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What is grief?
painful emotions & related behaviors & physical responces to a major loss or perceived loss
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What are some examples of perinatal loss? (4)
- 1. congenital deformity/birth trauma
- 2. premature birth
- 3. miscarriage <20 weeks
- 4. fetal death/stillborn
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Can you say:
Oh, you can have other children.
No, its doesnt help with the loss of this child
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Can you say:
It's good it happened before you get to know & love the baby
No, mother bonds through the pregnancy
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Can you say:
Its better this way since these babies usually have something wrong with them
No
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Can you say:
At least you have other healthy children
NO
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Can you say:
I'm sorry, I can't imagine how difficult it is!
Yes
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What are the 3 greif responces to premature delivery?
- 1. acute distress
- 2. intense grief
- 3. reorgainization
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In grief responces to premature delivery: what are the acute distress: (5)
- 1. shock
- 2. denial
- 3. numbness
- 4. crying
- 5. depression
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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
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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
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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
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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
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What are good mementos for the parents? (3)
- 1. arm band
- 2. lock of hair
- 3. blanket
SEVERAL MORE
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What are some resources/follow up care to provide after d/c?
- follow up cards/calls
- memorial walks/services
- support groups
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Most parents ask you, if there baby is in pain, what do you say?
You tell them what you see.
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What is the best thing for the nurse to do?
Stay in silence and just listen and be there for them
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Can you cry with the parents?
Yes
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How long do you keep the pictures?
at least 1 year
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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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