Chapter_036.pptx

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 36 Loss and Grief  Scientific Knowledge Base (1 of 3)  Loss  Actual loss...

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 36 Loss and Grief  Scientific Knowledge Base (1 of 3)  Loss  Actual loss Necessary loss Situational loss  Perceived loss 3  Scientific Knowledge Base (2 of 3)  Grief  Normal grief  Anticipatory grief  Disenfranchised grief Ambiguous loss  Complicated grief Chronic grief Exaggerated grief Delayed grief Masked grief 4  Scientific Knowledge Base (3 of 3)  Theories of grief and mourning  Stages of Dying  Attachment Theory  Grief Tasks Model  Rando’s “R” Process Model  Dual Process Model 5  Nursing Knowledge Base  Factors influencing loss and grief  Human development  Personal relationships  Nature of the loss  Coping Strategies  Socioeconomic loss  Culture  Spiritual and religious beliefs 6 6  Critical Thinking (1 of 2)  Critical thinking requires a synthesis of knowledge, experience, environmental factors, information gathered from patients, critical thinking attitudes, and intellectual and professional standards. 7 Critical Thinking (2 of 2) 8  Nursing Process (1 of 8)  :Assessment  Through the patient’s eyes  Grief variables  Grief reactions  Environmental factors 9  Nursing Process (2 of 8)  Analysis and nursing diagnosis  Examples Impaired Family Coping Death Anxiety Pain (Acute or Chronic) Dysfunctional Grief Anticipatory Grief 10  Nursing Process (3 of 8)  Planning and outcomes identification  Outcomes  Setting priorities  Teamwork and collaboration 11 Nursing Process (4 of 8) 12  Nursing Process (5 of 8)  Implementation  Health promotion Assist with end-of-life decision making Palliative care  Hospice Therapeutic communication approaches Provide psychosocial care Manage symptoms Promote dignity and self-esteem 13  Nursing Process (6 of 8)  Implementation  Health promotion Maintain a comfortable and peaceful environment Promote spiritual comfort and hope Protect against abandonment and isolation Support the grieving family Facilitate mourning  Care after death Organ and tissue donation Autopsy Postmortem care 14  Nursing Process (7 of 8)  Evaluation  Through the patient’s eyes  Patient outcomes 15 Nursing Process (8 of 8) 16