Test 3

Actually, you understand, you know what rape is. Expensions are free. Grief is the emotional, physical. Social. Psychological. And spiritual. Response to Laos. But we agree. It may involve... of a spouse. Child, sibling. Loss of someone killed. I was great. I've seen this in the early loss of independence. Lots of mobility. Loss of a pet, or employee? The idea is not the only thing that brings on grief. Some, uh, can y'all, um, name for me, some normal griefs? Characteristics. Being sad, that's normal. Five, anger? Yeah. Being withdrawn, being withdrawn, crying. Now, this is different. Temporary sleep disturbances. Now, they have a prolonged sleep disturbance for months. That's not good. But the key word is temporary. Sleep disturbances. A temporary appetite changes. Yes, no. It's normal, we must say, about my children, reminiscing about our daughter. I mean, if our sister died. So reminiscent about the deceased. It's normal. And return it back to normal activities is normal. The next section is PGD, prolonged, brief disorder. It continues beyond expecting. continues beyond expecting, cultural. Cultural, and social norms. And significantly impairs functioning. So, some common symptoms of G, or P, G, D. R, anger. Intense bitterness. Difficult trusting others. Cannot go back to a normal life. It's relief. Continuing to yearn from the deceased. Next, we're gonna talk about diagnostic. And statistical. Manual. A mental disorders. And a question you might see it abbreviated as D as in David. S as in Sam. Mary. A dash and a number five. Another dash, capital T as in tong, capital R as in Romeo. A mental disorders. So, with these. Mental health disorders? Are based on... a diagnostic criteria and codes. Which list? Which lists each disorder? The symptoms? And duration. So, for example, if the doctor or maybe thinking that a patient have MVD. Major depressant disorder. The criteria is, the patient have to have been impressed for so many weeks. And they have to cancel out that it's not something else going on. And they might think it might, they might have major depressing disorder. So they have to meet these different criteria. to be diagnosed with a mentalist. And they said, UNC Span? Okay. The general diagnostic process is. The general diagnostic process is. What we do as nurses, we assist. Step one is to assist. That's when we gather information. The second diagnostic process. Is the application? Of the criteria. That is each disorder has a set of symptoms. Each disorder has a set of symptoms. So, for example, OCD has a set of symptoms. Major depressants have this set of symptoms. so. And then the 3rd step is we have to rule out other disorders. We don't want to confuse it with some other illness. So we have to war out other discourse. So in grief, we want to recognize persistent, emotional pain. Persistent emotional pain, difficulty accepting death. Social withdrawal? Intense loneliness. Functional impairment. And persistent bitterness. If we see a patient... any of these... would it be us versus gonna do, what's gonna be our priority? Assess. We need to assess this patient and find out what's going on. Ms. Perry, are you? Yeah. With prolonged grief. Oh, I said this, girl, we want to assess one as nurses. So with the S, safety, some very safe safety? Yes. Long reef is over how long? Six months, two. I hear. Somebody been grieving that long. We need to figure out, are they trying to get a plan to hurt themselves because they're not... breathing properly. We need to assess for what, safety, it takes priority. So, Are you planning on hurting yourself? Any suicidal ideations? That was hurting yourself. The, the hopeless. Are you severely depressed? They have a support system. Is there appetite okay? How are they sleeping? Some assessment questions to ask. Have you wish you were being it? We have thoughts of harming yourself. Have you thought about joining your deceased loved one? We need to assess how they're functioning. By asking. You should evaluate, are you able to work? Are you able to attend school? Are you maintaining self care? Are you aiming to complete your ADLs? We maintain healthy relationships. So physical symptoms? we might see on a brief invitation. Weight loss, appetite changing. Headaches, fatigue. Problems concentrate. Insomnia. What insomnia? I mean, it was sweet. Probably sleeping. Talk about therapeutic communication. They're supportive. We know not to give them false hope. We do not change the subject. But we know not to downplay their loss. How do we let the patient know that we're actively listening? What can we do? Open any questions? Okay, over ended questions. They're talking to us, we can reword. Yeah, let them know we're paying attention. I'm gonna repeat back what they said. With grief informed care. It recognizes... The individual experiences are different. Rafe has no fixed timeline. Grief has no fixed timeline. Person's closure. Thanks three. So, with the nurse, do y'all think we teach everybody to, um, take care of everybody the same, the story? Yeah, I know. So it's our care is individualized. So, with courtiers, and bereavement, we avoid assuming avoid assumptions. Ask open ending questions, of course. Respect traditions. Support Portugal practices. So what culture assessment questions y'all think would be appropriate? to ask some patients? Yeah, think of any. Are there any spiritual beliefs that guide your grieving process? Are there any spiritual beliefs? That guide, The grieving process. Two more. How does your family... Response allows. What cultural practices? are important. During mourning, M O U R N I N G. Things that will prevent healing. Isolation? Avoidance? Bitterness. Lack of support. Unresolved anger? is trust. Social isolation. Assessment. To a sense that a patient is going into social isolation. Well, that says family support. Community involvement Any friendships or religious participation? You're almost done. What I say, friendships? Who can we prefer, um, these gravy people to introdisciplinary care? It's our disciplinary care. We can refer them to a brief counselor. A licensed therapist? A psychiatrist, chaplain. Social worker or support groups? We refer them to mental health. When they are experiencing... persistent weight mouse. Hopelessness, persistence, that's keyword, persistent, hopelessness. Think about suicide. Persistent bitterness. Social withdrawal. Or severe functional impairment. business, social way, withdrawal, very long term, and think about suicide. Can y'all name me some things that, uh, a patient will do if they are... experience a healthy grief? They grieving properly. It's the opposite of what we've been saying. They gonna they gonna be around friends. They gonna be social. They're grieving properly. They're going to reminisce them. Mm. They gonna do the self-care. I see it. I switched it. There's no way money.