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Death and Dying Flashcards

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1
Q

seeks to bargain to avoid loss

A

Stage 3: Bargaining

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2
Q

TYPES OF GRIEF RESPONSES

contributing factors: prior traumatic loss, family or cultural barriers to the emotional expression of grief, sudden death, strained relationships , lack of adequate support

A

COMPLICATED

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3
Q

CHARACTERISTICS OF NORMAL GRIEF REACTION

A
  1. PHYSICAL SYMPTOMS
  2. PREOCCUPATION WITH IMAGE OF THE DECEASED OR LOSS
  3. FEELINGS OF GUILT
  4. LOSS OF USUAL BEHAVIOR
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4
Q

TYPES OF GRIEF RESPONSES

occurs when a person is unable to acknowledge the loss to other persons

A

DISENFRANCHISED GRIEF

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5
Q

total response to the emotional experience related to the loss

A

Grief

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6
Q

taking care of the whole person-body, mind, and spirit,
heart and soul

A

Palliative Care

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7
Q

become angry with God, with oneself or with others

A

Stage 2: Anger

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8
Q

(Types of Loss)

occurs in the process of normal development

A

DEVELOPMENTAL LOSS

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9
Q

refuses to believe that a loss is happening

A

Stage 1: Denial

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10
Q

Grieves over what has happened and what cannot be

A

Stage 4: Depression

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11
Q

TYPES OF GRIEF RESPONSES

exists when the strategies to cope with the loss are maladaptive

A

COMPLICATED

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12
Q

What should you do in Meeting Physiologic Needs of the Dying Client

A
  • providing personal hygiene measures
  • controlling pain
  • relieving respiratory difficulties
  • assisting with movement, nutrition, hydration, and elimination
  • providing measures related to sensory changes
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13
Q

FACTORS INFLUENCING LOSS AND GRIEF RESPONSES

A
  • age
  • significance of the loss
  • culture
  • spiritual beliefs
  • gender
  • socioeconomic status
  • support system
  • cause of the loss or death
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14
Q

ignores the signs of the loss

A

Stage 1: Denial

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15
Q

(Types of Loss)

can be recognized by others and can arise either in response to or in anticipation of a situation

A

Actual Loss

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16
Q

Type of Loss

loss resulting from normal life transitions

A

DEVELOPMENTAL LOSS

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17
Q

behavioral process through which grief is eventually resolved or altered

A

MOURNING

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18
Q

The physician is usually responsible for deciding what, when, and how the patient should be told.

A

Care of Terminally Ill Patients and Their Families

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19
Q

May cry and talk freely about the loss or may withdraw

A

Stage 4: Depression

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20
Q

strike a deal with God to make the loss go away

A

Stage 3: Bargaining

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21
Q

manifested in thoughts, feelings, and behaviors associated with overwhelming distress or sorrow

A

Grief

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22
Q

may express feelings of guilt or fear of punishment for past sins, real or imagined

A

Stage 3: Bargaining

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23
Q

FEARS EXPERIENCED BY THE DYING PERSON

A

Fear of the unknown
Fear of abandonment and loneliness
Fear of loss of relationships and experiences in
the future
Fear of dependency and loss of independence
Fear of pain

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24
Q

Death is an ______, a ________

A

an event, a state

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25
often influenced by culture, spiritual beliefs, and custom
MOURNING
26
making arrangements with the patient for funeral or memorial services
Impact on Family
27
TYPES OF GRIEF RESPONSES often relate to a socially unacceptable loss that cannot be spoken about
DISENFRANCHISED GRIEF
28
Goals of Hospice Care
1. To control and relieve pain and symptoms of the illness 2. To provide physical comfort for the terminally ill 3. To provide social, emotional, and spiritual comfort for the client, family, and friends throughout the final stage of illness, at the time of death, and during the bereavement period of survivors
29
hospice care
Palliative Care
30
May begin to experience: - guilt - remorse - loss of hope - loss of faith and trust
Stage 4: Depression
31
participation in planning the patient’s care
Impact on Family
32
isolates self from reality and represses what is discussed
Stage 1: Denial
33
subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship
BEREAVEMENT
34
may begin putting affairs in order
Stage 3: Bargaining
35
NURSING RESPONSIBILITIES FOR DYING CLIENTS (Specific)
1. To provide relief from loneliness, fear and depression 2. To maintain the client’s sense of security, self- confidence, dignity, and self-worth 3. To maintain hope 4. To help the client accept losses 5. To provide physical comfort
36
Type of Loss experienced as a result of an unpredictable event
SITUATIONAL LOSS
37
occurs when a valued person or object, or situation is changed or made inaccessible so that its value is diminished or removed
Loss
38
(Types of Loss) experienced by one person but cannot be verified by or is intangible to others
PERCEIVED LOSS
39
Focus of Nursing
HEALTH MAINTENANCE and HEALTH RESTORATION, with an emphasis on maintaining maximum potential in wellness
40
May begin to use: * rational thinking * adaptive behavior * appropriate emotion * patience and self-understanding * self- confidence
Stage 5: Acceptance
41
to promote "_____ _______" through compassionate palliative care and to facilitate coping with disability and death
good dying
42
Patients must be allowed to go through the stages of grieving process and to make decisions about their care
Impact on Patient
43
Initial stage: "It can't be happening."
Stage 1: Denial
44
focus on support and care of the dying person and family
Hospice Home Care
45
Comes to terms with loss
Stage 5: Acceptance
46
Goal: facilitating a PEACEFUL and DIGNIFIED DEATH
Hospice Home Care
47
Sources of Loss inanimate objects that have importance to the person
Loss of External Objects
48
May have decreased interest in surroundings and signifacnt others
Stage 5: Acceptance
49
an actual or potential situation in which something that is valued is changed, no longer available, or gone
Loss
50
TYPES OF GRIEF RESPONSES brief but genuinely felt
ABBREVIATED GRIEF
51
4 Sources of Loss
1.Loss of an Aspect of Self 2. Loss of External Objects 3. Loss of a Familiar Environment 4. Loss of a Loved One or Valued Person
52
Types of Griefs in Complicated Grief Response
a. unresolved /chronic grief b. inhibited grief c. delayed grief d. exagerrated grief
53
May begin to: * shop around * gamble * take risks * sacrifice
Stage 3: Bargaining
54
Who made 5 stages of Grief?
Kubler-Ross
55
Goal of Palliative Care: to give patients with life-threatening illnesses the ______ ______ of life they can have by the aggressive management of symptoms
best quality of life
56
Ability to function as a significant and integrated person
Helping clients die with dignity
57
Sources of Loss body part, physiological function, psychological function
Loss of an Aspect of Self
58
Sources of Loss a fundamental loss both for the dying person and those who survive
Loss of a loved one
59
(Types of Loss) experienced before the loss actually occurs
* ANTICIPATORY LOSS
60
NURSING RESPONSIBILITIES FOR DYING CLIENTS (Major)
to assist the client to a peaceful death
61
TYPES OF GRIEF RESPONSES experienced in advance of the event
ABBREVIATED GRIEF
62
Type of Loss occurs suddenly in response to specific external event
SITUATIONAL LOSS
63
It is a subjective and private experience a dynamic process, a stage of life
Dying
64
________ is often the key person in providing support and care when loss or death occurs. To be effective, the nurse must have accepted her/his own feelings about death and understand the stages of grieving and dying.
Nurse
65
Can now: - describe the terms and conditions involved in the loss - cope with the loss - test the concepts and alternatives available in dealing with the loss
Stage 5: Acceptance
66
may be artificially cheerful in order to prolong the denial
Stage 1: Denial
67
may begin to use: * self blaming * switching blame
Stage 2: Anger
68
Sources of Loss can stimulate people to grow in their understanding of themselves and others
Loss of a loved one

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