Week 10: Life Transitions - Changes, Challenges and End of Life Care,Palliative Care & Spirituality Flashcards
Worden Model - Grieving Process
- Accept reality of the loss
- Work through physical and emotional pain
- Adjust life without lost person
- Find an enduring connection with the deceased and move on with life
Loss Response Model - Grieving Process
Provides a framework for the design of nursing interventions
- Impact
- Functional Distribution
- Informing others
- Engaging emotions
- Reorganizing structure
- Reframing memories
What factors Influencing the grieving process?
- Physical
- Physiological
- Social
What is grief?
emotional and behavioural responses to loss.
Anticipatory grief
The sadness and mourning we feel before an expected loss happens, like when a loved one is terminally ill.
Acute grief
Intense emotional reaction that occurs immediately after experiencing a significant loss, typically involving feelings of sadness, shock, and disbelief.
Complicated grief
when the process of mourning becomes prolonged and intense, making it difficult for the person to adapt to life without the deceased, often accompanied by persistent longing, preoccupation with the deceased, and difficulty engaging in usual activities.
Disenfranchised grief
when someone experiences a loss that isn’t openly acknowledged or socially supported, such as the death of a pet, leading to feelings of isolation and lack of validation in their grief process.
What are the 5 stages of grief?
- Anger
- Denial
- Bargaining
- Depression
- Acceptance
What are characteristics of the stages of grief?
- May go through phases at different rates
- May wander from one phase to another
- No set time frame to complete
What are the 4 tasks in Worden’s Model of Bereavement?
- Accepting the reality of loss
- Working through the pain of grief
- Adjusting to the environment without the deceased.
- Emotionally relocating the deceased and moving on with life
Living-Dying Interval
The Living-Dying Interval is the time from when someone learns they’re dying until they actually pass away.
What are the 6 C’s?
- Care
- Control
- Composure
- Communication
- Continuity
- Closure
What are 4 key components of End of Life Care
- Universal access to physical, psychological, social, and physical care for all dying persons
- Care coordination by a care coordinator or case manager
- Access to a broad range of services (basic and advanced care services), such as palliative and hospice care
- End-of-life care in all settings, wherever a dying person resides
How does WHO define palliative care?
Palliative care enhances the well-being of patients and their families dealing with life-threatening illnesses by identifying and addressing physical, emotional, and spiritual suffering through effective pain management and comprehensive support.
