Chapter 42

occurs when a valued person, object, or situation is changed or becomes inaccessible such that its values is diminished or removed

can be recognized by others as well as by the person sustaining the loss
ex. loss of limb, child, money, job

experience by the person but is intangible to others.
ex. loss of youth, financial independence, valued environment

experience as a result of natural developmental process
ex. first child may experience a loss when a sibling is born, parent may experience a loss when child goes to school

is experienced as a result of an unpredictable event
ex. injury, disease, death, national disaster

is an internal emotional reaction to loss. it occurs with loss caused by separation or by death

is the actions and expressions of that grief, including the symbols and ceremonies that make up the outward expression of grief

a state of grieving from loss of a loved ones

kubler ross death reaction

it appoints an agent the person trust to make decision in the event of subsequent incapacity

is a medical order indicating a patient's wishes regarding treatment commonly used in medical crisis

order that indicates that the goal of treatment is comfortable, dignified death and that further life-sustaining measures are no longer indicated

gradual withdrawal of mechanical ventilation from a patient with terminal illness or an irreversible condition with a poor prognosis

signs of dying

good dying

is taking specific steps to cause a patients death

defined as withdrawing medical treatment with the intention of causing the patient's death