Chapter 25,33,40
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In Inglés
In Inglés
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Chapter 25,33,40 - Marcador
Chapter 25,33,40 - Detalles
Niveles:
Preguntas:
196 preguntas
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Loss | When any aspect of self is no longer available to a person |
Death | Cessation of life |
Greif | Is a pattern of physical and emotional responses yo bereavement separation or loss |
Grief work | The process of adapting to and mourning a loss |
Mortality | The condition of being subject to death |
Grief therapy | Mental health treatment aimed at helping a patient deal with the pain of loss; a program that assist the bereaved to cope with a loss |
Maturational loss | A loss that results from a normal life transition |
Situational loss | A loss that occurs suddenly in response to a specific external event, such as the sudden death of a loved one |
Bereavement | Is defined as the common depressed reaction to the death of a loved one |
Morbidity | (an illness or an abnormal condition) physical, and mental |
Anticipatory grief | To expect, to wait, or prepare for the loss of a family member or significant other |
Bereavement overload | Before an initial loss is resolved, it is compounded by an additional loss |
Thanatology | The study of dying and death |
Unresolved grief | Signifies some disturbance of the normal progression toward resolution |
Complicated greif | Unresolved grief or complicated mourning |
Dysfunctional grieving | Is a delayed or exaggerated response to a perceived, actual, or potential loss |
Euthanasia | Is sometimes active, a deliberate action taken with the purpose of shortening life to end suffering or to carry out the wishes of a terminally ill patient |
Do-not resuscitate | DNR; only not to resuscitate |
Allow natural death | That one is going to die and forgoes aggressive treatment |
Living will | A legal document drawn up by a person who is not yet near death detailing how much medical care he or she wants to receive if terminally ill |
Durable power of attorney | A signed notarized document that appoints another person to make decisions in the event of the patients incompetence; usually completed by the patient while still able to function |
Advanced directives | Are signed and witnessed documents that provide specific instructions for healthcare treatment if a person is unable to make these decisions personally at the time they are needed |
Palliative care | The prevention, relief, reduction, or soothing of symptoms of disease or disorders without affecting a cure |
Inquest | Is a legal inquiry into the cause or the manner of a death |
Autopsy | Examination performed after a persons death to confirm or determine the cause of death |
Postmortem care | Care for the patients body after death |
Mortician | Person trained in the care of the dead |
Chronologic age | Age of an individual expressed as time elapsed since birth ; may not be an accurate predictor of health or behavior |
Baby boomers | Born between 1946 and 1964, more than 70 million people; approximately 29% of the nation |
Ageism | Is a term that describes prejudice against older adults |
Sandwich generation | These are the individuals who are faced with caring for their parents while also caring for their own children |
Respite care | Refers to the provision of care by nonfamily members with a goal of allowing the primary caregivers the opportunity for relief from the stressors or strains imposed by caring for an ill or debilitated family members |
Pruritus | Older people may report dryness and itching of the skin |
Shearing forces | Forces that can injure small blood vessels by sliding on a rough surface |
Dysphagia | Difficulty swallowing |
Nocturia | Urination at night |
Orthostatic hypotension | Significant change in bp during position changes; lying, sitting, standing |
Claudication | Cramping pain in the calves |
Kyphosis | Is an abnormal curve in the upper spine sometimes called "dowager's hump" |
Presbyopia | Farsightedness resulting from a loss of elasticity of the lens of the eye |
Presbycusis | Is a sensorineural hearing loss and the most common form of loss in older adults |
Senility | The state of mental and physical deterioration associated with aging |
Dementia | A progressive impairment of intellectual (cognitive) function |
Akinesia | An abnormal state of motor and psychic hypoactive |
Ataxia | Impaired ability to coordinate movement, and drop attacks, falling without loosing consciousness |
Hemiplegia | Paralysis on one side of the body |
Dysarthria | Difficult, poorly articulated speech, resulting in interference in the control over the muscles of speech |
Aphasia | And abnormal neurologic condition in which language function is defective or absent because of an injury to certain areas of the cerebral cortex |
Terminal illness | A disease in an advanced stage with no known cure and poor prognosis |
Palliative care | Preventing, relieving, reducing, or soothing symptoms of disease or disorders without effecting a cure; extends the principles of hospice care to a broader population that could benefit from comfort care earlier in their illness or disease process |
Curative treatment | Is an aggressive care in which the goal and intent are curing the disease and prolonging life at all cost |
Primary caregiver | A person who assumes ongoing responsibility for health maintenance and therapy for illness |
Holistic | Pertaining to the total patient care in which the physical, emotional, social, economic, and spiritual needs of the patient are considered |
Interdisciplinary team | A multiprofessional health team who's members work together in caring for a terminally ill patient |
Psychosocial | A combination of psychological and social factors |
Respite care | A period pf relief from responsibilities of caring for a patient |
Bereavement | Is a period of mourning or an expression of grief in reaction to the death of someone close |
Pain assessment | Evaluation of the factors that alleviate or exacerbate a patients pain |
Adjuvant | Additional drug or treatment that is added to assist in the action of the primary treatment |
Titrated | Slowly increased to the level at which the drug is therapeutic |
What does coping mechanisms determine | A persons ability to face and accept loss |
Life is a series of | Losses and gains |
What is another way to look at loss | Classify it as maturational, situational, or both |
Example of maturational loss | Loss of childhood dreams, loss when adolescence romance fails, menopause, loss of hair or teeth |
Example of situational loss | Loss of job can lead to loss of self-esteem, |
What does situational loss promote | Emotional growth and the development of coping skills; used later in life to cope with even more significant losses |
How can earlier experience with loss prepare an individual | To deal with loss throughout the life cycle |
Define grief | The subjective response to actual or anticipated loss; a natural, normal and universal part of human experience |
Morning patterns include | Funerals, wakes, memorials, black dress, and defined time of social withdrawal |
Greif involves | Thoughts, feelings, and behaviors |
When is morbidity often seen | After significant losses; divorce, loss of a child or parent |
Grief can go on forever or | Can lead to resolution of the hurt and the reestablishment of ones life |
Many years after a loss you can be reminded of the loss with things as simple as | Smells, places, foods, dates, holidays, clothing, or other people |
Unresolved grief can result if | The tasks are not completed and can lead to incomplete relationships and health problems |
Out-of-sequence death | The sudden death of someone who is not "supposed to die"; also the most difficult grief to bear |
What kind of emotions are felt with out-of-sequence death | Powerful and emotions of guilt, denial, anger, sorrow |
One protective impulse is | To blame someone; perhaps oneself for not being more careful or more loving; possibly blaming the deceased person |
Define sense of presence | Individuals who have experienced a loss sometimes have a nonthreatening, comforting perception that the deceased is present |
The sense of presence is apart of what process | The mourning process that occurs because the bond that continues between the bereaved loved ones and the deceased |
When does the sense of presence occur | During the grieving process and beyond |
Define grief attacks | Involuntary and unexpected reappearance of emotions and behaviors associated with grief |
What may cause a grief attack | Eating at a restaurant, certain foods, a thought of the loved one for no reason at all, hearing about a death or reading a similar death |
When a loved passes the pain never goes away just gets easier to cope what helps coping | Time, generally after some time the sadness is replaced with fond memories of the loved one except during special occasions such as birthdays and holidays |
Kubler-ross's denial stage of dying | Individual acts as though nothing has happened and may refuse to believe or understand loss has occurred |
Kubler-ross's anger stage of dying | Individual resist the loss and may strike out at everyone and everything |
Kubler-ross's bargaining stage of dying | Individual postpones awareness of reality of the loss and may try to deal in a subtle or overt way as the loss can be prevented |
Kubler-ross's depression stage of dying | Individual feels overwhelmingly lonely and withdraws from interpersonal interactions |
Kubler-ross's acceptance stage of dying | Individual accepts the loss and looks forward to the future |
According to worden's task of mourning what is adjust to environment in which the deceased is missing | Doesn't realize full impact for a least 3 months; friends and associates stop calling, and the person is left to prey in loneliness; often the individual must take on roles formerly filled by the deceased |
What is the nurses role to help a patient that's grieving | Assess grieving behavior, recognize the influence of grief on behavior, and provide empathetic support |
During the stages of grief and dying what is a mistake and possibly harmful | To expect patients to progress in some specific manner over specified time |
The theories on grief are to help the nurse anticipate | Potential needs of the patient and families; plan interventions to help patients understand their grief while trying to deal with it |
Infancy to 5 yr old's influences on the concept of death | Does not understand the concept of death |
5-9 yr old's influences on the concept of death | Understands that death is final |
9-12 yr old's influences on the concept of death | Understands death as the inevitable end of life |
12-18 yr old's influences on the concept of death | Fears a lingering death |
18-45 yr old's influences on the concept of death | Has attitude towards death influenced by religious and cultural beliefs |
45-65 yr old's influences on the concept of death | Accepts own mortality |
65+ influences on the concept of death | Fears prolonged illness |
What are the four types of complicated grief | Chronic grief, delayed grief, exaggerated grief, masked grief |