ch. 28 - Loss and death Flashcards
1
Q
- Emotional loss before it actually occurs
- Can result in premature detachment
- Examples of this would be knowing you have to move to a nursing home several weeks before the move occurs or being aware a family member has a terminal illness and will die soon but not knowing the exact day, just knowing it is coming soon. In this situation, the family members could try to detach themselves from the dying family member as a way to prepare for their loss coming.
A
Anticipatory grief
2
Q
- Crisis period: the first few months after the loss
- In this stage, the person could be withdrawn, angry, and just trying to find a way to survive. At first the patient could cry a lot, but as time goes on they learn how to adapt and still feel sad but can function.
A
Acute grief
3
Q
- Follows the acute grief stage
- acute grief stage is over but the memories of a lost loved one can bring feelings of sadness. This is a normal response. It can be triggered by anniversary dates, birthdays, certain smells
A
Shadow grief
4
Q
- PTSD
- In this stage, the patient re-experiences their memories of loss as if it is still fresh over and over again. They are not coping properly and can have feelings of guilt or anger that they cannot let go of. Family members who lost someone to suicide could belong to this group.
A
Complicated grief
5
Q
- Grief experienced by a person whose loss cannot be publicly mourned
- In this stage, the relationship to the person who died cannot be known for whatever reason.
A
Disenfranchised grief
6
Q
Factors affecting coping
A
- Goal: move from a state of chaos to stability
- whether patient is seeking guidance (can they cope well)
- meds
- mental health
- exercise
- personality
- amount of losses experienced
- presence of support system
7
Q
- determine if the patient is able to cope effectively
stress management techniques (positive or negative) - For grieving, look for non-verbal cues
- assess spiritual health
- any additional stress they experienced
assess for risk factors that can complicate grief
A
Grief assessment
8
Q
- priority is to establish rapport w/ patient
- ALWAYS acknowledge cultural differences
- nurse can assist with making funeral home arrangement such as locating local funeral homes
- Allow the family to call others and notify them of the death
- Provide support as much as the patient/family needs
- If a patient moves to a nursing home, try to make that a happy place to make the loss seem not as bad
A
Nursing care
9
Q
therapeutic communication is KEY
4 stages:
- clarification and control
- collaboration
- directed relief
- cooling off
A
Countercoping
10
Q
nurse helps the griever cope with the new information, discussing alternatives, and finding a way to manage without making rash decisions
A
clarification and control
11
Q
work with the patient and encourage them to share stories and reminisce
A
collaboration
12
Q
Encourage the patient to express their emotions
A
directed relief
13
Q
The nurse encourages the patient to try to make sense of the loss and find a new way to live with the change
A
cooling off
14
Q
- If someone is dying from a terminal illness make sure the nurse is meeting their caregivers needs too even after the loss of the family member
- encourage family support as someone is dying
A
Death
15
Q
- Make sure the patient receives the care they need in a timely manner
- Allow the patient to control their environment and choices as much as possible
- Allow and encourage communication w/ loved ones
- Allow life to continue as normal as possible for the patient and be a source of strength for them
- Incorporate cultural practices as desired
- Advocate for what your patient needs even if they don’t know how to ask for it
A
Nursing implications
