Ch. 08 Human Growth and Development
occurs when patient understands and accepts the fact that they are going to die
Acceptance
a thickening and hardening of the walls of the arteries, can also decrease the blood supply to the brain and cause a decrease in mental abilities.
Arteriosclerosis
a dreamlike thought process that occurs when a person is awake
Daydreaming
involves transferring feelings about one person to someone else
Displacement
refers to the measurable physical changes that occur throughout a person’s life
Growth
12-18 years old
Adolescence
occurs when patients accept death but want more time to live, patients want to get their goals accomplished and see their loved ones achieve their accomplishments
Bargaining
unconscious acts that help a person deal with an unpleasant situation
Defense mechanisms
19 - 40 years
Early adulthood
play an important role in meeting the needs of the dying patient.
Hospice
a warm and tender feeling for another person; when an individual feels safe and secure, this need comes next
Affection
use of substances such as alcohol or drugs and the development of a physical and/or mental dependence on these chemicals
Chemical abuse
the “no, not me” stage which usually occurs when a person is informed of their terminal illness, occurs when the person or their loved ones cannot accept the reality of death
Denial
1 - 6 years
Early childhood
birth to 1 year
Infancy
lead to irreversible loss of memory, deterioration of intellectual functions, speech and gait disturbances, and disorientation
Alzheimer’s disease
another word for mental
Cognitive
occurs when patients realize that death will come soon and they will no longer be able to complete their goals
Depression
refers to feelings and includes dealing with love, hate, joy, fear, excitement, and other feelings
Emotional
65 years and older
Late adulthood
occurs when the patient is no longer able to deny death, makes statements such as “why me” or “it’s your fault”, patients can come off as hostile and bitter to anyone who makes contact with them
Anger
involves the substitution of one goal for another goal to achieve success
Compensation
refers to the changes in intellectual, mental, emotional, social, and functional skills that occur over time
Development
the need for feeling important and worthwhile
Esteem
6 - 12 years
Late childhood