Flashcards in T3-Death and Dying Deck (14):
How does a toddler understand death? (3)
-Only thinks in here and now
-Extension of the fear of separation
-Senses feelings of others
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
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
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
Interventions designed to provide pain and symptom management that allows for optimal functioning with the time remaining
Is palliative care done by a single person or multidisciplinary team?
What is palliative care centered on?
Child and family preferences
What are palliative care environments?
The dying child: What do we ask the child?
What they know about death, feelings
The dying child:
What language is used?
Be honest--don't use cliches ("passed away")
The dying child: What do we mean by "be patient"?
-Assure they will not be along
-May take time to process information
Give some examples of physical signs of the dying child.
-Decreased appetite and thirst
-Loss of sensation in the lower extremities progressing upward
-Confusion or loss of consciousness
-Loss of bowel and bladder control
-Change in resp. pattern
-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
-Be aware of parents reactions to death! (Do not judge!)
-Yes, include siblings and gps
-Types of death: quiet and expected; expected but traumatic