Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada, 3rd Edition (Boscart, 2024), | All Chapters

Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada, 3rd Edition (Boscart, 2024), | All Chapters types of grief ANSWER: - anticipatory - when you know you're about to have a loss of some kind (not just death - moving, amputation, whatever) acute - Typical acute grief reactions are often characterized by emotional and somatic distress and impaired functioning, but should not be diagnosed as a psychiatric disorder. However, bereavement is also a stressor that can precipitate or worsen psychiatric disorders (eg, unipolar major depression) shadow - chronic, normal - intermittent sadness often triggered by events complicated - acute that doesn't lessen, equilibrium remains elusive - guilt, anger, ambivalence toward lost person unresolved disenfranchised - loss can't be openly mourned - eg capital punishment or relationship not socially accepted (used to be v common in era when LGBT+ not accepted) what is palliative care ANSWER: - focus is on providing comfort and increasing QOL prevent/minimize suffering can be offered concurrently with life-prolonging/stabilizing care, or can be purely comfort-related with no curative measures taken (hospice care provides palliative care) hospice guidelines ANSWER: - - palliative - 6 mo or less prognosis (can be on hospice longer than 6 months with documented decline) - lots of misconceptions - people can seek tx, just not for s/s related to their hospice diagnosis - hospice meds tend to include a med for secretions (eg scopolamine), a benzo, and morphine - people may need education that morphine in hospice is not just for pain - lots of services available on hospice eg music, massage, chaplain, aide grief models ANSWER: - Kubler-Ross Disequilibrium what is a living will ANSWER: - a type of advance directive specifically for EOL care in terminal illness for when pt becomes unable to voice their wishes includes designation of a proxy what is spiritual care ANSWER: - assisting pts in... finding meaning, reconciliation transcendent reality strengthen their spiritual life identify and address pts in spiritual distress what is wellness ANSWER: - - multidimensional - adaptation to internal/external conditions - individualized - is a continuum, not a condition aspects of wellness... ANSWER: - biological environmental functional intellectual psychological spiritual social levels of cultural skill ANSWER: - destructive blind precompetent competent barriers to culturally sensitive care include ANSWER: - cultural destructiveness/blindness/incompetence stereotyping