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Flashcards in mental health Deck (50)
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1

S/sx of final days

person starts to withdraw, decrease socialization, decreased LOC, increased sleeping, decreased ability to swallow
physical signs: loss of bladder & bowel, decrease of urine, change in temp, skin appearance and breathing pattern

2

how to support the family

provide privacy, encourage, accept and allow for expressions of grief and sadness
create peaceful environment (soft lightening, decrease clutter)

3

signs of impending death

irregular breathing, extremities cool to touch, mottling in color, non responsive to voice and touch

4

signs of death

absence of breathing & heart rate for 3 minutes, eyes fixed and slightly open, color change

5

family reactions to a fatal illness

discovery and diagnosis
induction and remission
maintenance
recover
relapse
terminal stage

6

care of body after death

avoid using strings (leaves indentations)
use wide gauze to loosely wraparound fingers
don't use chin strap
put something small under head for normal positioning
do not put body face down
if plastic bags are used keep loose at the head

7

going through stages of grief before death, preparations

anticipatory grieving

8

outward expression of our grief, what others see

mourning

9

out internal suffering, what others don't see

grief

10

when dealing with death and dying what must you do

must first examine own mortality, be compassionate and caring and be a good listener

11

ability to cope is based on what

post experience, methods of coping, support systems and suddenness

12

Elizabeth Kubler-Ross stages of dying

denial "no, not me"
rage/anger "why me"
bargaining "yes me, but"
depression "yes me"
acceptance "its all right"

13

what are the three cardinal rules for death and dying cultural beliefs and practices

ask the pt about cultural practices
respect values and traditions
accommodate requests whenever possible

14

Davidson normal grief response

shock and numbness 'failure to accept reality"
searching and yearning "guilt"
disorientation " loneliness, isolation"
reorganization "accepts or is resigned to the loss"

15

normal grief response

is predictable but can dkip, have overlapping and repeats

16

abnormal grief

if after 3 years...
deceased room and belongings intact, talk about loss as though it has just happened, inability to remember the deceased, preoccupied with thoughts of deceased, talks about deceased as though still alive

17

nursing dx

anticipatory grief

18

prolonged grief

no resumption of normal activities of daily living within 4-8 weeks of a loss

19

when should someone find help

don't begin to feel better over time
abuse alcohol or meds to help feel better
think about suicide

20

the persistent effect the birth of a special needs child brings

chronic sorrow

21

the final stages for chronic grief

restitution (acceptance)

22

stages of chronic sorrow

defense mechanisms (denial and disbelief)
phase of developing awareness, characterized by overwhelming emotion
restitution/acceptance

23

does chronic grief prevent parents from feeling jow, happiness, satisfaction, and accomplishment for the child they love

no it does not

24

what are the 2 pathological reaction patterns of chronic grief

extreme guilt (look for signs of excessive over protectiveness)
parents may be intolerant of the child and deny relationship

25

the sudden unexpected death of any infant or child typically under two years of age in which an autopsy does not show an explainable cause of death

SIDS
*a syndrome, the 1st sx is death

26

predisposing factors for SIDS

age 2-4 months, most at 6 months
increased in winter months, SGA, premature, males, after 1st born

27

SIDS is a Dx of what

exclusion
always assume SIDS not abuse

28

common finding of SIDS

petechiae on thalamus, lung & brain, pulmonary edema, abnormal thalamus
usually frothy pink mucous coming from mouth and nose

29

sudden and unexplained death of infant in which cause of death is found later

SUID

30

what is the triple risk theory for SIDS

vulnerable infant
critical developmental period (0-6 months)
exogenous stressor