Ch 37 Death and Grief

Jordan Morgan
Mind Map by Jordan Morgan, updated more than 1 year ago
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Mind Map on Ch 37 Death and Grief, created by Jordan Morgan on 04/26/2017.
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Resource summary

Ch 37 Death and Grief
1 Loss
1.1 Necessary
1.2 Maturation

Annotations:

  • Necessary and normal expected changes throughout life ie: leaving your parent for the first day of school. this help you develop coping skills
1.3 Perceived

Annotations:

  • someone experiencing a loss and is less obvious to other people 
1.4 Actual

Annotations:

  • you can no longer feel, hear, see or know of person ie: loss of body part 
1.5 Situational

Annotations:

  • sudden unexpected.  ie: car accident that causes lose of function or income
1.6 Death

Annotations:

  • The ultimate loss
2 Grief

Annotations:

  • normal but bewildering cluster of ordinary human emotions arising in response to a significant loss, intensified and complicated by the relationship to the person or the object lost. everyone experiences this differently 
2.1 Mourning

Annotations:

  • outward, social expressions of grief and the behavior associated with loss. Culturally influenced 
2.2 Bereavement

Annotations:

  • encompasses both grief and mourning and includes the emotional responses and outward behaviors of a person experiencing loss 
2.3 Normal

Annotations:

  • common, universal, with complex emotional cognitive, social and physical behavior to loss and death 
2.4 Anticipatory

Annotations:

  • this happens before the actual loss or death occurs.  -people grieve when they know someone is going to die  -this can create an emotional roller coaster for some 
2.5 Disenfranchised

Annotations:

  • -When someone dies and cannot properly grieve the loss of someone because their culture does not acknowledge the loss because it is not "norm" 
2.5.1 Ambigous loss

Annotations:

  • In cases with people with dementia. the person is physically there and not psychologically 
2.6 Complicated

Annotations:

  • When someone has a difficult time moving on after loss. 
2.6.1 chronic
2.6.2 exaggerated
2.6.3 delayed
2.6.4 masked
3 Stages of Grief and Mourning

Annotations:

  • Denial, anger, bargaining, depression, acceptance 
4 Factors Influencing Loss/Grief
4.1 human development

Annotations:

  • the age and stage of development affects grief response.  -older people deal better with loss because of previous experiences and coping skills
4.2 personal relationships

Annotations:

  • the quality and meaning of the person loss influences the grief response. 
4.3 nature of loss
4.4 coping strategies

Annotations:

  • coping skills are developed from childhood (talking, journaling, sharing their emotions with freinds) -Nurses can assess coping strategies 
4.5 socioeconomic status
4.6 culture

Annotations:

  • different cultures grieve differently 
4.7 Spiritual

Annotations:

  • Provides a framework to navigate understand and heal from loss/death 
5 Assess

Annotations:

  • -encourage pt to tell his or her story.  -invite them to share experiences  -this helps understand the pts needs 
5.1 Through the patients eyes

Annotations:

  • -be present for the pt/ -when/if the pt trusts you you can better understand how they grieve and perceive death -speak to pt's family and friends 
5.2 Griefing variables

Annotations:

  • -convos about the meaning of loss to pt often lead to other important asessments ie coping style, social system and self care
5.3 grief reactions

Annotations:

  • use physical and psychological assessment skills to assess a patients unique grief response 
6 Diagnosis

Annotations:

  • - compromised family coping -death anxiety -grieving  -hopelessness -complicated grieving 
7 Planning

Annotations:

  • have the pt's resources considered such as energy and family support
7.1 Priorities

Annotations:

  • Have the pt and family/friends help set their priorities for the end of life care.  -pain management for end of life us normally top priority 
7.2 teamwork

Annotations:

  • A team is a must when trying to deal with grief, loss, death.  -doctors, nurses, PT, OT, family and friends all help with palliative care
8 Implementation
8.1 Palliative care

Annotations:

  • Focuses on prevention, relief, reduction or soothing symptoms of disease or disorders throughout the entire course of an illness 
8.1.1 Hospice care

Annotations:

  • philosophy and model for the care of terminally ill pts and their families at the end of life  -when in this care, pt usually has less than 6 months to live
8.2 Use Therapeutic Comm.
8.3 Manage symptoms
8.3.1 Promote self care
8.4 provide psychosocial care
8.5 Maintain a comfortable/Peaceful environment
8.6 Promote Spiritual comfort
8.7 Support grieving family

Annotations:

  • Educate them -be there for the family and support them as they are going through  -help family make decisions after their loss 
8.7.1 Facilitate mourning
8.8 Care after death
8.8.1 tissure/organ donation
8.8.2 Documenting

Annotations:

  • Time of death. people notified of death. time of body transfer and destination. special prep of body
8.8.3 Postmortem care
9 Evaluation

Annotations:

  • Success of eval process depends somewhat on the bond you formed with the pt.  -example: if the goal was that the pt will communicate a sense of hope to family. eval verbal and nonverbal communication 
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