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Advance Directives

A signed and witnessed document providing specific instructions for health care treatments in the event that a person is unable to make those decision

Anticipatory Grief

To expect, await or prepare oneself for the loss of a family member or significant other

Bereavement

A common depressed reaction tot he death of a loved one

Durable Power of Attorney

A signed and dated document that must be motarized and which gives one or more individuals the ability to make decisions on behalf of a person

Dysfunctional grieving

unresolved grief or complicated mourning

Euthanasia

an action deliberately taken with the purpose of shortening life to end suffering or carry out the wishes of a terminally ill patient

Grief

A pattern of physical or emotional responses to bereavement, separation or loss

Morbidity

A common depressed reaction to the death of a loved one

Mortality

Condition being subject to death

Thanatology

Study of death and dying

Concept of loss and grief

when someting or someon can no longer be seen, felt, heard, known or experienced

Seven factors that influence the experience of loss

childhood experiences, significance assigned tot he loss, physical and emotional state, accumulated loss experience, view of loss as crisis, duration and timing, abruptness or suddenness

How does physical and social aspects of human functioning influence the grieving process

sleeping patterns, body image, activities, mobility, general health, supporting family and help with care if wanted too

Maturational loss is best defined as

a loss resulting from normal life transitions

Situational loss can be defined as

a loss occurring suddenly in response to a specific external event

"No not me"

denial and isolation

"I just want to live until my daughter gets married"

bargaining

"it's not fair. I can't stand this"

anger

Physical Needs interventions

energy conservation, pain reduction, comfort measures

Emotional needs assessment

anxiety level, guilt, anger, level of acceptance

Emotional needs intervention

individual feelings, encouragement and support

Spiritual needs assessment

philosophy of life religious resources rituals

Spirtual needs interventions

clergy, friends, family, health care providers

A sign, symptom or behavior associated with dysfunctional grieving is

acquisition of symptoms belonging to the last ilness of the deceased

Martocchhio's manifestations of grief or survivors reaction

shock and disbelief, yearning and protest, anguish, disorganization and despair, identification in bereavement, reorganization and restitution

How does nurses cope with grief when they deal with their dying patients

self-care, mourn their losses, take breaks, trade off patients

What are some techniques that nurses may use to assist patients to say good-bye

provide a private, comfortable environment. Have nurse in room

Perinatal death intervention

listening, let parent see, touch and hold infant

Pediatric death intervention

tell them the truth, give reassurance

Gerontologic death intervention

treat as individual, needs

Suicide intervention

get a grief counselor

Examples of fraudulent methods of treatment that may be offered to the dying patient/family

any treatment that does not offer the patient informed consent

DNR

not administering CPR if the patient stops breathing

The uniform antomical gift act

stipulates physicians who certify death shall not be involved in removal or transpant of organs

The goal of the dying person's bill fo rights is to

ensure death with dignity for the patient

What assessment does nurses do for the grieving and dying

physical, emotional, intellectual, sociocultural and spiritual

Priority needs of the dying patient

control of pain, preservation of dignity and self-worth and love and affection

The order to take care of a patient that has passed

wash hands and don gloves, close patient's eyes and mouth, remove all tubings and other devices, put patient in supine position, bathe patient and allow family to view body

Death Rattle

noisy respirations

Inquest

a legal inquiry into the cause or manner of a death

Autopsy

examiniation performed after a person's death to confirm or determine the cause of death

Postmortem Care

care for the patient's body after death

Mortician

person trained in the care of the dead

Dying is considered

the final stage of human growth and development

A nurse that is avoiding to take care of a patient

withdrawal

You are better prepared to take care of a patient when dying when

you have resolved the matter of ur own mortality

Which psychologic forces influence living and dying

hope and the will to live

Reincarnation

the spirit or soul is reborn into another human body or another form of life

Children ages 5 and 7 view death as

final

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