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perinatal loss
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What is
grief?
painful emotions & related behaviors & physical responces to a major loss or perceived loss
What are some examples of perinatal loss? (4)
1. congenital deformity/birth trauma
2. premature birth
3. miscarriage <20 weeks
4. fetal death/stillborn
Can you say:
Oh, you can have other children.
No, its doesnt help with the loss of this child
Can you say:
It's good it happened before you get to know & love the baby
No, mother bonds through the pregnancy
Can you say:
Its better this way since these babies usually have something wrong with them
No
Can you say:
At least you have other healthy children
NO
Can you say:
I'm sorry, I can't imagine how difficult it is!
Yes
What are the
3
greif responces to premature delivery?
1.
acute distress
2. intense grief
3. reorgainization
In grief responces to premature delivery: what are the
acute distress
: (5)
1. shock
2. denial
3. numbness
4. crying
5. depression
In grief responces to premature delivery: what are the
intense grief
: (11)
1. lonliness
2. yearning
3. anger
4. guilt
5. resentment
6. fear
7. anxiety
8. chaos
9. sadness
10. poor cognitive processing
11. physical symptoms
In grief responces to premature delivery, what are the
reorginization
(4)
1. search for meaning
2. decreased distress
3. ability to make future plans
4. re-enter normal life activities with more enthusiasm
There are several nursing stategies for support, what are they?
1. respect cultural traditions
2. speak clearly & honestly
3. anticipate needs & desires
4. include entire family
5. respect the wishes of the parents
6. name and call the baby by the name
7. parents holding & providing care as appropriate
8. alone time if wanted
9. always treat with the same respect as you would if they was alive
10. help with the transition from hospital to home
11. help with the communication of other friends/family
12. be alert for spiritual needs
13. assess coping skills/strengths
What are good communication techniques used to help support family for the NURSE?
1. leading
2. silence
3. nonverbal
4. open ended
5. avoid chiches
What are good mementos for the parents? (3)
1. arm band
2. lock of hair
3. blanket
SEVERAL MORE
What are some resources/follow up care to provide after d/c?
follow up cards/calls
memorial walks/services
support groups
Most parents ask you, if there baby is in pain, what do you say?
You tell them what you see.
What is the best thing for the nurse to do?
Stay in silence and just listen and be there for them
Can you cry with the parents?
Yes
How long do you keep the pictures?
at least 1 year
What are some special circumstance to keep in mind?
1. loss of one set of multiples
2. adolescents feel guilty and negative
3. fertility situations
: alot of money involved
4. infants who die immediately that no one anticipates
5. negative prenatal diagnostic test (death/deformity)
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Author
kacisalyer
ID
51012
Card Set
perinatal loss
Description
loss
Updated
2010-11-22T02:41:29Z
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