grief and trauma BH

nursing interventions with terminally ill patients

respect autonomy, provided management, palliative care, follow living wills and POA

support options for grieving individuals

counseling, support groups, therapy

communication with grieving individuals

empathetic listening, allow silence, validate feelings, use open ended questions

grieving individuals coping

teach healthy coping strategies

situational grief

grief response triggered by an unexpected and traumatic event

stages of grief

denial, anger, bargaining, depression, acceptance

uncomplicated grief

a usual response, gradual adaptation

anticipatory grief

grief before the loss

complicated grief

prolonged and debilitating

masked grief

grief expressed through other symptoms

difference between loss, grief, and mourning

loss is the event, grief is the response, mourning is the outward expression

what is crisis

a sudden, unexpected event in ones life that leads to the failure of usual coping mechanisms

what are the different types of crisis

developmental, situational, adventitious

domestic violence driving/risk factors

power and control, cultural norms, substance use, stress, unemployment, self esteem

nursing interventions for sexual abuse

provide safety, privacy and emotional support, trauma informed care

SBIRT

screening(assessment), brief intervention, referral or treatment

what is sbirt used for

substance abuse

agressive patient s/sx

agitation, pacing, loud voice, threatening, agitation, hx of violence, intoxication, personality disorders

interventions for aggressive patients

be calm, nonthreatening, maintain distance, clear communication, create a calm environment

communication strategies for aggressive patients

acknowledge feelings, validate, set boundaries

impulsivity interventions

teach self control and coping skills

staying safe with aggressive patients

stay safe distance and plan exit route, avoid being alone, alert others, know policies

restraints

use only when necessary, when patient is a danger to themselves and other

necessary assessment/monitoring

check skin, neurovascular, vitals, release periodically