Loss Grief and dying

BELIEF assessment tool

B- belief system E- ethics of values L- lifestyle I- involvement in a spiritual community E- education F- future events

Nursing interventions

Communications- open Actions- take action to help pts Presents- being there for pts listing to the pts

FICA tool for spiritual assessment

Faith and belief - do you consider yourself religious or spiritual? Importance- what importance does your faith or belief have in your life? Community- are you part of a spiritual or religious community? Address in care - how would you like me to address these issues in your healthcare?

Perceived loss is felt by the person and can be recognized by others.

False that describes Actual loss

The patient self-determination act of 1990 required all hospitals to conform to standard uniform set of advance directives

False- it required all hospitals to inform patients about advance directives

Active euthanasia is defined as withdrawing medical treatment with the intentions of causing the patients death

False- this describes Passive euthanasia

Spirituality is often related to meaning________ belonging faith and to connectedness also is private and ________ for each person

Hope individual

____________ is defined as an organized way of sharing beliefs and practicing worship

Religion

Patients typically view nurses as a good source of ________ information

Spiritual

_______ is an intrinsic set of personal beliefs and practices that can be experienced within or without formal religion

Spirituality

During Engels stage of grief know as idealization there is often an exaggeration of the good qualities that the deceased person possessed

True

Terminal weaning is the gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis

True

During ________ loss a person displays loss and grief behaviors for a loss that has yet to take place

anticipatory

according to Kubler- Ross in the ______ stage of dying the patient goes through a period of grief before death.

depression

Illness may challenge a person spiritual well being and create spiritual __________

distress

Atheism

do not believe in the existence of God

Agnosticism

do not have a firm belief of whether there is a God or not

Spiritual distress causes a person to feel_______, loss of faith and sense of being alone or abandoned

doubt

A __________ power of attorney appoints an agent whom the person trusts to make decisions in the event o subsequent incapacity

durable

Religion is an __________ organized faith system grounded in ____________ standards practices and core beliefs.

extrinsic institutional

Grief is an __________ reaction to loss

internal

Barriers to spiritual care are

lack of time too many administrative duties fear of imposing their own preferences on patients lack of knowledge of assessment skills fell inadequate prepared or uncomfortable

Extrinsic

not part of a persons natural nature

while hospice care focuses on the needs of the dying _____ care is appropriate across the spectrum of disease and illness

palliative

Spiritual care begins with encouraging human contact in compassionate relationships with _____________ ____________

professional sensitivity

Spirituality needs are often confused with

religious needs

Death is defined as the irreversible cessation of all functions of circulatory and _________ functions, or irreversible cessation of all functions of the entire brain including the brain stem.

respiratory

Nursing Diagnosis

spiritual distress and risk for spiritual distress Anxiety ineffective coping fear hopelessness powerlessness readiness for enhanced spiritual well being

Spiritual Distress

the impaired ability to experience and integrate meaning and purpose in life through connectedness with self others art music literature nature and or or a power greater than oneself