loss, death, and Grief
Terms
undefined, object
copy deck
- Nurses role in assisting clients with problems related to loss,death and grief?
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- to feel the loss
- express the loss
- complete the tasks of the grief process - 5 stages of Kubler-Ross grief process
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1-denial
2-anger
3-bargaining
4-depression
5-acceptance - Boulby's 4 phages of mourning
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1-numbing
2-yearning/searching
3-disorganization/despair
4-reorganization - Worden's four tasks of mourning
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1-accept reality of loss
2-work through pain or grief
3-adjust to envir.w/odecease.
4.emotionally relocating the deceased and moving on with life - 5 categories of loss
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loss of external objects
loss of known environment
loss of a significant other
loss of an aspect of self
loss of life -
normal feeling,behaviors, reactions to a loss
-sorrow,anger,crying,loneliness - Normal grief
- "letting go",occurs before and actual loss or death loss occurs?
- Anticipatory grief
- bereavement "goes wrong",loss never resolves
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Complicated grief
-chronic
-delayes
-exaggerated
-masked - person experiences grief when a loss is experienced and cannt bwe aknowledge,publicly shared
- Disenfranchised grief:
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Multiple losses, of grief
mostly seen in adults? - Application of grief
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describe how diff.ages exp grief:
toddlers?
school age?
middle age?
older adults? -
1.feel anxiety over loss of object or seperation
2.grief over loss of body part or function
3.sensitive to own physical changes
4.anticipatory grief of loss of self care abilities - Nursing plan to cope with grief and loss?
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reinforcement of clients coping mechanisms
introduce new coping mechanisms - name physiological symptoms
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dilated pupils
diaphoresis
increased HR
decreased peristalsis
increase muscle tension - name psychological symptoms
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anxiety
anger
depression
unconscious ego defense mechanism - name cognitive symtoms
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problem solving
structuring
self control
suppression
fantasy
daydreaming - ways a person can cope?
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-altering the stressor
-adapting to the stressor
-coping can be adaptive or maladaptive - How can a nurse teach anxiety reduction measures?
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-health promotion
-info about tests,tx, - Name physical manifestations of grief and stress?
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fatige
headache
altered libido
loss of appetite
difficulty sleeping
chest pain
palpitations
menstrual disturbances - Nurses role in carying for the dying clients?
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-provide hospice,home care
-meet the needs
-spiritual support
-support family
-provide post mortem care - body stiffens 2-4hrs after death occurs 1st in voluntary muscles(heart),then the head,extremities,leaves the body 96hrs after death?
- Rigor mortis
- decrease in body temp occurs after death,drops 1-2 F,
- Algor Mortis
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bluish purple discoloration that appears in the dependent areas of the body.
red blood cell breakdown,releasing hgb,discolors tissues? - livor mortis
- a large piece of plastic or cotton material use to enclose a body after death?
- Shroud
- clinical signs of impending death?
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Muscle weakness
respiration change
sensory changes
circulatory changes - World medical assemble guidelines for defining death?
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total lack of response to external stimuli
No muscular movement:no breathing
No reflexes
Flat encephalogram