T3-Death and Dying Flashcards Preview

Pediatrics-MJ > T3-Death and Dying > Flashcards

Flashcards in T3-Death and Dying Deck (14):
1

How does a toddler understand death? (3)

-Only thinks in here and now
-Extension of the fear of separation
-Senses feelings of others

2

How does the preschool understand death? (4)

-Temp. departure ("the dead person in the coffin still breathes"
-Relate death to sleep
-Death and illness are punishment
-Worry who will provide care for them afterwards

3

How does the school-ager understand death? (6)

-Death is permanent
-Happens only to adults
-Death is immobility
-Fears pain and abdonment
-Curios about death rituals
-May think they caused it

4

How does the adolescent understand death? (3)

-Risk taking behaviors--think they are immune to death
-May want to plan own funeral
-May feel anger because cannot plan for the future

5

Interventions designed to provide pain and symptom management that allows for optimal functioning with the time remaining

Palliative care

6

Is palliative care done by a single person or multidisciplinary team?

Multidisciplinary team

7

What is palliative care centered on?

Child and family preferences

8

What are palliative care environments?

Hospital
Home
Hospice

9

The dying child: What do we ask the child?

What they know about death, feelings

10

The dying child:
What language is used?

Be honest--don't use cliches ("passed away")

11

The dying child: What do we mean by "be patient"?

-Assure they will not be along
-May take time to process information

12

Give some examples of physical signs of the dying child.

-Increased sleeping
-Decreased appetite and thirst
-Loss of sensation in the lower extremities progressing upward
-Confusion or loss of consciousness
-Loss of bowel and bladder control
-Difficulty swallowing
-Change in resp. pattern

13

Imminent death:
-Ensure someone is there ____
-Discuss ____ events or death itself
-Help parents do all they can do ____
-Be aware of parental reactions to ___ (DO NOT JUDGE)
-SHould we include siblings and grandparents?
-What types of death?

-There all the time
-Discuss everyday events or death itself
-Emotionally
-Be aware of parents reactions to death! (Do not judge!)
-Yes, include siblings and gps
-Types of death: quiet and expected; expected but traumatic

14

When should we raise the topic about organ donation?

Before death occurs

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