Questions and Answers
A terminal illness will eventually cause death.
True
Older people or those with terminal illnesses rarely have time to prepare for death.
False
Preparing for death is a process that affects the dying person's emotions and behavior.
True
All people with terminal illnesses will pass through each stage described by Dr. Kübler-Ross.
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Residents may move back and forth between the stages of the grief process.
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Which stage of grief is Mr. Cane in if he insists on getting further opinions about his inoperable brain tumor?
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What stage of grief is Mrs. Tyler in when she lashes out at her NA, Annie?
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What stage of grief is Mr. Lopez in when he discusses his memorial service with his family?
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Which stage of grief is Ms. Corke in when she has drastically changed her mood after being diagnosed with Lou Gehrig's disease?
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What stage of grief is Mrs. Palmer experiencing when she avoids discussing her arrangements and talks about future plans?
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What stage is Mr. Celasco in when he pledges to quit smoking for more years of life?
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What stage of grief is Mr. Jansen in when he contacts a lawyer to arrange his estate?
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What reaction is Malcolm experiencing when he feels upset with his deceased wife?
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What reactions is Becky having regarding her mother's death?
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What reaction is Melinda having when she prepares for school shortly after her grandmother's death?
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What reaction is Micha experiencing after the death of his best friend, Lawrence?
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What reaction is Theresa experiencing after her son drowns at a pool party?
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What reaction is Casey having when he feels little emotion after his brother's sudden death?
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______ perspiring residents often; skin should be clean and dry.
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Residents may not be able to communicate that they are in _____ observe for signs and report them.
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Changes of position, back massage, skin care, mouth care, and proper body _____ may help relieve pain.
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______ may be one of the most important things you can do for a resident who is dying, pay attention to these conversations.
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______ can be very important, holding your resident's hand can be comforting.
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Do not _____ the dying person or his family, do not deny that death is approaching, and do not tell the resident that anyone knows how or when it will happen.
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_______ is usually the last sense to leave the body.
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Provide _____ for visits from clergy, family, and friends.
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Do not discuss your personal _____ or spiritual beliefs with residents or their families or make recommendations.
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What are three legal rights that must be honored when working with residents who are dying?
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Hospice care is the term for compassionate care given to whom?
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Hospice care encourages residents to do what?
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What do hospice goals focus on?
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Focusing on pain relief, controlling symptoms, and preventing complications is called ____ care.
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List seven guidelines that are helpful for hospice work.
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When death occurs, the body will not have a heartbeat.
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The eyelids will automatically close after death.
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The body may be incontinent of both urine and stool after death.
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The muscles in the body become loose and relaxed after death.
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The nurse should be called immediately to confirm death.
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After death, the muscles in the body become what?
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Caring for a body after death is called what?
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After death, the NA should place drainage pads under the body. These pads are most often needed under the?
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If family members would like to remain with their loved one's body after death, what should the NA do?
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Most people grieve in the same way.
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Some people like to remain with the body to perform religious rituals.
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The overall mood at a wake is usually very sad and somber.
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Having an open casket means the preserved body will be displayed to others.
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Some people will choose to be cremated, which means the body is burned until it is reduced to ashes.
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Readings of religious scripture and prayers may take place at a funeral.
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An atheist's funeral will normally involve prayers, hymns, and other religious rituals.
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The NA should remain professional and respect whether or not he agrees with the rituals that take place after a resident has died.
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With a natural burial, the body is embalmed before placing it directly into the ground.
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Study Notes
Terminal Illness and Grief Stages
- Terminal illness leads to eventual death; this is a fact.
- Older adults and those with terminal conditions can have preparation time for death.
- Emotional impacts of preparing for death influence a dying individual's behavior and feelings.
- Not every individual with a terminal illness will experience all stages of grief as per Dr. Kubler-Ross.
- Individuals experiencing grief may oscillate between stages rather than follow a linear progression.
Stages of Grief
- Denial: Mr. Cane seeks multiple opinions about an inoperable brain tumor, indicating refusal to accept the diagnosis.
- Anger: Mrs. Tyler expresses frustration towards her caregiver, furious about her situation with heart disease.
- Acceptance: Mr. Lopez plans his memorial, showing readiness to accept his fate with AIDS.
- Depression: Ms. Corke, diagnosed with Lou Gehrig's disease, exhibits loss of interest and isolation.
- Denial: Mrs. Palmer discusses future plans irrelevant to her terminal cancer, showing a refusal to confront her reality.
- Bargaining: Mr. Celasco proposes to quit smoking for a chance at extended life after learning treatments are exhausted.
- Acceptance: Mr. Jansen organizes his estate decisions early, recognizing his declining health due to Alzheimer's.
Reactions to Grief
- Malcolm's anger and sadness towards his deceased wife reveal unresolved feelings from her death during childbirth.
- Becky experiences guilt and relief after her mother's death, reflecting on past resentment.
- Melinda's normal routine following her grandmother's passing indicates denial of her grief.
- Micha feels loneliness after losing his closest friend, highlighting the important bond they shared.
- Theresa grapples with guilt over her son's accidental drowning, stemming from feelings of culpability.
- Casey feels shock after the sudden death of his brother, indicating emotional numbness.
Care Practices in Hospice
- Regular bathing is crucial for residents to maintain cleanliness, especially with perspiration.
- It's vital to monitor residents for uncommunicated pain signs.
- Comfort measures include proper positioning, back massages, and skin care.
- Active listening is essential to support dying residents during their final conversations.
- Physical touch, like holding hands, can provide significant comfort.
- Never avoid confronting the reality of death with residents or their families—honesty is essential.
- Hearing is typically the last sense to fade; attention to auditory responses is critical.
- Privacy for family visits and spiritual practices should be prioritized.
Hospice Care Principles
- Hospice care focuses on compassionate support for residents nearing death.
- Encourages involvement in their healthcare decisions.
- Goals center on ensuring comfort and preserving dignity.
- Palliative care emphasizes managing pain and avoiding complications.
- Key guidelines for hospice work include being an attentive listener, respecting privacy, and maintaining self-awareness.
Understanding Death
- Death is confirmed when a heartbeat ceases.
- Post-death, eyelids do not automatically close, and bodies may exhibit incontinence.
- Muscles become stiff post-mortem, a process known as rigor mortis.
- Staff must notify a nurse immediately upon the occurrence of death.
- Proper postmortem care is essential for dignity after death, including drainage pad placement and allowing family presence.
Grieving Process and Cultural Sensitivity
- Grieving varies widely among individuals; generalizations should be avoided.
- Religious rituals may be conducted post-death; respect for these beliefs is crucial for care providers.
- The atmosphere at a wake can vary and may not always be somber.
- Cremation is an option for many, contrasting with traditional burial practices.
- An atheist's funeral typically does not involve religious elements.
- Personal beliefs must remain separate from professional duties in caring for residents' families.
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Description
This quiz explores the emotional journey individuals face when dealing with terminal illness and the stages of grief as described by Dr. Kübler-Ross. Understand how denial, anger, acceptance, and depression manifest in real-life situations among patients facing critical health diagnoses. Gain insights into the non-linear nature of grief and its impact on behavior.
