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Types of Loss:
- S____ - job, function due to illness
- D____ - agin, empy nest, retirement
- P____ - limb, breast
- P____ - dementia (loss for family), depression
- A____ - loss of loved one, recognized by individual
- P____ - recognized by individual but nobody else
- A____ - Dealing w/ loss before it occurs
- SITUATIONAL
- DEVELOPMENTAL
- PHYSICAL
- PSYCHOLOGICAL
- ACTUAL
- PERCEIVED
- ANTICIPATORY
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Actual or potential situation in which something or someone valued is changed or something or someone valued is not available.
Loss
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The total response to the emotional response / experience related to loss; intense sorrow; a type of suffering
Grief
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Kubler-Ross's Stages of Grieving:
D____
A____
B____
D____
A____
- DENIAL
- ANGER
- BARGAINING
- DEPRESSION
- ACCEPTANCE
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Stage of grief defined by disbelief, false emotions, not ready to deal w/ situation, "not me," shock absorber (helps people get through, healthy)
Denail
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Stage of grief where the patient avoids talking about it, tryies to justify other things happening, laughs / jokes (false emotions)
Denial
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Stage of grief where the family asks for 2nd opinion, tells pt. they'll be fine when get home, gets online & shops for a cure, and may not visit b/c thinks that everything is fine
Denial
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Stage of grief where nurse can't understand what pt / family is going through, encourages poor decisions, physicians cure pt's, some have a hard time dealing w/ death
Denial
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As a nurse, if you don't know what to say, then just ____.
Listen
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Stage of grief defined by anger directed at others nd simple things become bothersome
Anger
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Stage of grief where patient may state that "nothing is good," yell at family members, complain about things like room is too hot, too cold (changes in 2 seconds)
Anger
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Stage of grief where family cane be mean towards one another, criticizes physician or hospital, grasps at straws for something to help
Anger
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Stage of grief where nurse sometimes apologizes, just listens to pt., listen to family & let them vent, be patient w/ pt. and family members, teach that it is normal part of process
Anger
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As a nurse, during the ____ stage of grief, don't avoid the pt. or family just because they yell (deep down they want you there), give as much control, choices as possible & accept what they choose
Anger
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Stage of grief defined by often discussion with god or higher power, expressing feelings of guild for past wrongs, expressions of guilt for wrong doings, trying to avoid loss
Bargaining
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Stage of grief where patient looking for miracle.
Bargaining
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Stage of grief where family does self-talk (make sure I'll do such things if you let pt. live)
Bargaining
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Stage of grief where nurse can have pastor or minister come to help with pt. and/or family.
Bargaining
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Stage of grief defined by grief about the past or future, talkative or withdrawn, depends on individual
Depression
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Stage of grief where family more dependent on RN, pt. feels helpless, pt. realizes this isn't going away, pt. more emotional
Depression
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Stage of grief where patient overwhelmed by sadness, know what is going to happen, crying, talkative
Depression
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Stage of grief where nurse should listen, support family / patient, encourage spouses to sit quietly w/ pt. (more beneficial than trying to do cheerful things)
Depression
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Stage of grief defined by the struggling ending, sense of relief, decreased interest in people, planning (getting things in order), decreased interest in surrounding
Acceptance
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Stage of grief where patient is going to be very quiet
Acceptance
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Stage of grief where family shares good experiences & happy moments, usually require that IVs & extra-ordinary measures be discontinued, prepare for funeral (gettings things in order)
Acceptance
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Stage of grief where nurse should sit w/ pt & family members, tell them to talk to pt., simplify the environment
Acceptance
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