The document provides information about teaching objectives, activities, aids, and evaluation regarding death and the dying process. It covers introduction to the topic, factors affecting grief and death such as children, family, patients, nurses and socioeconomic influences. It also discusses meeting the needs of grieving and dying individuals in terms of physical, psychological, social, and spiritual needs. The stages of dying according to Elizabeth Kübler-Ross are described. The document also explains the right to die and the dying persons' bill of rights.
The document discusses attitudes towards death and dying, interventions for coping with terminal illness, and signs and symptoms of approaching death. It also covers the nurse's role in caring for dying patients and their families. Key points include the 5 stages of grief/acceptance according to Elizabeth Kübler-Ross (denial, anger, bargaining, depression, acceptance), interventions at each stage, common physical signs in the last days before death, and the importance of communication and supporting families.
1) Grief and loss are universal human experiences that can be triggered by separation from loved ones, failure, or life changes that disrupt familiar patterns.
2) There are various types of loss including actual, perceived, physical, physiological, and anticipatory. Key factors that influence grief reactions include the significance of the loss, culture, spiritual beliefs, sex role, socioeconomic status, and coping skills.
3) Common grief responses include shock, denial, anger, bargaining, depression, and acceptance based on Kubler-Ross' stage theory of grief. Other theorists like Engle and Bowlby proposed similar stage models with numbness, yearning, disorganization, and reorganization.
Nursing has evolved from an occupation to a profession over centuries. It began as providing informal care and evolved with the establishment of nursing orders in the Christian era. Florence Nightingale professionalized nursing in the 1800s by establishing nursing schools and emphasizing hygiene. She viewed nursing as both a science and an art. In the 20th century, nursing continued developing specialized roles and becoming more research-based. Nursing is now a well-established profession worldwide, guided by codes of ethics.
This document defines rotation in nursing as the regular succession of nurses or nursing students between different clinical areas or classes. It discusses three main types of rotation plans: 1) A master rotation plan that outlines the overall rotation of students between years/classes, 2) An individual rotation plan that is specific to each student, and 3) A clinical rotation plan that groups students and schedules their placements according to their learning experiences and the hospital's needs. Basic principles for effective clinical rotation plans include aligning with curriculum, hospital policies, and supervision requirements while avoiding overcrowding of units.
The document summarizes different methods of organizing nursing services and patient care, including case method nursing, primary nursing care, and functional nursing. It describes the key characteristics and components of each method, such as the nurse's roles and responsibilities, organization of care delivery, advantages, and disadvantages. The case method involves one nurse providing total care to one patient during a shift. Primary nursing assigns each nurse primary responsibility for coordinating and implementing care for a group of patients. Functional nursing divides tasks among nurses with each responsible for specific duties.
This document discusses grief, loss, death and dying. It defines key terms like loss, grief, bereavement and mourning. It describes the grief process and common stages of grieving including denial, anger, bargaining, depression and acceptance. It discusses fears of dying persons, caring for dying persons, nursing responsibilities, signs of dying, pronouncement of death, stages of decomposition and postmortem care.
The document discusses attitudes towards death and dying, interventions for coping with terminal illness, and signs and symptoms of approaching death. It also covers the nurse's role in caring for dying patients and their families. Key points include the 5 stages of grief/acceptance according to Elizabeth Kübler-Ross (denial, anger, bargaining, depression, acceptance), interventions at each stage, common physical signs in the last days before death, and the importance of communication and supporting families.
1) Grief and loss are universal human experiences that can be triggered by separation from loved ones, failure, or life changes that disrupt familiar patterns.
2) There are various types of loss including actual, perceived, physical, physiological, and anticipatory. Key factors that influence grief reactions include the significance of the loss, culture, spiritual beliefs, sex role, socioeconomic status, and coping skills.
3) Common grief responses include shock, denial, anger, bargaining, depression, and acceptance based on Kubler-Ross' stage theory of grief. Other theorists like Engle and Bowlby proposed similar stage models with numbness, yearning, disorganization, and reorganization.
Nursing has evolved from an occupation to a profession over centuries. It began as providing informal care and evolved with the establishment of nursing orders in the Christian era. Florence Nightingale professionalized nursing in the 1800s by establishing nursing schools and emphasizing hygiene. She viewed nursing as both a science and an art. In the 20th century, nursing continued developing specialized roles and becoming more research-based. Nursing is now a well-established profession worldwide, guided by codes of ethics.
This document defines rotation in nursing as the regular succession of nurses or nursing students between different clinical areas or classes. It discusses three main types of rotation plans: 1) A master rotation plan that outlines the overall rotation of students between years/classes, 2) An individual rotation plan that is specific to each student, and 3) A clinical rotation plan that groups students and schedules their placements according to their learning experiences and the hospital's needs. Basic principles for effective clinical rotation plans include aligning with curriculum, hospital policies, and supervision requirements while avoiding overcrowding of units.
The document summarizes different methods of organizing nursing services and patient care, including case method nursing, primary nursing care, and functional nursing. It describes the key characteristics and components of each method, such as the nurse's roles and responsibilities, organization of care delivery, advantages, and disadvantages. The case method involves one nurse providing total care to one patient during a shift. Primary nursing assigns each nurse primary responsibility for coordinating and implementing care for a group of patients. Functional nursing divides tasks among nurses with each responsible for specific duties.
This document discusses grief, loss, death and dying. It defines key terms like loss, grief, bereavement and mourning. It describes the grief process and common stages of grieving including denial, anger, bargaining, depression and acceptance. It discusses fears of dying persons, caring for dying persons, nursing responsibilities, signs of dying, pronouncement of death, stages of decomposition and postmortem care.
Current trends and issues in nursing administrationpraveenPatel57
This document discusses trends and issues in nursing administration, education, and practice. It outlines changes taking place in society, other professions like medicine, and within nursing itself. Key trends include pursuing higher nursing degrees, changes in working conditions and pay, and adoption of technologies like computers and mobile devices. Issues relate to nursing registration, diploma vs. degree qualifications, specialization, standards of care, and challenges in nursing education like inadequate facilities and shortage of teachers.
Nursing is a globally in-demand profession that faces workforce shortages. There are approximately 28 million nurses worldwide but 5.9 million more are still needed, especially in Africa, Southeast Asia, and the Eastern Mediterranean. The COVID-19 pandemic has underscored nurses' crucial role in health systems and the need to invest in nursing education, jobs, and leadership. Career opportunities in nursing are extensive and varied, ranging from specializations to managerial roles, with requirements that include ANM, GNM, BSC, MSC, and PhD degrees in nursing. The highest paid states for nurses in the US are California, Hawaii, Washington DC, Massachusetts, and Oregon, with median salaries over $90,000.
The document discusses long-term care, defining it as assistance for those with chronic illnesses or disabilities with activities of daily living rather than medical treatment. It examines the different levels of long-term care including home health, assisted living, nursing homes, skilled nursing facilities and the populations served by each. The challenges facing long-term care are also reviewed such as financing issues and the need for quality staffing.
A health team consists of various medical professionals who work together to care for patients. The core members typically include a physician responsible for medical diagnosis and treatment, nurses who delegate duties and provide care, and a dietitian who designs special diets. Other common members are physiotherapists who provide rehabilitation services, social workers who assist with non-medical needs, and occupational therapists who help patients gain skills for daily living. Additional community-based roles include health assistants, community health workers, Accredited Social Health Activists (ASHAs), village health guides, and trained local community members. All work to identify health issues and solutions in their communities.
This document provides an overview of careers in nursing. It defines what a registered nurse (RN) is and their roles and responsibilities in providing care to patients. It outlines the various settings where nurses work, including hospitals, clinics, nursing homes, schools, etc. It also describes the many specialty areas nurses can work in, such as medical/surgical, critical care, labor and delivery, and more. The document discusses education requirements to become a nurse through associate's degree or bachelor's degree programs. It also addresses qualities needed to be a good nurse and considerations for whether nursing may be a good career path. Finally, it provides employment outlook information about nursing shortages and job growth projections.
The document provides information on home visiting by community health nurses. It defines home visiting as providing health services to families in their homes. The purposes of home visits are to assess health and environmental conditions, provide care, education and counseling. Home visits allow nurses to build relationships with families and provide continuity of care. Planning, priority-setting, bag preparation and evaluation are discussed. Home visits require establishing trust, respecting culture and flexibility to address urgent needs.
Nurses play an important role in supporting caregivers of elderly patients. They conduct caregiver assessments to identify needs. Nurses provide caregivers with information, link them to resources, and offer interventions to reduce distress and burnout. These interventions include support groups, education, and home visits. Nurses also teach skills to improve caregiver competence and confidence in areas like medication management. It is important for nurses to address the potential for elder abuse and help caregivers develop coping strategies. Caregivers can be formal, such as paid home health aides, or informal, like family. Both require training to safely care for patients' physical and emotional needs.
Nursing is a healthcare profession focused on caring for individuals, families, and communities throughout life from birth to death. Florence Nightingale established the first nursing school in the world in 1860 and laid the foundation for professional nursing. There are various nursing degree programs from general nursing to PhDs. Nursing offers a rewarding career with opportunities to directly help people's health, learn constantly, and work in diverse settings and specialties. Nurses can work in hospitals, clinics, homes, and many other environments and have flexibility to change settings or advance their career.
The head nurse or nurse-in-charge is responsible for:
1) Maintaining adequate equipment and supplies in good condition in the ward.
2) Submitting requisitions to repair or replace equipment when needed.
3) Ensuring equipment and supplies are conveniently located and staff understand who is responsible for their use.
4) Educating staff on the economical and appropriate use of equipment to prevent waste and misuse.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
This document discusses cultural diversity in nursing practice. It states that knowledge of culture and cultural diversity is vital for nurses in meeting the needs of diverse clients. It also discusses how cultural concepts of illness, wellness, and treatment come from a cultural perspective. Cultural diversity in nursing derives from various disciplines including nursing, anthropology, sociology, and psychology. Cultural diversity refers to differences between people based on shared beliefs, norms, customs, and meanings that make up a way of life.
This document discusses leadership in nursing. It begins with an introduction to leadership and definitions of leadership. It then covers various leadership theories, types of leadership in nursing including transactional and transformational leadership. It also discusses leadership styles, qualities of nursing leaders, and functions of nursing leaders. The document outlines challenges to nursing leadership and provides recommendations. It concludes by stating that good nursing leadership can positively impact patient outcomes.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
Organization and functions of nursing srvices and educationMahesh Chand
The document discusses the organization and roles of nursing services at different levels including hospitals, nursing education, and the community level. It outlines the hierarchy and responsibilities of nursing positions within hospitals from the director of nursing down to staff nurses. It also describes the roles of primary health centers and community health centers in providing nursing services at the community level. The primary objectives of nursing services at all levels are to provide quality care, health promotion, and disease prevention for patients and the community.
The document outlines the different categories of nursing personnel in India, describing their educational qualifications, job responsibilities, and duties. It discusses frontline caregivers like staff nurses and senior staff nurses, administrators like nursing superintendents and nursing superintendent grade 1, educators like nursing tutors, lecturers, assistant professors, and professors, as well as the principal of a nursing college and public health nurses working in community settings. Each category of nursing personnel plays an important role in providing healthcare services and supporting the nursing profession in India.
This document discusses cardiac nursing and death and dying. It begins with objectives related to assessing signs of death, beliefs about death at different ages, helping dying patients meet needs, and legal implications. It defines death and lists physiologic signs. It describes beliefs about death at different ages. It discusses meeting patients' physical, spiritual, emotional needs and caring for the body after death. It lists changes that occur after death like rigor mortis, algor mortis, and livor mortis. It emphasizes providing comfort and respecting patient needs and beliefs during end of life.
The document outlines the procedures for caring for the dead, including certifying and documenting the time of death, handling requests for autopsy or organ donation, preparing and positioning the body, providing support to grieving family members, and maintaining dignity and respect throughout the process. Key responsibilities include following hospital policy, being sensitive to religious and cultural practices, and properly documenting details of death and body transfer.
What Is Elder Abuse and How to Prevent It?Lanzone Morgan
This Slide is presenting about what is elder abuse and how to prevent elder abuse. Look at this presentation and visit website for more info on elder abuse and how to stop it.
This document discusses the concept of delegation in management. It defines delegation as the assignment of authority to another person, usually from a manager to a subordinate, to carry out specific tasks. The document outlines the purposes, principles, process, types, common errors, barriers, and prerequisites of effective delegation. It also discusses the role of nurse administrators in delegation, such as acting as a role model, communicating clearly, assessing capabilities accurately before delegating, and providing training opportunities on delegation. Overall, the document provides an overview of the key aspects of delegation as a management strategy.
The document discusses care of death and dying, including:
1. The stages of dying according to Kubler-Ross - denial, anger, bargaining, depression, and acceptance.
2. Assessing the physiological signs of approaching death such as slowed body functions and loss of reflexes.
3. Types of care for the dying person including physical, psychological, social, and spiritual care. This involves managing pain, allowing friends/family, and addressing religious/cultural needs.
4. Hospice care aims to provide compassionate, palliative care focused on comfort and quality of life for the terminally ill.
The document discusses several topics related to death and dying:
- It outlines the stages of death and dying according to Kübler-Ross (denial, anger, bargaining, depression, acceptance).
- It examines common fears associated with death like suffering, isolation, and the death of loved ones.
- It explores palliative care which aims to relieve suffering for seriously ill patients.
- Cultural differences in views on death and grief are noted.
- The definition of death from a physiological perspective is provided.
Current trends and issues in nursing administrationpraveenPatel57
This document discusses trends and issues in nursing administration, education, and practice. It outlines changes taking place in society, other professions like medicine, and within nursing itself. Key trends include pursuing higher nursing degrees, changes in working conditions and pay, and adoption of technologies like computers and mobile devices. Issues relate to nursing registration, diploma vs. degree qualifications, specialization, standards of care, and challenges in nursing education like inadequate facilities and shortage of teachers.
Nursing is a globally in-demand profession that faces workforce shortages. There are approximately 28 million nurses worldwide but 5.9 million more are still needed, especially in Africa, Southeast Asia, and the Eastern Mediterranean. The COVID-19 pandemic has underscored nurses' crucial role in health systems and the need to invest in nursing education, jobs, and leadership. Career opportunities in nursing are extensive and varied, ranging from specializations to managerial roles, with requirements that include ANM, GNM, BSC, MSC, and PhD degrees in nursing. The highest paid states for nurses in the US are California, Hawaii, Washington DC, Massachusetts, and Oregon, with median salaries over $90,000.
The document discusses long-term care, defining it as assistance for those with chronic illnesses or disabilities with activities of daily living rather than medical treatment. It examines the different levels of long-term care including home health, assisted living, nursing homes, skilled nursing facilities and the populations served by each. The challenges facing long-term care are also reviewed such as financing issues and the need for quality staffing.
A health team consists of various medical professionals who work together to care for patients. The core members typically include a physician responsible for medical diagnosis and treatment, nurses who delegate duties and provide care, and a dietitian who designs special diets. Other common members are physiotherapists who provide rehabilitation services, social workers who assist with non-medical needs, and occupational therapists who help patients gain skills for daily living. Additional community-based roles include health assistants, community health workers, Accredited Social Health Activists (ASHAs), village health guides, and trained local community members. All work to identify health issues and solutions in their communities.
This document provides an overview of careers in nursing. It defines what a registered nurse (RN) is and their roles and responsibilities in providing care to patients. It outlines the various settings where nurses work, including hospitals, clinics, nursing homes, schools, etc. It also describes the many specialty areas nurses can work in, such as medical/surgical, critical care, labor and delivery, and more. The document discusses education requirements to become a nurse through associate's degree or bachelor's degree programs. It also addresses qualities needed to be a good nurse and considerations for whether nursing may be a good career path. Finally, it provides employment outlook information about nursing shortages and job growth projections.
The document provides information on home visiting by community health nurses. It defines home visiting as providing health services to families in their homes. The purposes of home visits are to assess health and environmental conditions, provide care, education and counseling. Home visits allow nurses to build relationships with families and provide continuity of care. Planning, priority-setting, bag preparation and evaluation are discussed. Home visits require establishing trust, respecting culture and flexibility to address urgent needs.
Nurses play an important role in supporting caregivers of elderly patients. They conduct caregiver assessments to identify needs. Nurses provide caregivers with information, link them to resources, and offer interventions to reduce distress and burnout. These interventions include support groups, education, and home visits. Nurses also teach skills to improve caregiver competence and confidence in areas like medication management. It is important for nurses to address the potential for elder abuse and help caregivers develop coping strategies. Caregivers can be formal, such as paid home health aides, or informal, like family. Both require training to safely care for patients' physical and emotional needs.
Nursing is a healthcare profession focused on caring for individuals, families, and communities throughout life from birth to death. Florence Nightingale established the first nursing school in the world in 1860 and laid the foundation for professional nursing. There are various nursing degree programs from general nursing to PhDs. Nursing offers a rewarding career with opportunities to directly help people's health, learn constantly, and work in diverse settings and specialties. Nurses can work in hospitals, clinics, homes, and many other environments and have flexibility to change settings or advance their career.
The head nurse or nurse-in-charge is responsible for:
1) Maintaining adequate equipment and supplies in good condition in the ward.
2) Submitting requisitions to repair or replace equipment when needed.
3) Ensuring equipment and supplies are conveniently located and staff understand who is responsible for their use.
4) Educating staff on the economical and appropriate use of equipment to prevent waste and misuse.
The document discusses care of the dying individual. It begins with an introduction to death and dying, including definitions of death and dying. It then outlines the 5 stages of dying according to Kubler-Ross: denial, anger, bargaining, depression, and acceptance. The stages are described in detail. The document also discusses assessing the physiological signs of approaching death and providing physical, psychological, social, and spiritual care for the dying individual. It emphasizes meeting the patient's needs, maintaining communication, and allowing for dignity in death.
This document discusses cultural diversity in nursing practice. It states that knowledge of culture and cultural diversity is vital for nurses in meeting the needs of diverse clients. It also discusses how cultural concepts of illness, wellness, and treatment come from a cultural perspective. Cultural diversity in nursing derives from various disciplines including nursing, anthropology, sociology, and psychology. Cultural diversity refers to differences between people based on shared beliefs, norms, customs, and meanings that make up a way of life.
This document discusses leadership in nursing. It begins with an introduction to leadership and definitions of leadership. It then covers various leadership theories, types of leadership in nursing including transactional and transformational leadership. It also discusses leadership styles, qualities of nursing leaders, and functions of nursing leaders. The document outlines challenges to nursing leadership and provides recommendations. It concludes by stating that good nursing leadership can positively impact patient outcomes.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
Organization and functions of nursing srvices and educationMahesh Chand
The document discusses the organization and roles of nursing services at different levels including hospitals, nursing education, and the community level. It outlines the hierarchy and responsibilities of nursing positions within hospitals from the director of nursing down to staff nurses. It also describes the roles of primary health centers and community health centers in providing nursing services at the community level. The primary objectives of nursing services at all levels are to provide quality care, health promotion, and disease prevention for patients and the community.
The document outlines the different categories of nursing personnel in India, describing their educational qualifications, job responsibilities, and duties. It discusses frontline caregivers like staff nurses and senior staff nurses, administrators like nursing superintendents and nursing superintendent grade 1, educators like nursing tutors, lecturers, assistant professors, and professors, as well as the principal of a nursing college and public health nurses working in community settings. Each category of nursing personnel plays an important role in providing healthcare services and supporting the nursing profession in India.
This document discusses cardiac nursing and death and dying. It begins with objectives related to assessing signs of death, beliefs about death at different ages, helping dying patients meet needs, and legal implications. It defines death and lists physiologic signs. It describes beliefs about death at different ages. It discusses meeting patients' physical, spiritual, emotional needs and caring for the body after death. It lists changes that occur after death like rigor mortis, algor mortis, and livor mortis. It emphasizes providing comfort and respecting patient needs and beliefs during end of life.
The document outlines the procedures for caring for the dead, including certifying and documenting the time of death, handling requests for autopsy or organ donation, preparing and positioning the body, providing support to grieving family members, and maintaining dignity and respect throughout the process. Key responsibilities include following hospital policy, being sensitive to religious and cultural practices, and properly documenting details of death and body transfer.
What Is Elder Abuse and How to Prevent It?Lanzone Morgan
This Slide is presenting about what is elder abuse and how to prevent elder abuse. Look at this presentation and visit website for more info on elder abuse and how to stop it.
This document discusses the concept of delegation in management. It defines delegation as the assignment of authority to another person, usually from a manager to a subordinate, to carry out specific tasks. The document outlines the purposes, principles, process, types, common errors, barriers, and prerequisites of effective delegation. It also discusses the role of nurse administrators in delegation, such as acting as a role model, communicating clearly, assessing capabilities accurately before delegating, and providing training opportunities on delegation. Overall, the document provides an overview of the key aspects of delegation as a management strategy.
The document discusses care of death and dying, including:
1. The stages of dying according to Kubler-Ross - denial, anger, bargaining, depression, and acceptance.
2. Assessing the physiological signs of approaching death such as slowed body functions and loss of reflexes.
3. Types of care for the dying person including physical, psychological, social, and spiritual care. This involves managing pain, allowing friends/family, and addressing religious/cultural needs.
4. Hospice care aims to provide compassionate, palliative care focused on comfort and quality of life for the terminally ill.
The document discusses several topics related to death and dying:
- It outlines the stages of death and dying according to Kübler-Ross (denial, anger, bargaining, depression, acceptance).
- It examines common fears associated with death like suffering, isolation, and the death of loved ones.
- It explores palliative care which aims to relieve suffering for seriously ill patients.
- Cultural differences in views on death and grief are noted.
- The definition of death from a physiological perspective is provided.
fon Unit xv-care of terminally ill patientAtul Yadav
Unit:xv-Care of terminally ill patient
It contain ---
1.Concepts of Loss, Grief, Grieving process
2. Signs of clinical death
3. Care of dying patient
4. Special considerations
5. Advance Directive
6. Euthanasia ,willdying declaration,organ donation etc.
7.Medico-legal issues
8. Care of dead body
9.Equipment, procedure and care of unit
10. Autopsy
11.Embalming
This document outlines objectives and content for a unit on concepts of loss, grieving, death and dying. It discusses types of loss, grief, terms related to loss and grieving, Kubler-Ross' stages of grief, manifestations of grief, effects of multiple losses, nursing assessment and diagnosis of grieving clients, and providing support to dying patients and their families. Key points covered include assessing physiological signs of death, identifying beliefs about death across ages, discussing needs of dying patients, and changes that occur in the body after death.
The document discusses various types of loss, the grief process, factors affecting loss and grief, and nursing management of patients experiencing loss and end of life. It defines different types of losses, types of grief, and strategies for coping with loss. The nursing management section addresses helping patients die with dignity, hospice and palliative care, meeting physiological needs, and caring for the body after death.
The document discusses loss, grief, dying and death. It covers topics such as the historical changes in end-of-life care, types of losses, grief and mourning processes, challenges with dysfunctional grief, stages of grief, and supportive nursing care for patients and families experiencing loss or end-of-life. It provides information on assessing physical, emotional, intellectual, social and spiritual needs during grieving or dying.
This document provides an overview of concepts related to loss, grief, dying, and death. It discusses historical perspectives on end-of-life care; types of losses; the grief process; stages of grief; signs of dysfunctional grief; nursing assessments and roles in supporting the dying patient and grieving family; and special considerations around death, such as organ donation, advanced directives, and communicating with dying patients.
The document discusses the five stages of dying as proposed by Elisabeth Kubler-Ross: denial, anger, bargaining, depression, and acceptance. It also summarizes the typical nursing care approach for terminally ill patients, which involves comfort, safety, addressing needs, teaching coping strategies, explaining what is happening, and facilitating end-of-life decisions and a peaceful death.
The document discusses care of terminally ill patients and loss, death, and grief. It covers types of loss including actual, perceived, and anticipatory loss. It also discusses grief, bereavement, mourning, and different grief responses. Key aspects of care for dying patients are addressed including meeting physiological, psychological, social, cultural, spiritual and ethical needs. Care focuses on managing pain and symptoms to maximize comfort through the dying process.
This document discusses grief and loss from a nursing perspective. It begins by defining grief, grieving, anticipatory grieving, and mourning. It then discusses types of losses using Maslow's hierarchy of needs. The grieving process is examined, including Kubler-Ross' five stages of grief. Grief has cognitive, emotional, spiritual, behavioral, and physiological dimensions. Nurses must understand grief to support clients, while examining their own attitudes. Assessment and interventions should be tailored to each client's unique experience.
The document discusses various topics related to loss, grief, and the dying process. It describes how grief involves a sequence of emotional, cognitive, and psychological responses to loss. It outlines common stages in the grieving process including denial, anger, bargaining, depression, and acceptance. It also discusses physical, psychological, social, and spiritual needs of the dying, including the role of healthcare providers in providing support and a peaceful end of life experience.
The document provides information on loss, grief, and the grieving process. It defines loss and grief, identifies types of loss and theories of grieving. It discusses normal grieving, dysfunctional grief, and anticipatory grief. Factors affecting grief and signs of approaching death are also outlined. The document aims to help students understand loss, grief, and how to care for the terminally ill and provide post-mortem care.
Lecture 21: Psychological issues at the end of life Dr.Reem AlSabahAHS_student
This document discusses psychological issues at the end of life from a holistic perspective. It addresses the physical, emotional, social, psychological, and spiritual needs and concerns of dying individuals. Regarding physical needs, it discusses pain management, body image, and finding meaning in illness. Emotionally, it explores common fears, loss/grief, and positive emotions. Socially, it addresses concerns for loved ones and communication patterns. Psychologically, it focuses on maintaining control and contributing to others. Spiritually, it examines religion/spirituality, meaning of life/death, and hope. The document also introduces palliative care and its role in improving quality of life compared to hospice care. Finally, it provides an overview
This document summarizes a group presentation on settings for nursing the aged, including home care and institutional care. It discusses problems faced by the elderly, such as loneliness and neglect. It also outlines care provided in old age homes, including proper diet, regular exercise, health checkups, and religious activities. Institutional care settings like hospitals are described as providing medical care, while rehabilitation facilities and long-term care facilities provide continuing care after hospital discharge. Overall, the document examines issues faced by the elderly and care provided in homes and institutions.
Care of terminally ill patient full chapter fundamental of nursing pinkijat
Care of terminally ill patient,include concept of loss,grief , grieving,types of losses,type of grief,factors influencing loss and grief ,stage of grief and losses(DABDA) ,sign of clinical death,care of dying patient , palliative and hospice care, advance directive,legal documents related to advance directive,and after death care in fundamental of nursing full chapter.
This document outlines objectives and content for a unit on loss, grieving, death and dying. It includes definitions of key terms like loss, grief, bereavement and mourning. It discusses Kubler-Ross' stages of grief, signs of death, needs of dying patients, and the nursing process for grieving clients. The objectives are to understand physiological signs of death, beliefs about death, helping dying patients' needs, legal implications, caring for the body after death, and assessing and supporting those experiencing loss and grief.
1. The document provides information on caring for parents with Alzheimer's disease, including understanding the symptoms and progression of the disease.
2. It emphasizes maintaining the dignity and independence of those with Alzheimer's for as long as possible through routines, activities, communication techniques, and avoiding confrontation.
3. Caregivers are advised to take care of their own needs as well by seeking support from family, support groups, and respite care. Understanding that behaviors are due to the disease, not the person, is important for caregiver coping.
Chapters 17, 18 and 19 life span developmentwindleh
The document discusses physical, cognitive, and social/personality development in late adulthood and end of life. It covers topics like the effects of aging on the body and brain, common psychological disorders, Alzheimer's disease, maintaining cognitive abilities, memory changes, social relationships and support, retirement, coping with loss of a spouse, views of aging, elder abuse, Erikson's final developmental stage of integrity vs. despair, and Kübler-Ross's five stages of grief.
This document provides information about grief and loss. It discusses myths and facts about grief, theories of the grieving process, types and signs of loss, how children, adults and the elderly grieve, and interventions and treatments for grief. It also includes sections on global and workplace grief, death at school, helpful resources, and references.
This document discusses grief and theories of the grieving process. It defines different types of grief such as uncomplicated, dysfunctional, anticipatory, and complicated grief. It also summarizes several theories of grieving including Lindemann's theory, Engle's theory, Rando's six R's of grieving, Bowlby's attachment theory, and the dual process model. Finally, it outlines factors that affect loss and grief and nursing care approaches for grieving clients including assessment, diagnosis, planning, implementation, and evaluation.
This document discusses COVID-19 and pregnancy. It outlines that COVID-19 infection does not seem to be worse for pregnant women or affect the fetus. Antenatal care is emphasized through telehealth to reduce risk of exposure. For suspected or confirmed COVID-19 in pregnancy, a multidisciplinary approach is recommended based on symptom severity and obstetric issues. Management includes isolation, testing, monitoring for maternal and fetal well-being, and individualizing care during labor and postpartum based on the mother's condition.
The document provides information about the human skeletal system including:
1) It describes the two main parts of the vertebrate skeletal system - the axial skeleton which includes the skull, spine and ribs, and the appendicular skeleton which includes the shoulders, arms, hips and legs.
2) It outlines the different bones that make up the human skull including the cranium, facial bones, and auditory ossicles. It also discusses the structure of typical vertebrae and describes the different regions of the vertebral column.
3) It provides details on other bones such as the ribs, sternum, pelvis and the bones that make up the upper and lower limbs. It concludes with an overview of the
The document discusses in-service education and continuing nursing education. It defines in-service education as education provided to nurses while working to support professional growth. The aims are to improve skills and knowledge with changing needs. Methods include demonstrations, conferences, workshops and seminars. Components are orientation, skill training, and leadership development. Continuing education occurs after basic education and includes courses to update skills and knowledge for career advancement and meeting community needs. Planning involves establishing goals, objectives, assessing resources and evaluating outcomes.
Registered nurses (RNs) work in a wide variety of settings providing care to promote health and treat illness. Career opportunities for nurses are expanding with RNs working in hospitals, clinics, nursing homes, schools, industries and more. New nursing roles are emerging in areas like nurse practitioners, clinical nurse specialists, and nursing professors. The future of nursing will involve increasing diversity, greater use of technology, more globalization, standardized licensing exams, continuing education requirements and a focus on evidence-based practice and research.
In-service education and continuing nursing education are important for professional growth and development. In-service education occurs while nurses are employed and includes orientation, skill training, and leadership development. It aims to improve performance and promote professional growth. Continuing education occurs after basic nursing education and includes programs like specialty courses that help nurses enhance their knowledge and skills. Both are necessary to help nurses stay updated on the latest trends and deliver quality patient care.
This document discusses trends and career opportunities in nursing. It begins by defining what a registered nurse (RN) is and explaining that RNs work in many settings like hospitals, clinics, nursing homes, schools, and more. It then lists some common nursing careers such as hospital nursing, public health nursing, nursing education, and advanced roles like nurse practitioners. The document also discusses future trends in nursing like increasing diversity, technological advances, globalization, standardized exams, license renewal, evidence-based practice, and more online education. It concludes by stating that rapid changes in healthcare are creating challenges but also opportunities for nursing.
This document summarizes information about anthrax and dengue fever. It describes anthrax as an infection caused by Bacillus anthracis that usually affects farm animals but can infect humans, causing pneumonia or meningitis. It notes the typical symptoms of cutaneous, inhalation, and gastrointestinal anthrax. For dengue fever, it identifies the dengue virus as the cause and notes it is transmitted by mosquitoes. It describes the different types of dengue fever from classical to dengue hemorrhagic fever and dengue shock syndrome, listing associated symptoms. Prevention strategies discussed include controlling mosquito populations and avoiding bites.
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Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Death and dying practice
1. TIM SPECIFIC CONTENT TEACHING LEARNING
E OBJECTIVE A.V. ACTIVITIES EVALU
AIDS TEACHER STUDENT ATION
To introduce INTRODUCTION: Teacher Students
3 the topic. will will
min Death is often referred to as ―the final stage of growth.‖ Life is a moving White introduce understand
process, it begins at birth, but it ends with death. board the topic. the topic.
Mosby’s medical, Nursing & Allied Health Dictionary says Death is:
The cessation of life as indicated by the absence of activity in the brain
and central nervous system, the cardiovascular system, and the
respiratory system as observed and declared by a physician.
Nurses are very committed to life and health. The dying patient is a
contradiction to a nurse's commitment. Occasionally people in the
medical field react to the dying person as if they represent a failure in
their care, or their skills. Although there is really nothing a human being
can do to stop the destiny/ process of another human being. We can help
the dying patient and their families in their final hours with our
education and compassion.
FACTORS AFFECTING GRIEF AND DEATH :
To explain Children :children do not understand death as the adults do but its effect Teacher Students Which
9 factors is tremendous. Both terminally ill children and their siblings are likely to White will will take are the
min affecting ask questions about death.they require parental love and support at all board explain part in factors
grief and stages. The children’s development may be retarded due to death of a by discussion affecting
death. parent or the child regresses. discussion . grief and
.. death ?
2. young and middle aged people :
They approach death reluctantly. Separation from loved ones is difficult
to accept .The elderly person, however, often looks upon death with less
dread. For him death may represent peace and relief from suffering. For
the person who has always been healthy and suddenly becomes critically
ill,death is often feared.
Family :
The patient’s families react to death and dying in a variety of a ways.
They feel lost as to what to say, and how to act in an aggressive manner
towards the nurse and the health agency when the patient is critically ill
or after death. This can be an expression of feelings of helplessness and
frustration.
Patient :
Patients react to death in many ways.some people frankly express their
feelings and their fears while fears while others hide them in an air if
superficially.some become aggressive , hostile or withdrawn;others
maintain a composure , which hides many anxieties.
Nurse :
The nurse also reacts in different ways to the dying patient and to death.
Her reactions largely depends on her own past experiences , beliefs and
needs. She has to be very alert with relatives covert or overt actions of
cultural practices during the last stages.
Socio – economic factors :
3. A bereaved family may suffer more acutely if there is no other earning
member in the family. They not only have loss of a loved one , but also
economic loss that may further disrupt family life.
Cultural influences :
Culture also influences an individual’s expression of grief. In many
families , grief is a private matter shared only with the family. Many
individuals internalise their feelings of grief and may not express grief
or feelings of loss to others.on the other hand , cultural background may
necessitate the family to display emotion and distress with loud weeping
and mourning which may disturb the other patients in the ward.
MEETING THE NEEDS OF GRIEVING AND DYING
INDIVIDUALS : Teacher
To discuss White will how will
10 the needs of The client’s needs are met by attending the following aspects like : board discuss Students you
min dying needs of will provide
individuals. Physical needs : dying participate care to
individual in dying
s by discussion person ?
asking
Dying may take a few minutes, days or weeks. There is a general questions .
slowing down of the bodies' processes as a person is dying. They
become weak; levels of consciousness may change. It is very important
to allow the patient as much independence as possible. As they become
weaker or less responsive the nursing team will need to help with basic
needs. As the death nears the patient might become totally dependent on
the nursing staff for all of their ADL’s.
Every effort is given to provide the best care, physically and
psychological to a dying patient. This person needs be allowed to die in
4. comfort and with DIGNITY…
VISION, HEARING and SPEECH- Vision may become blurred and
gradually fail, this person will automatically turn towards the light, a
very dark room may frighten them. Keeping some light in the room is
important, but not real bright lights. The eyes may stay half-open, this
will cause dryness and accumulation of secretions in the corners, and
frequent eye care is necessary. Always talk to the patient and let them
know you are there and keep some light in the room. Hearing is the last
sense to go, ALWAYS remember the patient can hear you even when
you think there is no way they could, they can! So talk to them, continue
to explain what you are doing and why, keep your normal tone of voice,
offer words of reassurance and comfort. Remember to never offer false
promises.
MOUTH, NOSE and SKIN- oral hygiene is a must! A dying person’s
mouth many times become very dry and their lips crack. Mouth care is
important and needs to be done frequently with glycerin swabs, or
toothettes. You do not want to put a lot of water, or fluids in the dying
person's mouth. Many times they are unable to swallow and too much
fluid can cause them to aspirate. When giving mouth care always have
the head of the bed up and their heads turned to the side. Part of mouth
care is applying lubricant to the patients' lips. The nostrils may become
dry or crusted from drainage or oxygen, assess these areas frequently.
CIRCULATION decreases and then fails. Body temperature may
increase as death approaches. Even though the body temperature goes up
the skin becomes cool, pale, and mottled. Perspiration increases, many
times profusely. Good skin care, bathing, and prevention of decubitis
ulcers are very important nursing measures.
Positioning the patient frequently and keeping them comfortable as
5. possible, you may use pillows to help with positioning and to avoid skin
to skin contact.
ELIMINATION- the dying person may become incontinent of bowel
and bladder. Remember DIGNITY. Bed protectors or attends may be
needed. Perineal care is very important.
Psychological needs :
Patients' insight into their condition should be assessed. Issues relating
to dying and death should be explored appropriately and sensitively.
Clients differ in their emotional responses when recognizing that death
is inevitable. some person speak of their fears of death. Responses
include fear of the unknown , separation , pain of leaving loved ones
,loss of dignity and so on. .nurse should be involved in giving hope
,while helping the client to deal with reality. No matter what the
behaviour of client is,it should be accepted by the nursing staff. A fear
of isolation of having to face the death alone is a primary fear of the
dying person . yhe nurse supports the client by providing her/him full
attention.presence of members of the family needs to be encouraged.
Social needs :
The family's insight into the patient's condition should be assessed and
issues relating to dying and death explored appropriately and sensitively.
The family should be told that the clinical expectation is that the patient
is dying and will die. Use of ambiguous language such as ―may not get
better‖ can lead to misinterpretation and confusion. A constant source of
6. frustration and anger voiced by bereaved relatives is that no one sat
down and discussed the fact that their loved one was dying. If relatives
are told clearly that the patient is dying they have the opportunity to ask
questions, stay with the patient, say their goodbyes, contact relevant
people, and prepare themselves for the death. Relatives of patients dying
in the community should be given contact telephone numbers so that
they have access to help and advice on a 24 hour basis.
Spiritual needs :
Sensitivity to the patient's cultural and religious background is essential.
Formal religious traditions may have to be observed in the dying phase
and may also influence care of the body after death. After the patient's
death, relatives should be dealt with in a compassionate manner. A
leaflet explaining issues related to grieving can be helpful.
Hospice care :
Hospice care is end-of-life care provided by health professionals and .
volunteers. They give medical, psychological and spiritual support. The
goal of the care is to help people who are dying have peace, comfort and
dignity. The caregivers try to control pain and other symptoms so a
person can remain as alert and comfortable as possible. Hospice
programs also provide services to support a patient's family.
Usually, a hospice patient is expected to live 6 months or less. Hospice
care can take place
At home
7. At a hospice center
In a hospital
In a skilled nursing facility
STAGES OF DYING :
To describe Teacher Students Which
7 stages of Clients’ reaction to impemding death is unique to everyone,Dr .elizabeth will will are the
min dying. kubler-ross studied responses to death and her findings have been used lcd explain verbalise stages of
using a.v stages of dying ?
extensively by nursing and other professionals. According to kubler
aids. dying.
ross, the stages of dying are (1) Denial and isolation (2) Anger (3)
Bargaining (4) Depression (5) Acceptance
1. Denial and Isolation
The first reaction to learning of terminal illness or death of a cherished
loved one is to deny the reality of the situation. It is a normal reaction to
rationalize overwhelming emotions. It is a defense mechanism that
buffers the immediate shock. We block out the words and hide from the
facts. This is a temporary response that carries us through the first wave
of pain.
2. Anger
As the masking effects of denial and isolation begin to wear, reality and
its pain re-emerge. We are not ready. The intense emotion is deflected
from our vulnerable core, redirected and expressed instead as anger. The
anger may be aimed at inanimate objects, complete strangers, friends or
family. Anger may be directed at our dying or deceased loved one.
8. Rationally, we know the person is not to be blamed. Emotionally,
however, we may resent the person for causing us pain or for leaving us.
We feel guilty for being angry, and this makes us more angry..
The doctor who diagnosed the illness and was unable to cure the disease
might become a convenient target. Health professionals deal with death
and dying every day. That does not make them immune to the suffering
of their patients or to those who grieve for them.
Do not hesitate to ask your doctor to give you extra time or to explain
just once more the details of your loved one’s illness. Arrange a special
appointment or ask that he telephone you at the end of his day. Ask for
clear answers to your questions regarding medical diagnosis and
treatment. Understand the options available to you. Take your time.
3. Bargaining
The normal reaction to feelings of helplessness and vulnerability is often
a need to regain control–
If only we had sought medical attention sooner…
If only we got a second opinion from another doctor…
If only we had tried to be a better person toward them…
Secretly, we may make a deal with God or our higher power in an
attempt to postpone the inevitable. This is a weaker line of defense to
protect us from the painful reality.
4. Depression
Two types of depression are associated with mourning. The first one is a
9. reaction to practical implications relating to the loss. Sadness and regret
predominate this type of depression. We worry about the costs and
burial. We worry that, in our grief, we have spent less time with others
that depend on us. This phase may be eased by simple clarification and
reassurance. We may need a bit of helpful cooperation and a few kind
words. The second type of depression is more subtle and, in a sense,
perhaps more private. It is our quiet preparation to separate and to bid
our loved one farewell. Sometimes all we really need is a hug.
5. Acceptance
Reaching this stage of mourning is a gift not afforded to everyone.
Death may be sudden and unexpected or we may never see beyond our
anger or denial. It is not necessarily a mark of bravery to resist the
inevitable and to deny ourselves the opportunity to make our peace. This
phase is marked by withdrawal and calm. This is not a period of
happiness and must be distinguished from depression.
Loved ones that are terminally ill or aging appear to go through a final
period of withdrawal. This is by no means a suggestion that they are
aware of their own impending death or such, only that physical decline
may be sufficient to produce a similar response. Their behavior implies
that it is natural to reach a stage at which social interaction is limited.
The dignity and grace shown by our dying loved ones may well be their
last gift to us.
Coping with loss is a ultimately a deeply personal and singular
experience — nobody can help you go through it more easily or
understand all the emotions that you’re going through. But others can be
there for you and help comfort you through this process. The best thing
you can do is to allow yourself to feel the grief as it comes over you.
10. Resisting it only will prolong the natural process of healing.
THE RIGHT TO DIE:
To explain
3 the rights to There are legal issues involved in dying. The right to die. Many people Teacher Have
min die. do not want to be kept alive by machines or other measures. Consent will Students you ever
must be given to do any treatment on a patient. If the patient is not able White discuss will heard
to do so, the nearest living relative will be asked. People need to make board rights of understand about
their own decisions while they are able.. dying rights of informed
individual. dying consent ?
The self-determination Act and Obra give a person the right to accept or individual.
refuse medical treatment. They also have a right to make advance
directives (a written document stating a person’s wishes about health
care when the stated person is unable to do so for themselves). Living
will (a person’s written statement about the use of life-sustaining
measures, feeding tubes, ventilators, and CPR are a few). Durable power
of attorney (the power to make decision about health care is given to
another person, family or friend, or sometimes a lawyer) These are
common forms of advance directives.
All health care agencies must inform patients of their right for advance
directives on admission. This information must be in writing. The
patient’s medical record must have documentation of their advance
directives.
Do Not Resuscitate Orders… When death is sudden and unexpected,
every effort to save life is given. CPR and any and all emergency
treatment is given to sustain a person life.
Things are different with a long term or chronic illness, the patient has a
11. right to have their doctor write a ―No Code," or Do Not Resuscitate
DNR order. This means that no attempts will be made to resuscitate a
terminally ill person. The person is allowed to die in peace and with
dignity. The orders should only be written after the MD speaks with the
patient and then with the family, significant others.
THE DYING PERSONS BILL OF RIGHTS:
Teacher
I have a right to- be treated as a living human being until I die transper will ask Students Listout
5 To enlist the ancy questions will the dying
min dying persons I have a right to- maintain a sense of hopefulness, however changing its to participate persons
bill of rights. focus may be. students. in bill of
discussion rights.
To be cared for by those who can maintain a sense of hopefulness, .
however changing that may be.
To express my feelings and emotions about my approaching death, in
my own way.
To participate in decisions concerning my care.
To expect continuing medical and nursing attention even though I have
comfort only goals.
To Be free from pain!
To have my questions answered honestly.
Not to be deceived.
Have help from my family accepting my death.
12. To die in peace and DIGNITY.
To retain my individuality and not be judged for my decisions.
To discuss and enlarge my religious and spiritual beliefs.
To expect the sanctity of my human body will be respected after death.
To be cared for by caring, sensitive, knowledgeable people who will
attempt to understand my wants and needs, and will gain some sort of
satisfaction in helping me face my death.
SIGNS OF DEATH :
Signs of death or strong indications that a person is no longer alive are:
5 To identify Teacher Students How will
min signs of death will will you
Cessation of breathing White discuss verbalize assess the
Cardiac arrest (No pulse) board with signs of sign of
Pallor mortis, paleness which happens in the 15–120 minutes after students. death. death ?
death
Livor mortis, a settling of the blood in the lower (dependent) portion
of the body
Algor mortis, the reduction in body temperature following death.
This is generally a steady decline until matching ambient
temperature
Rigor mortis, the limbs of the corpse become stiff (Latin rigor) and
difficult to move or manipulate
13. Decomposition, the reduction into simpler forms of matter, accompanied
by a strong, unpleasant odor
CARING FOR THE BODY AFTER DEATH :
10 After the physician has pronounced death and legally documented the
min death in the medical record, care of the dead body is usually performed
by nurse. An autopsy consent may be requested and obtained , if
To enumerate required . if the patient is to be an organ donor ,arrangements will be
the purposes made immediately. The family also wishes to view the body before final Teacher Students What
and preparation are made. They may be allowed . demons will will
interventions tration explain redemonst
of care of by rate the
dead body. PURPOSES : demonstra procrdure,.
The nurse care for the body immediately following death to : tion.
- Make the body look as natural and beautiful as possible.
- Perform last duty tenderly
- Do everything you can for the relatives
- Protect other patient from unpleasant sights and sounds which
could frighten them.
Interventions:
The interventions of last offices begin soon after a doctor certifies the
cause of death . The practical interventions of last offices provided for
the patient are categorised according to hygienic, aesthetic and legal
reasons. Although correct compliance with recommended practical
procedures for last offices is important, the sensitive and respectful
manner of the carer was found to be as important .
Respect for a patient's dignity is epitomised by closing the curtain
14. around his or her bed immediately after death . Talking to other patients
who may have seen the patient die will help allay their fears. No
confidential information should be imparted.
1 ) Hygiene
Before beginning the last offices the nurse should put on plastic gloves
and an apron to reduce the risks of infectious contamination to staff and
cross-contamination to patients from body fluids .
The main risk of infection is via body fluids , so intravenous devices
need to be carefully removed and disposed of. Entrance sites must be
covered with a waterproof dressing. Sometimes the body can continue to
excrete fluids after death, so pressure should be applied to the lower
abdomen to express any residual urine. As further excretion of bodily
waste is not expected, the routine packaging of orifices is unnecessary .
2 )Aesthetics
Death can alter a patient's appearance, and friends and relatives might
find this disturbing. The following course of care is suggested as a
means of preparing a patient's body for those who wish to pay their
respects and to preserve dignity . This intervention can be justified on
the basis that the patient would have adjusted his or her own appearance
had he or she been able to.
The eyes should be closed with downward pressure and the jaw closed
and supported by a bandage tied around the head. This seems a more
appropriate and dignified intervention and has less potential to cause
harm or leave pressure marks on the patient's face or neck . The patient's
dentures should then be removed and cleaned, the inside of the mouth
cleaned and the dentures replaced. This ensures that any unpleasant
odours are eradicated .
15. After undressing, the patient should be given a sponge bath and dressed
in according to hospital policy. Bed linen should be removed and
replaced with clean sheets, and the bedside area tidied.
Dressing the patient in a shroud can make him or her look inappropriate
and unnatural. There is no obvious reason that patients should not be
dressed in their own, or even in hospital clothes, other than it is not
always hospital policy.
Next the patient's head should be placed on a pillow and the arms and
legs straightened. It has been suggested that laying the arms by the side
of the body may cause the hands to blacken, and this would be a concern
if relatives wished to hold the deceased's hand later. .
Before removal of the body to the mortuary, it should be wrapped tightly
in a sheet, to avoid damage during transfer. It is fortunate that other
patients do not have to suffer this dehumanising intervention when being
transferred by trolley around the hospital; a set of bedrails and a careful
porter would seem to suffice. The body is then taken away in a special
hospital trolley designed to secrete the body, a protective gesture.
3 )Legal issues
The final intervention involves providing a means to easily identify the
patient's body and taking an accurate record of all the personal
belongings. Attaching hospital identity bands to a patient's wrist and
ankle aids identification. A notification of death certificate can also be
attached to the sheet in which the patient is wrapped. The certificate
should be attached with tape, rather than with a pin, as this may present
a hazard to staff handling the body .
All personal items should be documented in the patient's property book
in the presence of another staff member.
16. SUMMARY :
5 Up till now we have discussed about following topics :
min Introduction , factors affecting grief and death, meeting the needs of
dying person,stages of dying, dying persons bill of rights, signs of death
, interventions of dead body including personal hygiene , aesthetics
and legal issues.
CONCLUSION :
1
min Caring for the dead is a unique aspect of nursing because the deceased
will never be aware of it. Although the necessity of providing a high
standard of care on the basis of 'upholding and enhancing the good
reputation of the professions' is reason enough to provide excellent care,
it is respect for the dignity and individuality of all patients .
RECAPITULATION :
Encourage students to ask questions and to clarify their doubts.
1 ASSIGNMENT :
Min Write an assignment on end care of dead body.
Date of submission :
Student’s Bibliography
1.The trained nurses association of India. New delhi: chandu
publication; 2007.p.138 -140.
2.Taylor C. fundamental of nursing. 4th ed. Lippincott: new yourk;
p.1079-1089.
3.Barbara Koizer,Glenora Erb,Audrey Jean Berman.Fundamental Of
17. Nursing 6th edition. India:Published by Person education;2003.p.822
Teacher’s Bibliography
1.Patricia A. Potter,Anne Grffin Perry.Fundamentals Of Nursing.6th
edition.New Delhi : Published by Elsevier;2005.p.390-393
2.Carol Taylor,carol Lillins,Priscilla Le Mone. Fundamental Of Nursing
The art and scince of nursing care. 6th edition.Philadelphia:Lippincott
publications;2005.p.94-100
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18. CENTRAL OBJECTIVE :
Caring for the dying and dead illustrates nurses to possess not only practical skills but a knowledge of the professional, ethical and legal
factors that are intrinsic to holistic care.
SPECIFIC OBJECTIVE :
After studying this topic, students will be able to :
- list the factors affecting grief and death
- analyse and discuss the needs of dying individuals.
- enlist the rights of dying individuals.
- identify the sign of death
- demonstrate the care of the body after death.
19. INFORMATION ABOUT CLASS & TEACHER
Title of course : B.Sc. Nursing
Topic : Death and dying
Unit :
Level of student : 1st yr B.Sc. nursing
No. of student :
Date :
Time :
Venue :
Teaching method : Demonstration cum discussion
AV AIDS : white board,poster, LCD.
Name of evaluator : Mrs. Niru patel
Previous knowledge of students :Students are having some knowledge regarding care of dead and dying.
INFORMATION ABOUT STUDENT TEACHER
Name : Mrs. Mital s. patel
20. Year : 1st yr M.Sc.Nursing
SANDRA SHROFF ROFEL COLLEGE OF
NURSING VAPI
SUBJECT – NURSING EDUCATION
PRACTICE TEACHING ON DEATH AND DYING
SUBMITTED TO: SUBMITTED BY:
MRS. NIRU PATEL PATEL MITAL S.
ASSISTANT PROFESSER F.Y.M.Sc NSG
S.S.R.C.N S.S.R.C.N
VAPI VAPI