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What is the difference between actual loss and perceived loss?
Actual loss can be recognized by others, while perceived loss is felt by the person but intangible to others.
What is anticipatory loss?
Anticipatory loss is a loss that has not yet taken place.
What term describes the internal emotional reaction to loss?
Grief.
What are the stages of Engel's grief?
Shock and disbelief, developing awareness, restitution, resolving the loss, idealization, outcome.
What is the key feature of the idealization stage of Engel’s grief?
The exaggeration of the good qualities of the person or object lost.
What is the Uniform Definition of Death Act?
It defines death as irreversible cessation of circulatory and respiratory functions or all functions of the entire brain.
What are some clinical signs of impending death?
Difficulty talking or swallowing, loss of movement, decreasing body temperature, weak or irregular pulse.
What is the primary goal of palliative care?
To give patients with life-threatening illnesses the best quality of life by aggressive treatment of symptoms.
What is advance care planning?
Advance directives that include living wills and durable power of attorney indicating medical decisions and patient preferences.
What does a durable power of attorney do?
It appoints an agent to make decisions for the patient in case of incapacity.
Identify one physiological need of dying patients.
Pain control.
What are psychological needs for dying patients?
Control over fear of the unknown and loss of dignity.
What kind of support should a nurse provide postmortem?
Support the family, listen to their expressions of grief, and help with viewing the body.
What is the rationale behind offering solace and support to grieving families?
To help them cope with their feelings of grief, loss, and helplessness.
What steps should be taken in postmortem care of the body?
Prepare the body for discharge, place in anatomic position, replace dressings, and attach identification tags.
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