Week 5 Flashcards
Who developed the concept of “lines of defense
Betty Neuman
What are normal lines of defense?
Example
This is your normal level of health
What is a flexible line of defense?
example
The flexible line of defense serves as a situational protective buffer system for the individual’s normal or stable state
What influences the Normal lines of defense?
Stressors
What protects the normal lines of defense?
The flexible lines of defense
What strengthens the flexible lines of defense?
Primary prevention
What is Palliative care?
Treatment of signs and symptoms w/o treating the cause
What is hospice?
A philosophy to assist in the process of dying.
What is the min prognosis to qualify for hospice?
6 months to live
What are the goals of nursing when a client is facing end of life?
to promote a peaceful death through compassionate care and facilitating family coping
Define loss
When a valued person, object, or situation is changed or becomes inaccessible
Define actual loss
Loss that can be recognized by others as well as the person sustaining the loss
Define perceived loss
Loss experienced by the person but intangible to others
Define Anticipatory loss
Person displays loss and grief behaviors for a loss that has yet to take place
What is grief?
an internal emotional reaction to loss
What is mourning?
actions and expressions of grief
Who is credited with the standard 5 stages of grief?
Elizabeth Kubler-Ross (1969)
What are the 5 stages of grief?
DABDA
Denial Anger Bargaining Depression Acceptance
According to the state of Washington, what are the two accepted legal definitions of death?
- Irreversible cessation of all circulatory and respiratory functions
- Irreversible cessation of all functions of the entire brain including the brain stem
When a dying patient is hypoxic, what death sign does this cause?
Restlessness and agitation
What is a good death?
A death that is on the terms of the patient
- Die with dignity
- Die free of pain
Can a nurse declare death in WA?
Yes but we can not certify death
When communicating the death of a patient to family, What is the appropriate word to use?
Died, is dead
Do the 5 stages of grief need to be experienced in order?
No, They can happen completely out of order or not at all
