THEORIES OF GRIEF
The stages of dying by Kubler-Ross(1969)?
What is Denial, Anger, Bargaining, Depression, Acceptance?
Changes in life are normal, expected and often positive, with these changes some can alter the older persons life for good or bad.
What is is Necessary loss?
During the assessment process the nurse would build a certain type of relationship to help patient tell their ________.
What is building trust and having the patient tell their stories?
There are 2 types of of end-of-life care ______ and_______.
What is Palliative Care and Hospice Care?
This is describe as an actual or alleged hazard t the balance of homeostasis.
What is Stress?
The attachment theory by Bowlby (1980).
What is Numbing, yearning and searching, disorganization and despair, reorganization?
Loss associated with normal life changes that helps the older adult develop coping skills when they experience unplanned, unwanted, or unexpected loss.
What is Maturational Loss?
Once you have a trusting relationship with your patients, as nurses we use these skills to continue build upon the trust.
What is active listening, silence, and therapeutic touch?
The holistic method of care for the prevention and reduction of symptoms during the stage of end-of-life. Promotes quality of life and whole person well being through care of the mind, body, and spirit.
What is Palliative Care?
The 3 stage reaction to stress describes how the body responds physiologically to stressors.
What is the general adaptation syndrome (GAS) triggered by physical event or indirectly by a psychological event. Involves pituitary gland. (Fig. 37.1) process called Allostasis.
The Grief Tasks Model Worden (2008).
What is accepting the reality of loss, experiencing pain, Adjusting to change, moves on with life?
The sudden, unexpected, unpredictable loss that is permanent.
What is Situational Loss?
Many older patients dealing end-of-life experience have symptoms of nausea, pain, anxiety, depression, and shortness of breath also other symptoms it is important the nurse does this before doing assessment.
What is addressing the symptoms medicate, use pharmacologically, non-pharmacologically then assess when patient is comfortable?
Care system that has the philosophy and model of care that focuses on the care, comfort, and quality of life of the patients that are serious ill and approaching the end-of life
What is Hospice care?
The central nervous system is aroused and body defenses are mobilized causing the hormones to rise in the increased blood volume.
What is the alarm stage known as flight-or fight response
The Rando's "R" Process Model, Rando (1993,2014).
What is Recognizing loss, React to pain, Recollect and Reexperience relationship with deceased, Relinquish old attachments, Readjust to life after loss, Reinvest putting emotional energy into new people.
When someone can no longer feel, hear, see, or know a person or object is there any longer.
What is Actual Loss?
Questions asked by the nurse during an assessment of grief.
What is, do you have support system, do you understand the nature of loss, Is there a spiritual/culture belief they follow, You have Life goals, Family Grief Patterns, Self care, and Hope?
In hospice or palliative care the type of communication that is used helps everyone involved with the patient.
What is therapeutic communication?
The other stage of GAS syndrome
What is Resistance stage continues to use the fight or flight; body begins to stabilize. Exhaustion stage depletes the body of the hormones causes excessive wear and tear on the organs called allostatic load (Fig. 37.1)
The Dual Process Model, Stroebe and Schut (1999).
What is Loss-oriented: activities such as grief work, Restoration-oriented: activities such as attending to life changes, finding new roles or relationship.
When someone is experiencing the loss and less obvious to other people around them.
What is Perceived Loss?
Greif has many different reactions with the older adult will show these outward signs.
What is feelings of sorrow, anxiety, loneliness, fatigue; Cognitions disbelief, confusion, inability to concentrate; Physical sensations headaches, N/V, lack of energy, tightness of the chest, Behaviors crying and frequent sighing, loss of interest in regular life events
Many patients need these 3 things to be comfortable at the end of life.
What is Dignity and Self-esteem, Comfortable and Peaceful Environment, Spiritual Comfort and Hope?
There are many types of stress name a few
What is PTSD, CRISIS (Developmental crisis, situational crisis, adventitious crisis), and Compassion Fatigue