not available at the time where a decision needs to be made
• Advance directive is not clear in their wording
• Healthcare proxy is unsure of patients wishes