Coping with Loss
1. What is happening in the lives of those who are dying? How is what is happening differently for family members, friends, and professionals who are caring for those who are dying?
Ans) Desirable and obtainable care for those approaching death is determined by both individual and system characteristics and their interactions.
- The individual's disease, clinical status, emotional state, and preferences determine much about what clinical care is appropriate. Personal values, financial circumstances, family structure, and other patient or family characteristics set limits on what is possible or, at least, what is more or less difficult to accomplish.
- Over these individual conditions, clinicians and health care organizations typically superimpose a template or protocol that guides but need not rigidly dictate care. The nature of this template or protocol may, in turn, be partly determined by such factors as medical culture, locale (e.g., urban or rural), supply of health care resources (e.g., hospital beds, physicians, organized hospices), delivery system integration, organizational mission and leadership, community norms, statutory requirements, research linking processes of care with outcomes, and internal and external mechanisms for monitoring and improving the quality and outcomes of care.
- The committee believes that many problems with care at the end of life reflect disincentives for good care and that strategies to improve care will need to focus on change at the system rather than the individual level.
- In reaction against medical and technological overreaching, efforts to improve care systems for the dying share certain emphases with more general efforts to make health care more patient-centered and more concerned about patients' quality of life, not just their physiology. Although it is very much concerned with systems of care, the patient-centered care perspective tends to emphasize what is desirable and appropriate for the individual patient.
- Quality improvement strategies tend to be more population-oriented in their emphasis on institutional goals, priority setting, and statistical analyses. Both have emerged in an environment even more strikingly characterized by efforts to cut the cost of health care under the rubric of managed care.
- Overall, patient-centered, quality-improving, and cost-driven strategies for care of those with advanced or terminal illnesses may complement each other; they also may conflict.
Coping with Loss 1. What is happening in the lives of those who are dying? How...
1. What is happening in the lives of those who are dying? How is what is happening differently for family members, friends, and professionals who are caring for those who are dying?
What is the goal of healthcare when caring for those who are dying? What is the role of the nurse in this process? How can hospice and palliative care be an integral part of end of life care?
Loss, Grief, and Dying 3. You are an inpatient hospice nurse caring for your patient, a 42-year-old woman with metastasized breast cancer whose prognosis is terminal. Hospice physicians indicate she has approximately 1 month to live; she is spending her time with her husband and three children, who demonstrate affection. Her family is attentive, supportive, and significantly involved in her care. They spend their time playing games (with the patient watching if she doesn't have the energy to compete), wheeling...
how does African heritage deal with death : 1-who attends the dying 2- what happens to the body.3- what survivors thing happened to the person that died?
how does Asian heritage deal with death : 1-who attends the dying 2- what happens to the body.3- what survivors thing happened to the person that died?
how does Hispanic heritage deal with death : 1-who attends the dying 2- what happens to the body.3- what survivors thing happened to the person that died?
Compare the difference in experiences of these shutdowns due to
coronavrius by someone who didnt lose a job with someone who did.
How will each of their lives be differnt while trying to naviage
life now? Might these two parties operate or adovcate goverment for
polices differently? or not? Is a good job loss going to be harder
or easier than a low-income job loss? What do those with jobs need
to know about those facing jobs or income losses?...
How can you help a dying person who is depressed? The HHA keeps the tays clean. The od to cleaned reg aly, and garbag The bathrooo nereased risk counter tops, be thoroughl Floors shou rugs to per members Isundry rinsing good 6. Describe the acceptance stage. 7. Describe care for a dying person. eir 8. List five or more signs of approaching death. yan-
Do you know anyone who has experienced trauma in their lives? If so, without giving us their name or any identifying information, what can you tell us about how they have coped? What are healthy ways of coping and what are unhealthy ways of coping?
List and Describe the Kobler-Ross's psychological stages of dying. B) Would you make any modifications from the perspective of the dying person's experience, and if so what would you modify? C) Do these same stages apply to those who are grieving a loss (of a relationship, a death, parental divorce, etc.) and if so describe if and how you would modify the stages
List and Describe the Kobler-Ross's psychological stages of dying. B) Would you make any modifications from the...