NURS 3234 Lecture Notes - Lecture 26: Flatulence, Death Certificate, Brainstem
Document Summary
Definitions: grief: internal emotional reaction to loss, bereavement: state of grief that make up outward expression of grief. Engel"s 6 stages of grief: shock and disbelief, developing awareness, restitution, resolving the loss, idealization, outcome. Components of a good death: control of symptoms, preparation for death, opportunity to have a sense of completion of one"s life, good relationship with healthcare professionals. Kubler-ross"s give stages of grief: denial and isolation, anger, bargaining, depression, acceptance. Indicate who will make decisions for the patient in case the patient is unable. Indicate the kind of medical treatment the patient wants or does not want. Indicate how comfortable the patient wants to be. Indicate how the patient wants to be treated by others. Indicate what the patient wants loved ones to know. Special orders: allow natural death, do-not-resuscitate, or no-code orders, terminal weaning, voluntary cessation of eating and drinking, active and passive euthanasia, palliative sedation.
