Chapter 25 PDF

Preview

Summary

ASSIGNMENT CHAPTER QUESTIONS ...

Description

Study Guide: Chapter 25 Chapter 25: Loss, Death, & Palliative Care 1. How are loss and grief different?

Loss is a normal response of aging such as loss of a spouse, loss of independence, and loss of mobility. Whereas grief is how the person responds to the loss of a certain person, object, or ability. 2. What are the different types of grief? What are some behaviors typical of each type of grief? What

factors affect an individual’s response to loss? What is “ineffective coping?” Acute grief usually lasts less than a month and the individual may cry or become depressed, it is a functional disruption. Chronic and complicated grief consists of irrational anger, insomnia, MDD, and episodes of manic like episodes. Disenfranchised grief is when the individual is not able to openly grief due to it not being supported. Anticipatory grief is where an individual may show premature detachment from an individual who is dying or dying prematurely detach from the environment.

3.

What are the 6 needs of the dying (the 6 Cs) and appropriate interventions for each need? Care: adequate treatment of pain, empathetic listening, advocating Control: based on the individual’s preferences, help patient regain control Composure: nurse uses coping techniques Communication: Nurse makes sure patient can communicate their needs Closure: Provide patients with time and privacy for self reflection and allow patients to talk about their feelings Continuity: Nurse works with patient to remain engaged in activities.

4. What are the two components of an advanced directive? What are the roles and responsibilities of the

nurse in advance directives? Living wills and durable powers of attorney for health care (medical powers as well) are the 2 components of an advanced directive. The nurse must provide answers to all their questions

1

Study Guide: Chapter 25 concerning end of life choices. Nurse makes sure patient is content with the route they decide to go.

5.

What is the Loss response model? It is a model that occurs after a loss. It includes 6 stages which are: impact, functional disruption, informing others, engaging emotions, reorganizing structure, and reframing memories. It helps nurses see where the individual is at and allows the nurses to change their interventions based off of that

2...