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49 terms

Loss, Grief, Dying and Death

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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