| Term | Definition |
| Maturational | normal life transitions , menapause, empty nest loss of bodily functions |
| Situational | occurring suddenly as result of some event, loss of husband |
| types of loss | actual and perceived |
| anticipatory grief | expecting or waiting to die, prepared for loss |
| unresolved (dysfunctional) grief | delayed or exaggerated response |
| factors affecting loss | culture, childhood experiences, significance to loss, financial loss |
| denial | "No-Not me" initial shock overwhelming, doctor show, act like nothing changed |
| anger | "why me" mad at world, follows denial, feels useless, out of control |
| bargaining | "yes, but' postpone inevitable, give yourself hope |
| depression | "yes, me" detach from life, sadness and grief, stop coming around |
| acceptance | "i am ready" resolved the fact that death is imminent, peaceful acceptance |
| cardiac signs of death | decreased blood flow, slow and weak pulse |
| circulation signs of death | skin color is changed, clammy and cold, decreased range of motion, frequent change of position |
| respiratory signs of death | unable to swallow, restless, not enough oxygen, mouth breather, dry mucus membrane |
| renal signs of death | incontinence |
| gastrointestinal signs of death | incontinence and constipation |
| musculoskeletal signs of death | weak grip, decrease sensation, decreased reflexes |
| psychological signs of death | client may be unaware/unconscious but still alive and still hear |
| euthanasia | action or action not taken that causes merciful death |
| active euthanasia | deliberate action taken with the purpose of shortening of life |
| passive euthanasia | permitting death of pt. that takes form of w/holding treatment that might extend life |
| DNR | do not resuscitate , has to be written |
| Advance Directive | signed and witnessed docs providing instructions for death ` |
| durable power of attorney | appoints another person to make decisions in the event of pts. incompetence |