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Questions and Answers
What is the term for the stiffening of the body 2-4 hours after death?
What is the term for the stiffening of the body 2-4 hours after death?
- Livor Mortis
- Algor Mortis
- Reorganization
- Rigor Mortis (correct)
At what age does a child begin to understand own morality in relation to death?
At what age does a child begin to understand own morality in relation to death?
- 9-12 years old
- 5 years old
- Infancy
- 5-9 years old (correct)
What is the process of achieving acceptance in bereavement?
What is the process of achieving acceptance in bereavement?
- Depression
- Identification
- Reorganization
- Restitution (correct)
What is the term for the geometric arrangement of body parts in relation to each other?
What is the term for the geometric arrangement of body parts in relation to each other?
What is the age range where a child understands death as the inevitable end of life?
What is the age range where a child understands death as the inevitable end of life?
What is the term for the discoloration of the surrounding tissues due to the release of Hgb?
What is the term for the discoloration of the surrounding tissues due to the release of Hgb?
What is the principle of efficient, coordinated, and safe use of the body to produce motion and maintain balance during activity?
What is the principle of efficient, coordinated, and safe use of the body to produce motion and maintain balance during activity?
What is the age range where a child believes death is temporary and reversible?
What is the age range where a child believes death is temporary and reversible?
What is the primary focus of Engel's model of grief?
What is the primary focus of Engel's model of grief?
What stage of grief involves making promises to a higher power in exchange for more time?
What stage of grief involves making promises to a higher power in exchange for more time?
According to Parker's model, what is the typical timeframe for progressing through the stages of grief?
According to Parker's model, what is the typical timeframe for progressing through the stages of grief?
What stage of grief involves acknowledging the reality and inevitability of the loss?
What stage of grief involves acknowledging the reality and inevitability of the loss?
Who is credited with pioneering work that prompted increased attention to the needs of the dying and the bereaved?
Who is credited with pioneering work that prompted increased attention to the needs of the dying and the bereaved?
What stage of grief involves feeling a sense of detachment from supportive people and loss of interest in worldly activities?
What stage of grief involves feeling a sense of detachment from supportive people and loss of interest in worldly activities?
What is the first stage of grief, characterized by a lack of emotional impact?
What is the first stage of grief, characterized by a lack of emotional impact?
What is the next stage of grief after shock and disbelief?
What is the next stage of grief after shock and disbelief?
What is the purpose of a carminative?
What is the purpose of a carminative?
What is the size of the rectal tube used for adults?
What is the size of the rectal tube used for adults?
What is the method of feeding used for critically ill clients?
What is the method of feeding used for critically ill clients?
What is the purpose of a flow enema?
What is the purpose of a flow enema?
What is the definition of grief?
What is the definition of grief?
What is a precaution for using an enema?
What is a precaution for using an enema?
Which of the following is a characteristic of anticipatory grief?
Which of the following is a characteristic of anticipatory grief?
What is gastric surgery used for?
What is gastric surgery used for?
What is the frequency and duration of intermittent feeding?
What is the frequency and duration of intermittent feeding?
What is the first stage of the Kubler Ross model of dying?
What is the first stage of the Kubler Ross model of dying?
What is the volume of fluid used in bolus feeding?
What is the volume of fluid used in bolus feeding?
What is the definition of bereavement?
What is the definition of bereavement?
What is the definition of mourning?
What is the definition of mourning?
What is the characteristic pattern of responses to the impending loss of a significant person, object, belief, or relationships?
What is the characteristic pattern of responses to the impending loss of a significant person, object, belief, or relationships?
What is the second stage of the Kubler Ross model of dying?
What is the second stage of the Kubler Ross model of dying?
What is the outcome of the grieving process?
What is the outcome of the grieving process?
What is the function of the gate in the gate control theory?
What is the function of the gate in the gate control theory?
What is the purpose of using hand rolls or rubber balls in protective devices?
What is the purpose of using hand rolls or rubber balls in protective devices?
What type of receptors are specific to noxious stimuli?
What type of receptors are specific to noxious stimuli?
What is phantom pain?
What is phantom pain?
What is the purpose of ROM exercises?
What is the purpose of ROM exercises?
What is referred pain?
What is referred pain?
What is the parallel processing model?
What is the parallel processing model?
What is the purpose of meticulous hygiene and skin kept clean and dry?
What is the purpose of meticulous hygiene and skin kept clean and dry?
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Study Notes
Body Changes After Death
- Rigor mortis: stiffening of the body 2-4 hours after death
- Algor mortis: gradual decrease of the body's temperature until it reaches room temperature
- Livor mortis: discoloration of the surrounding tissues due to the release of Hgb; appears in lowermost parts or dependent areas of the body
Development of Concept of Death
- Infancy:
- 5 years old: does not understand the concept of death, believes death is temporary and reversible
- 5-9 years old: understands death as the inevitable end of life, begins to understand own mortality
- 9-12 years old: death is understood as a permanent event
Concept of Dying
- Grief: encompassing response (physical, psychological, cognitive, and behavioral) to the loss of a significant person, object, belief, or relationships
- Anticipatory grief: characteristic pattern of responses to the impending (real or imagined) loss
- Bereavement: state of desolation resulting from loss
- Mourning: socially conventional bereavement behaviors after the death of a significant others
Models of Grief
- Engel's model: resolution of grief takes 1 year or longer
- Kubler Ross Stage Dying: 5 stages of grief (denial, anger, bargaining, depression, and acceptance)
- Parker's model: progression through the stages of grief normally takes 2 years or longer
Kubler Ross Stage Dying
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- Denial: complete denial of the illness and impending death
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- Anger: directed towards fate, God, family members, or healthcare providers
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- Bargaining: seeks to delay the dreaded event, bargains with God
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- Depression: acknowledges the reality and inevitability of the impending death
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- Acceptance: comes to terms with loss and detachment from supportive people and loss
Protective Devices
- Hand rolls or rubber balls: to prevent claw hand deformity
- Trochanter rolls: hips to upper third of thigh
- Footboard: to prevent foot deformity
- Wedge pillow: to prevent respiratory complications
Gate Control Theory
- Substantia gelatinosa: a gate in the spinal cord that controls pain perception
- Gate is open: stimulus is transmitted, pain is perceived
- Gate is close: pain stimulus is blocked, no pain is perceived
Pain Theories
- Affect theory: pain is emotional and intensity
- Parallel processing model: psychology/neurologic of the pain sensation and cognitive emotional properties
- Factors influencing pain experience: anxiety, fear, and past experiences
Types of Pain
- Phantom pain: actual pain felt in the body part that is no longer present
- Radiating pain: felt at the source and extends to surrounding tissues
- Referred pain: pain is perceived at an area other than the site of injury
- Psychogenic pain: due to emotional factors with no psychologic basis
- Intermittent pain: stops and starts again
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