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Flashcards in Palliative part 2 Deck (12)
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1
Q

Describe the supportive care model

A

Based on observing the nursing practice in a Pain and Symptom Control clinic

Model consists of six interwoven dimensions

Dimensions are directed towards emotional aspects of dying and practical concerns of patients and carers.

2
Q

describe valuing

A

Provides the context for supportive care

Involves respect for a particular individual

Primarily an attitude which underlies action

3
Q

describe connecting

A

Connecting with the patient and family
-Establishing a trusting relationship
- Sustaining the connection requires the nurse to spend time with the patient and family and to give of oneself
-After the patient dies connection continues for a time in the form of bereavement support
Eventually the connection will be broken

4
Q

describe empowering

A

Building on the strengths of the patient and family

Assess for and support effective coping techniques

Assist with decision making; supporting the choices they make; providing information

Letting them vent

5
Q

Describe “doing for”

A

Goal is to free up the person and family so that energy can be focused on really important areas for them

Includes pain and symptom management, co-ordination of care, and advocating for patient and family

Collaborate with patient/family to establish goals and care plan

6
Q

Describe “finding meaning”

A

Involves focusing on living and making the best use of time remaining
People need to be able to make sense of what is happening to them
Important to support realistic hope
Care for spiritual needs

7
Q

Describe “preserving integrity”

A

The core of the Supportive Care Model

Refers to the integrity of both the patient and the nurse

Nurse needs to be able to maintain a sense of self-worth and to take care of self
Integrity of patient and family is maintained through the balanced attention to all dimensions

Really means: holistic approach to providing care to the person and family

8
Q

Describe self care

A
Learning to receive as well as give
Learning to grieve
Replenishing oneself
Staying healthy
Being able to let go of personal agendas
9
Q

What do the terms complicated and anticipatory grief mean?

A
  1. abornmal/complicated grief: unresolved issues between people and the individual passes.
  2. Anticipatory grief: sometimes grieving starts before the individual passes. This could lead to a sense of relief when the person does pass which can create confusion within the person.
10
Q

Describe disenfranchised grief, shadow grief, and companioning.

A
  1. Disenfranchised grief: not something that can be openly talked about e.g. having an abortion, suicide, drunk driver death (family feels grief over loss of drunk driver, however do not feel like they can openly talk about it), grieving your divorced spouse.
  2. Shadow grief: grief that comes back e.g. often seen around holidays/special events.
  3. Companioning: walking along side someone as they’re mourning.
11
Q

What are the 6 R’s of Mourning?

A
recognize the loss
React to the separation
Recollect and re-experience the decease
Relinquish old attachments
Readjust to a new world
Reinvest emotionally
12
Q

What factors influence how a person grieves?

A
Expected vs unexpected
Relationship to the person
Learned and adopted coping strategies
Developmental stage
Support system 
Belief system 
Accessibility to help/support system