Week 2: Greiving & Loss Flashcards
(20 cards)
What are the common psychosocial manifestations at the end of life?
- Altered Decision Making
- Anxiety about unfinished business
- Decreased socialization
- Fear of loneliness
- Fear of meaningless
- Fear of pain
- Helplessness
- Life review
- Peacefulness
- Restlessness
- Saying goodbyes
- Unusual communication
- Vision like experiences
- Withdrawal
What are the 5 Stages of Loss & Grief according to Kubler-Ross?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Define palliative care.
Palliative care is for anyone living with a life-limiting illness, aiming to improve quality of life and relieve symptoms.
What are the goals of End of Life (EOL) care?
- Provide comfort & support during the dying process
- Improve quality of the remaining life
- Help ensure a dignified death
What is the difference between palliative care and end of life care?
Palliative care focuses on quality of life and symptom relief for serious illnesses, while EOL care is provided when curative treatment is no longer an option.
What does the term ‘good death’ refer to?
A ‘good death’ is defined based on personal beliefs and values regarding dying peacefully and with dignity.
What are the ethical principles in end-of-life care according to the Canadian Nurses Association Code of Ethics?
- Beneficence
- Non-maleficence
- Respect for Autonomy
- Veracity
- Justice and Fairness
- Dignity
- Privacy and Confidentiality
- Being Accountable
Fill in the blank: The Kübler-Ross model postulates a series of emotions experienced by patients and families, wherein the five stages are __________.
[denial, anger, bargaining, depression, acceptance]
How can ethical knowing impact nursing practice?
It guides nurses in making decisions that consider moral obligations and ethical dilemmas.
What is personal knowing in nursing?
Personal knowing grows out of relationships and interactions, requiring deep reflection on experiences with others.
True or False: Emancipatory knowing seeks to uphold the status quo in social and political contexts.
False
What are some caregiver needs during loss/grieving and end of life care?
- Emotional support
- Time for grief
- Resources for coping
- Communication with healthcare teams
What critical questions should nurses ask themselves in personal knowing?
- Do I know what I do?
- Do I do what I know?
What are some physical manifestations at the end of life?
- Sensory System changes
- Integumentary System changes
- Respiratory System changes
- Urinary System changes
- Gastrointestinal System changes
- Musculoskeletal System changes
- Cardiovascular System changes
What does ethical decision-making in nursing involve?
- Clarifying values
- Exploring alternatives
- Engaging in dialogue
- Justifying actions
What is the impact of loss and grief on nurses?
Nurses may experience emotional distress, compassion fatigue, and personal implications affecting their professional practice.
Fill in the blank: The process of understanding ethical dilemmas in nursing is referred to as __________.
[ethical knowing]
What is the focus of emancipatory knowing?
Emancipatory knowing emphasizes action against social injustices and seeks freedom from oppressive systems.
What is the significance of reflecting on personal values and beliefs in end of life care?
It helps nurses align their practice with their ethical stance and enhances compassionate care.
What are the implications of ethical knowledge in nursing?
It provides insights into possible choices and enhances understanding of ethical dilemmas.
