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generic term that signifies absence of an object, position, attribute, and ability. |
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Some losses are unfinished.
Others occur simultaneously or sequentially. |
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-over a short period intensify the experience. -complicate the grieving process and usually take longer to resolve |
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Death is associated with loss |
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signals the end of all that life hold: success, failures, relationships, careers, laughter,, and pain. |
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is feared, even in people that believes in afterlife
Fear of pain Last phase of life unaccompanied |
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help is always available from someone knowledgeable |
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rn are not immune form these fears. often difficult for rns to balance between their own sensitivity to death and well-being. Self-awareness about death and dying issues is so important in providing palliative care |
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Denial- "no not me" Anger - "why me ?"- unfairness of life, anger with god -- lashes out is not personal attack Bargaining - "yes but " - time extension - consideration Depression- "yes me but " mood swings, depression acceptance- Final thought -though not everybody reaches this stage - detach from world - sense of peace |
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clinical approach designed to improve the quality of life for clients and family coping with a life threatening illness. - an emerging practice discipline. |
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Palliative Care requirement |
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- life limiting disease with care needs that will go beyond traditional modes of medical intervention, - may be still receiving active treatment for their disease process to contorl symptoms and improve quality of life. |
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Palliative Care Strategies |
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designed to help client and families understand the dying process as a part of life and to assist terminally ill clients to achieve the best quality of life in the time left to them
- to follow what clients actually want for themselves
- supporting family as resources and as units of care themselves, -after death, offers grief support for family members. |
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Palliative care vs. hospice |
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palliative care can admit and serve patients still receving curative treament with no time restrictions regarding prognosis.
- Hospice pt must have prognosis of 6 months or less, and cannot be recieving active medical treatment. |
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- grief can immediate or delayed -3 components of support a. open, empathetic communication b. honesty, c. tolerance of emotional expression When grief is absent or exeraggerated. --> pathologic or complicate grief. |
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Engel's Contributions to grief |
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builts on lindemanns' work 3 sequential phases of grief: a. shock and disbelief may feel alienated/detached from normal b. developing awareness void created by loss fills consciousness loss of energy to accomplish things without having either the organization capacity or energy to follow through with related tasks. c. restitution adapatation to new life without the deceased resurgence of hope renewed energy to fashion a new life |
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Florczak's model of grieving |
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individual maintain connections with the absent and the meaning of the experience continually changes - past is not forgotten - continuous spiritual connection wiht the deceased - past experience with the loved one are removen into the fabrice of a person's life in a new form |
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Somatic distress- tightness in throat, SOB, empty feeling in abdomen, a sense of heaviness and lack of muscular power, and intense mental pain
- death is untimely, out of normal sequence, complicated by stigma, challenge for the family is greater.
Suicide survivors are at a disadvantage. overestimate their ability to influence the suicidal behavior or outcome. -shame or preceived stigma |
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response before the actual death around a family member with degenerative or terminal disorder. also experienced by a person anticipating his or her death. |
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ill-defined form of grief, occuring while a person is still alive, in relation to a limiting disease, or as an ongoing loss of potential in a loved one. - intermittent grier process of neutrality and positive emotions - inability to achieve closure & discontinuous nature. -may not be aware that they are griefing |
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a form of grief = distinguished by being unusually intense, significantly longer in duration, or incapacitating,
-a history of complications predispose a person to complicated grief
-symptoms can be absent death and important losses are not mourned feelings dont just disappear- reappear in unexpected ways sometimes years later, |
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personal emotions and adaptive process a person goes through in recovering from loss |
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