Term
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Definition
Sudden
Gradual
Anticipated
Total
Partial
Permanent
Temporary |
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Term
| 8 ways health professionals communicate with the patient who is dying? |
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Definition
1. Don't be afraid of saying the wrong thing and don't keep silent out of that fear
2. Reach out and show support by actively listening and allowing pt to talk
3. Learn to recognize your own feelings
4. Recognize the importance of touch. Communicate with touch and eye contact that you care. You are there to listen and to maintain or improve the pt's QOL, not to "fix it"
5. Don't assume that the pts want to talk about their illness. Ask them
6. Help pts maintain hope at all costs
7. Take care not to contribute to the isolation of the pt
8. Take care of your own emotional needs to prevent professional burnout so that you can continue to communicate care, and support the pt and family |
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Term
| Permits a competent (know consequences of desires) individual to create written instructions in the event of a terminal condition |
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Definition
| Living Will: Advanced Directive in case of terminal illness |
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Term
| Illness or injury from which there is no reasonable medical expectation of recovery and with medical probability will result in death regardless of use or discontinuance of medical treatment |
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Definition
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Term
| What are the requirements for a Living Will? |
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Definition
-Must be in writing
-Must be signed by the person making the declaration or another person at their direction
-Must be dated
-Must be signed by 2 witnesses |
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Term
| What should you inform your patient about their living will? |
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Definition
-Keep a copy
-Give a copy to MD
-Give a copy to family and friends
-Take a copy with you to hospital |
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Term
| A pt can qualify for this if the pt has been diagnosed with 6 months or less to live and can no longer benefit from curative treatment |
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Definition
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Term
-Referrals here can be made by the MD, health professional, friend, etc.
-Offers palliative care
-Treats the person, not the dz
-Emphasizes quality, rather than length of life
-Considers the entire family
-Offers 25 hour care, 7 days/week |
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Definition
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Term
| What all does Medicare Hospice cover? |
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Definition
-Nursing services on an intermittent basis
-Physician services
-PT, OT, Speech
-Home health aide & homemaker services
- medical supplies and appliances
-Short term inpt care and respite care
-Medical social services
-Spiritual, dietary, and other counseling
-Continuous care during periods of crisis
-Trained volunteers
-Bereaved services |
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Term
|
Definition
Anticipatory
Conventional
- Acute
- Chronic
- Delayed or suppressed |
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Term
| Name the Stages of Grieving and Dying |
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Definition
Denial/Shock
Anger
Bargaining
Depression
Acceptance |
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Term
-Initial or emergency reaction to the onset of a sudden or severe physical injury
-Results from being overwhelmed
-Characterized by psychic numbness, depersonalization, dramatically decreased mobility and speech |
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Definition
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Term
-Defensive mobilization (psych., retreat) against painful realization of the extent, duration, and future implications of chronic illness or disability
-Often includes wishful and unrealistic expectancy of recovery
-Selectively attentive (accepts facts that appear to support self-imposed, disorted picture of reality) |
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Definition
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Term
| -This may be internalized or externalized |
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Definition
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Term
-Manifestation of self-directed resentment and bitterness, associated with feelings of self-blame
-Feelings of guilt
-Disability believed to be causally linked to past transgressions
-Self-injurious act
-Suicidal ideation |
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Definition
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Term
-An attempt at retaliation against imposed functional limitations
-Directed at other persons, objects, or aspects of the environment
-Seen when obstacles arise in the rehab process |
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Definition
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Term
| Person may say that if they live they will use the rest of their live to do something good |
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Definition
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Term
-Typical reaction upon initial realization of dz or loss of body integrity (physical, social, behavioral limitations)
-Feelings of helplessness, hopelessness, despair, isolation, self depreciation, and distress
-Affected by family history, personality, reactions to stressors |
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Definition
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Term
1. Affective Internalization (emotional)
2. Social behavioral reintegration into the newly perceived life situtation |
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Definition
|
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Term
| Fully assimilates loss or functional limitations into a new, cohesive self. |
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Definition
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Term
| A person with a disability who reaches acceptance: |
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Definition
1. Re-establishes self worth
2. Realizes potentialities
3. Actively pursues/implements social and vocational goals
4. Successfully overcome obstacles when pursuing goals |
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