loss, grief, dying Flashcards

1
Q

actual loss

A

can be recognized and seen by others

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2
Q

perceived loss

A

felt by a person, but is intangible to others

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3
Q

physical loss

A

losing a limb

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4
Q

psychological loss

A

losing independence

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5
Q

maturational loss

A

experienced as a result of natural developmental process

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6
Q

situational loss

A

experienced as a result of an unpredictable event

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7
Q

anticipatory loss

A

loss has not yet taken place

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8
Q

grief

A

internal emotional reaction to loss

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9
Q

bereavement

A

state of grieving from loss of a loved one

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10
Q

mourning

A

actions & expressions of grief, including symbols and ceremonies that make up outward expression of grief

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11
Q

loss

A

the experience of parting with an object, person, belief, or relationship that one values

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12
Q

kubler-ross’s five stages of grief

A

1 denial and isolation
2 anger
3 bargaining
4 depression
5 acceptance

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13
Q

engel’s six stages of grief

A

1 shock and disbelief
2 developing awareness
3 restitution
4 resolving the loss
5 idealization
6 outcome

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14
Q

what is the medical criteria used to certify a death?

A
  • cessation of breathing, no response to deep pain stimuli, & lack of reflexes
  • spontaneous movement, flat encephalogram
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15
Q

components of a good death

A

control of symptoms
preparation for death
opportunity to have a sense of completion in one’s life
good relationship with healthcare professionals

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16
Q

clinical signs of impending death

A

difficulty swallowing or talking
nausea, flatus, abdominal distention
urinary and/or bowel incontinence
loss of movement, sensation, reflexes
decreasing body temeprature
weak, slow, or irregular pulse
decreasing BP
noisy, irregular, or cheyne-stokes respirations
restlessness
cyanosis of extremities

17
Q

two types of advanced directives

A

living will
durable power of attorney

18
Q

living will

A

specific about the type of care provided, cannot be changed

19
Q

durable power of attorney

A

appoints someone to make decisions

20
Q

active euthanasia

A

physician-assisted death

21
Q

passive euthanasia

A

allowing client to die on their own

22
Q

palliative sedation

A

giving client sedation if in palliative care

23
Q

goal of palliative care?

A

improve client’s and family’s quality of life