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Flashcards in Grief And Loss Deck (41):
1

Can be recognized by others

Actual loss

2

Is felt by person but intangible to others

Perceived loss

3

Experienced as a result of natural developmental process

Maturational loss

4

Experienced as a result of an unpredictable event

Situational loss

5

Loss has not yet taken place

Anticipatory loss

6

An elderly person who is placed in a nursing home by his family is remorseful about the loss of his financial independence. What is the term for the type of loss he is experiencing ?

Perceived loss

7

Internal emotional reaction to loss

Grief

8

State of grieving from loss of a loved one

Bereavement

9

Actions and expressions of grief that make up outward expression of grief

Mourning

10

Engels 6 stages of grief

Shock and disbelief
Developing awareness
Restitution
Resolving the loss
Idealization
Outcome

11

A person who exaggerated the good qualities of his recently deceased father is experiencing what state of Engels grief?

Idealization

12

The exaggeration of the good qualities the person or object had, followed by acceptance of the loss

Idealization

13

Refusal to accept the loss, followed by a stunned response

Shock and disbelief

14

Rituals surrounding the loss

Restitution

15

Dealing with the loss as a common life occurrence

Outcome

16

An individual who has sustained either 1. Irreversible cessation of all functions of circulatory and respiratory functions of the entire brain or 2. Irreversible cessation of all functions of the entire brain, including brain stem, is dead

Uniform definition of death act

17

Medical criteria used to verify a death ?

Cessation of breathing, no response to deep painful stimuli, and lack of reflexes (such as the gag or corneal reflex) and spontaneous movement

18

Components of a good a death?

Controls of symptoms
Preparation for death
Opportunity to have a sense of completion of ones life.
Good relationship with health care professionals

19

Clinical signs of impending death?

Difficulty swallowing or talking
Nausea, abd distention
Incontinence
Loss of movement, sensation, and reflexes
Cold or clammy skin
Weak, slow or irregular pulse
Decreasing blood pressure
Noisy or irregular, or Cheyne stokes resp
Restlessness or agitation
Cooling, mottling, and cyanosis of extremities

20

Kubler-Ross’s 5 stages of grief

Denial and isolation
Anger
Bargaining
Depression
Acceptance

21

More important than the actual stages of any given grief reaction is the idea that grief is a process that is the same from person to person

False

22

The goal of palliative care is to give patients with life threatening illnesses that best quality of life they can have by the aggressive treatment of symptoms

True

23

Indicate who will make decisions, what kind of treatment done, how comfortable patients wants, how patient wants to be treated, what patient wants loved ones to know

Advance directives

24

Physiologic needs of dying patients

Physical needs such as hygiene, pain control, and nutritional needs

25

Psychological needs of dying patients

Control over fear of unknown, pain, separation, leaving loved ones, loss of dignity, loss of control, unfinished business, isolation

26

Needs for intimacy of dying patient

Needs ways to be physically intimate that meets needs of both partners

27

Spiritual needs of dying patient

Needs meaning and purpose, love and relatedness, forgiveness and hope

28

A living will appoints an agent, trusted by the person who is ill, to make decisions in the event of subsequent incapacity

False

29

Providing postmortem care

Care of body
Care of family
Discharging legal responsibilities
Death certificate issued and signed
Labeling body
Reviewing organ donation arrangements
Care of other patients

30

Someone other than the patient commits an action with the intent to end the patients life, for example, injecting the patient with a lethal dose of a drug

Active euthanasia

31

Written directive that allows people to stay in advance what their choices for health care would be if certain circumstances should develop

Advance directives

32

An order that no attempts are to be made to resuscitate patient who stops breathing or whose heart stops beating

Allow natural death (AND) order

33

An order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest

DNR

34

Abnormal or distorted grief that may be either unresolved or inhibited

Dysfunctional grief

35

Mercy killing. The deliberate termination of the life of a person

Euthanasia

36

Hospice care

Palliative care

37

Lowering of patient consciousness with medication for the express purpose of limiting the patients awareness of suffering that is intractable and intolerable

Palliative sedation

38

Illness from which there is no reasonable expectation of recovery or cure

Terminal illness

39

Withdrawal of life sustaining therapy with the understanding that death may result, generally after a decision is made that the therapy in question is medically futile or disproportionately burdensome

Terminal weaning

40

Can be recognized by others as well as by the person sustains the loss. For example, loss of a limb, a child, a valued object such as money, and a job

Actual loss

41

An examination of the organs and tissues of a human body after death

Autopsy