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Chapter 11: Patient Interactions

Terms in this set (47)

Patients kept in closed awareness or open awareness.

Some patients develop suspicious awareness int hat they watch for clues to their condition bu attempt to keep the health care team from knowing exactly how much they understand. A state of mutual pretense exist when patients, staff , and family all know but are pretending not know in hopes of avoiding interpersonal conflicts.

Denial and isolation may be the initial reactions and should be supported by silence and acceptance of the person without discussing death.

Anger may occur as a result of the realization that life will be interrupted before everything the person planned has been accomplished and feelings that the person will soon be forgotten. Anger is often expressed in terms of complaints about health care. These should be addressed ASAP.

Some patients experience a bargaining stage that focus on hope. This stage may be followed by depression.

Depression often occurs when remission ends and additional treatments must begin. This reaction is normal and should be encourage by giving realistic praise while letting the patient express his or her feelings.

Preparatory depression- comes wight he realization of the inevitability of death and is accompanied by a desire for death as a release from suffering. The most important thing at this time is to permit the behavior. Touch and silence could be appropriate.

Acceptance-the final stage can occur only in enough time to provided and if the patient is appropriately helped through the other stages. This stage is characterized by a near-total lack of feelings.