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sanchez
on FreezingBlue Flashcards.
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•Any potential, actual, or perceived situation when valued object or person changed or not accessible
LOSS
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–Occurs as person moves from one developmental stage to another
maturational
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–Occurs in response to external events generally beyond person’s control
situational
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major category of loss
- SAFE
- –Significant other
- –Aspect of self
- –External object
- –Familiar environment
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•Series of intense psychological responses occurring after loss
•Necessary, normal, natural, and adaptive responses
greif
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–Period of grief
–Integration and resolution of loss
mourning
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–Period of grief after death of loved one
bereavment
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–Painful experience that begins when person consciously realizes full meaning of loss
reality
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May last days to one month or more –Person may describe feeling emotional numbness
shock
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types of greif
- uncomplicated
- anticipatory
- dysfunctional
- dysenfranchised
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–Normally follows fairly predictable significant loss
uncomplicated greif
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–Occurs before expected loss
–Ie: terminally ill patient, expected move
anticipatory
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–Intense, persistent pattern that does not result in reconciliation of feelings
dysfunctional
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–Not openly acknowledged, socially sanctioned, or publicly shared
disenfranchised
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provides legal means for people to specify circumstances under which life-sustaining measures should or should not be rendered
Patient Self-Determination Act (PSDA)
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–Written instruction of client wishes
–Includes durable power of attorney for health care and living will
advance directive
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5 stages of dying...E. K. ROSS
- –Denial
- –Anger
- –Bargaining
- –Depression
- –Acceptance
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end of life care focus
Focus on meeting physical and psychosocial needs of client and family
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•Relief of symptoms
•Goal:
–Assure quality of life
palliative care
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•Care for terminally ill
•When aggressive treatment no longer option or client refuses further care
•Often in home or hospice setting without technology to prolong dying
•Interdisciplinary program
hospice
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•Lungs cannot provide adequate gas diffusion
•Heart and blood vessels unable to maintain adequate tissue perfusion
•Brain ceases to regulate vital centers
•Cheyne-Stokes respirations and “death rattles” occur
impending death
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•No response to name, touch, or environmental sound
•Eyes fixed on certain spot
•No eye-blinking in response to touch or air movement over eyes
•Release of bowel and bladder contents
•Absence of heartbeat
•Cessation of respirations
•Mottling of skin
•Eyelids remaining slightly open
•Jaw relaxation and slight opening of mouth
physical sign of death
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–Unresolved sadness
–May lead to burnout
shadow grief
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s/s of shadow grief
- •Loss of energy, spark, joy, or meaning
- •Detachment from surroundings
- •Powerlessness
- •Increased smoking or drinking
- •Unusual forgetfulness
- •Constant criticism of others
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