Andaman and Nicobar
What is "death" ?
The end of somebody / someone’s life. (मृत्यू)
It is permanent cessation of three interlinked vital system of body. i.e. the nervous, circulatory and respiratory system.
Define terminally illness.
It is a medical term used to describe disease. Also known as end stage disease, that can not be cured
What is loss ?
The fact or process of losing something or someone.
Define grief.
It is an emotional reaction to separation or Loss of loved ones.
Who gave stages of loss and grief ?
Kubler Ross
Define dying.
Some 5 minutes or seconds before something ends.
OR
Irreversible cessation of nervous, circulatory and respiratory system.
What is rigor mortis
Body become stiff within 4 hours after death. As a result of decreased ATP (Adenosine triphosphate)
What is Algor Mortis
Temperature decrease by a few degrees each hours.
What is Livor Mortis
Bluish colour of death, also known as hypostasis. (Discoloration of the skin)
Enlist types of grief
Normal, Chronic, Delayed, exagerrated, anticipatory, unresolved grief.
What is Normal Grief
It is most desirable and universal reaction to loss and it is considered to be normal. After some time will eventually move toward adjusting to it.
E.g:- Losing a job, Financial status
What is Chronic Grief ?
It is a condition that continue for an extended period of time.
E.g:- death of your loved one.
What is Delayed grief
It is a reaction which are suppressed or postponed because the survivor avoid the pain of loss
e.g:- someone may not be able to process the loss of their spouse or parent at first because they're busy handling funeral.
Exaggerated grief
It is a severe form of reaction that include thoughts of suicide, phobia, nightmare.
e.g:- Depression
What is Anticipatory grief
That occurs before the loss of a loved one. Both patient and family members can feel this grief.
e.g:- Terminally ill client
Care of terminally ill patient
3 essential components for care of terminally ill patient. •Teamwork & Partnership (SDP3, NO)
•Assessing & to care for the need (To complete the needs of client. 1.Physiological needs, 2.Psychological needs •Social need, •Psychosocial support:- •Support given to help meet the mental, emotional, social, and spiritual needs of patients and their families)
HOW TO KNOW THAT PATIENT IS DEAD / SIGNS
•There is no breathing or pulse
•The eyes do not move or blink
•The eyelids may be slightly open
•Mouth is slightly open
•The body release the bowel and bladder contents
The patient does not respond to being touched or spoken too
What is Death care
Care given to the body within 30 – 40 min, after death following the declaration of death by the physician.
What is Unresolved grief
In that a person continues to experience significant emotional distress, pain and sadness.
e.g:- A person with Suicidal thoughts
Emotional manifestation of grief.
Shocked, sad, lonely, let down, overwhelmed, helpless, regretful, anger, guilty, empty
Types of death
1)Circulatory Death:- It is the condition where Circulatory death occurs when the heart and oxygenation to the tissues has irreversibly stops. It is also known as cardiac death.
2) Brain Death:- Also known as brain stem death. Permanent irreversible and complete loss of brain function including the brain stem with is vital for our survival.
PHYSIOLOGICAL CHANGES OCCURING AFTER DEATH
SHRUTI-GMC
Explain stages of grief
DABDA
Physical manifestation of grief
Crying, sleeping changes, weight loss, digestive issue, nausea, accidents, illness.
Factors influencing loss and grief
1. Human development
2. Socioeconomic status
3. Personal relationship
4. Culture and ethnicity