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Fundamentals Ch 15
Loss, Grief and Dying
37
Nursing
Undergraduate 1
02/09/2010

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Term
percieved loss
Definition
any loss defined by the client but may not be obvious to others
Term
actual
Definition
what kind of loss is it when a person loses their purse?
Term
physical loss
Definition
loss of function or amputation
Term
psyhological
Definition
loss of sexuality from mastectomy would be what kind of loss?
Term
percieved
Definition
STI and loss of purity would be what kind of loss?
Term
environmental
Definition
moving to college, or a new home would be what kind of loss?
Term
grief
Definition
physical, psychological and spiritual responses to a loss
Term
mourning
Definition
action associated with grief
Term
bereavement
Definition
mourning and adjustment time following a loss
Term
expereincing the pain
Definition
this is the longest phase of william wordens stage of grief, you see avoidance
Term
investing emotional energy
Definition
stage of grief in william wordens model when pt is usually focused on deceased, can’t think of anything else- when the healing process is in progress often return to normal activities.
Term
rondo stages of grief
Definition
avoidance confrontation and accomodation
Term
shock and numbness, yearning and searching, disorganization and despair, reoganization
Definition
what are bowlbys stages of grief?
Term
uncomplicated grief
Definition
normal grief- emotions are intense but diminish over time
Term
complicated
Definition
length of time and intensity of emotion- remember when we talked about stress- it was maladaptive, prolonged, overwhelming- get “stuck” in the grief process.
Term
chronic grief
Definition
normal grief then continues long term
Term
masked grief
Definition
grieving but deal with it in other ways- drugs, alcohol, overeating
Term
disenfranchised
Definition
experienced in connection with a loss that is not socially acknowledged by the usual rites of ceremony- a mistress lover dies
Term
anticipatory
Definition
expecting loss before it occurs
Term
death
Definition
cessation of the flow of blood of vital bodily fluids
Term
heart-lung death
Definition
irriversible cessation of spontaneous respiratory and circulations
Term
whole brain death
Definition
irreversible cessation of all functions of brean including the brainstem
Term
higher-brain death
Definition
irreversible cessation of all higher brain functions
Term
denial, anger, bargaining, depression, acceptance
Definition
five stages of kubler-ross of dying
Term
sleep more, appetite will decrease, and will w/draw from world
Definition
1-3 months prior to death the pt will
Term
1-2 weeks
Definition
if patient is yellow in pallor, and has cardiodeterioration then they most likely have how long to live?
Term
days to hours
Definition
when pt have cheyne stokes breathing, may be lively, then they have how long to live?
Term
moments prior to death
Definition
spinchtor and bowels relax, muscles relax and vision blurs, pt has howlong to live?
Term
palliative
Definition
this is holistic comfort care
Term
hospice care
Definition
holistic care of dying clients
Term
advance directives
Definition
group of instructions (written or oral) stating a person’s wished relative to health care if they were incapacitated to or unable to make that decision.
Term
Patient Self Determination Act
Definition
states that we must educate all patients on an advanced directive and have the opportunity to complete one.
Term
asystole
Definition
usually a confimration of death rather than a rythym to be treated
Term
durable power of attorney
Definition
this allows another person to make financial decisions
Term
knowledge base
Definition
what is the first thing you want to assess for the terminally ill client and family?
Term
provide emotional support
Definition
what is the first thing you want to do immediately following death of a pt?
Term
livor mortis
Definition
when RBCs break down
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