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Preinatal Loss and Grief
Includes care of those that have lost a fetus, five stages of grief,feminine grief, masculine grief, what to say, considerations, seeing and holding, and general care
26
Nursing
Undergraduate 4
03/30/2013

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Cards

Term
Types of loss:
Definition
fetal/neonatal death
maternal death
infertility
premature labor/premature birth
c-section
birth of gender parents didnt want
handicaped child
Term
Ectopic pregnancy
Definition
implantation outside the uterus
Term
miscarriage
Definition
loss occurring <20 weeks gestation
Term
Still birth
Definition
loss occuring >20 weeks
Term
Neonatal death
Definition
loss occuring from birth to 28 days of life
Term
Elisabeth Kubler-Ross stages of grief
Definition
denial
anger
barganing
depression
acceptance
Term
Youtube videos for stages of grief
Definition
http://www.youtube.com/watch?v=G_Z3lmidmrY

http://www.youtube.com/watch?v=s6mh8SX_sXs
Term
Possible Emotional responses
Definition
intense emotions
NO TIMETABLE
everyone grieves differently: lack of affect, euphoria, calmness, hysteria
Term
Feminine grief:
Definition
Tears, crying, uncontrollable weeping
deep depression, listlessness
extreme irritability, physical complaints
loss of identity (motherhood)
abandonment lonliness
social isolation/ altered relationships
guilt, blame, and search for what went wrong
problems with decision making
Term
masculine grief:
Definition
loss of hope dreams and control
loss of role as protector and who fixes
expected to show strong exterior, take action and move on quickly
may work more, reluctance to talk
more permission to be angry and may cover depression with outbursts
Term
Nursing Considerations
Definition
assess perceptions of loss and events surrounding it
spiritual considerations
advocate and intervene if others are becoming overbearing with parents
THERAPEUTIC COMMUNICATION
Term
The nurse is talking to the patient about her recent loss, what is appropriate for the nurse to say?

a. It's Gods will
b. be thankful you have another child.
c. I'm here and I want to listen
d. I know how you feel.
Definition
I'm here and i want to listen
Term
What is appropriate for the nurse to say?

a. now you have an angel in heaven
b. This must be hard for you
c. god had a purpose for him/her
d. this happened for the best.
Definition
this must be hard for you
Term
Nursing Considerations
Definition
private room
mark the door to the room with a special card to communicate with others a loss has been experienced
Term
should the nurse ask the parents if they want to see their baby?
Definition
yes
Term
What may the baby look like?
Definition
red peeling skin like a sunburn
dark discoloration similar to a bruise
Molding of the head
birth defects
Term
How to make the baby appear as normal as possible
Definition
bathe the infant
comb hair
diaper and wrap in blanket
identification bands on arm and leg
Term
How should the nurse hold the baby when bringing it to the parents?
Definition
close
Term
How should the nurse interact with the family upon presenting the baby?
Definition
talk to the parents about special features
USE THE BABY'S NAME! (makes it more real)
If congenital anomaly have perfect hand or foot showing
Term
Are the parents going to react in a predictable way
Definition
no
Term
Should the extended family be able to see and hold the baby?
Definition
yes
Term
What is included in the special memories box?
Definition
tangible mementos like
lock of hair
crib card
tape measure
identification bands
hats blankets clothes
pictures
Term
IF the infant is less than 20 weeks gestation, can the hospital make the final disposition arrangements?
Definition
yes
Term
if they are older than 20 weeks?
Definition
no
Term
Physical needs post?
Definition
milk
afterpains
gas pains that feel like the babys movements
Term
discharge and referrals
Definition
follow up phone calls
grief counseling and supporg groups
perinatal loss packets
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