N 3130 - FINAL EXAM STUDY GUIDE
grief - ANSWER a generic term that signifies absence of an object, position, ability or
attribute
lindenman's grief work - ANSWER patterns of grief identified physical and emotional
changes associated with significant loss
3 components of support - ANSWER open, empathetic communication
honesty
tolerance of emotional expression is important
george engels sequential phases of grief - ANSWER shock and disbelief
developing awareness
restitution
acute grief - ANSWER the intense physical and emotional expression of grief occurring
as the awareness increases of a loss of someone or something significant
anticipatory grief - ANSWER the process of disengaging, or "letting go," that occurs
before an actual loss or death has occurred is called anticipatory grief
chronic grief - ANSWER Active acute mourning characterized by normal grief reactions
that do not subside and continue over very long periods and that becomes complicated
mourning
complicated grief - ANSWER When a person has difficulty progressing through the
normal (generally accepted) phases or stages of grieving, bereavement becomes
complicated and prolonged.
A care aimed mainly to relieve symptoms associated with end of life
Supportive and maintaining a controlled good quality of life as you approach death -
ANSWER palliative care
COMFORT uses principles of communication that are a from a ___________ perspective
a. transactional
b. relational
c. mutual - ANSWER b
COMFORT - ANSWER 7 principles of palliative care communication
,communication
orientation
mindful communication
family
openings
relating
team
SPIKES what is it - ANSWER a tool used to assist in providing information on diagnosis
or prognosis
setting
perception
invitation
knowledge
emotions
summary/strategy
SPIKES - preparing for the meeting - ANSWER setting
SPIKES - assess the patients understanding of the clinical situation - ANSWER
perception
SPIKES - the information the team wishes to convey - ANSWER knowledge
BATHE - ANSWER way to respond to emotions
background
affect
trouble
handling
empathy
AMEN protocol - ANSWER A conversational tool to discuss hope for a miracle
Step out of provider role and respond as human religious or not
"I am hopeful too"
, "I join you in hoping for a miracle"
"And i want to speak to you about some medical issues"
"No matter what happens, I will be with you every step of the way"
SACR-D - ANSWER S - Self-awareness,
A - assessing the patient
C - compassionate presence
R - referring for additional spiritual support
D - dialogue
presented as a clinical framework to effectively communicate with patients about their
existential and spiritual needs
Procedural touch - ANSWER Touch because of testing, procedures, exams
Expressive touch - ANSWER Communicates concern and affection around pt humanity
TOUCH - ANSWER Take history
Organize touch response
Unify physical touch with emotions
Co-create opportunities
Honor effort and risk taking of client
Advance directives - ANSWER Designating healthcare representative, open
communication needed
Protects patient and partner from family preferences
NURSE - ANSWER how to respond to emotion
Name
Understand
Respect
Support
Explore
Barriers to nurse communication - ANSWER Personal = culture, fears, personal losses
Educational = lack of palliative edu, little exposure to communicate in younger nurses,
grief - ANSWER a generic term that signifies absence of an object, position, ability or
attribute
lindenman's grief work - ANSWER patterns of grief identified physical and emotional
changes associated with significant loss
3 components of support - ANSWER open, empathetic communication
honesty
tolerance of emotional expression is important
george engels sequential phases of grief - ANSWER shock and disbelief
developing awareness
restitution
acute grief - ANSWER the intense physical and emotional expression of grief occurring
as the awareness increases of a loss of someone or something significant
anticipatory grief - ANSWER the process of disengaging, or "letting go," that occurs
before an actual loss or death has occurred is called anticipatory grief
chronic grief - ANSWER Active acute mourning characterized by normal grief reactions
that do not subside and continue over very long periods and that becomes complicated
mourning
complicated grief - ANSWER When a person has difficulty progressing through the
normal (generally accepted) phases or stages of grieving, bereavement becomes
complicated and prolonged.
A care aimed mainly to relieve symptoms associated with end of life
Supportive and maintaining a controlled good quality of life as you approach death -
ANSWER palliative care
COMFORT uses principles of communication that are a from a ___________ perspective
a. transactional
b. relational
c. mutual - ANSWER b
COMFORT - ANSWER 7 principles of palliative care communication
,communication
orientation
mindful communication
family
openings
relating
team
SPIKES what is it - ANSWER a tool used to assist in providing information on diagnosis
or prognosis
setting
perception
invitation
knowledge
emotions
summary/strategy
SPIKES - preparing for the meeting - ANSWER setting
SPIKES - assess the patients understanding of the clinical situation - ANSWER
perception
SPIKES - the information the team wishes to convey - ANSWER knowledge
BATHE - ANSWER way to respond to emotions
background
affect
trouble
handling
empathy
AMEN protocol - ANSWER A conversational tool to discuss hope for a miracle
Step out of provider role and respond as human religious or not
"I am hopeful too"
, "I join you in hoping for a miracle"
"And i want to speak to you about some medical issues"
"No matter what happens, I will be with you every step of the way"
SACR-D - ANSWER S - Self-awareness,
A - assessing the patient
C - compassionate presence
R - referring for additional spiritual support
D - dialogue
presented as a clinical framework to effectively communicate with patients about their
existential and spiritual needs
Procedural touch - ANSWER Touch because of testing, procedures, exams
Expressive touch - ANSWER Communicates concern and affection around pt humanity
TOUCH - ANSWER Take history
Organize touch response
Unify physical touch with emotions
Co-create opportunities
Honor effort and risk taking of client
Advance directives - ANSWER Designating healthcare representative, open
communication needed
Protects patient and partner from family preferences
NURSE - ANSWER how to respond to emotion
Name
Understand
Respect
Support
Explore
Barriers to nurse communication - ANSWER Personal = culture, fears, personal losses
Educational = lack of palliative edu, little exposure to communicate in younger nurses,
