Chapter 19 Giger JN: Transcultural nursing: assessment and intervention, ed 6, St. Louis, 2013, Mosby. Husted GL, Husted JH: Ethical decision making in nursing, ed 2, St. Louis, 1995, Mosby. Kübler-Ross E: On death and dying, New York, 1969, Collier Books. Kübler-Ross E: Questions and answers on death and dying, New York, 1974, Collier Books. • Patient or family may refuse to accept the situation. • Patient or family may not believe the diagnosis. • Patient or family may seek second and third opinions. • Patient or family may claim that the test results were wrong. • Patient or family may claim that the tests were mixed up with those of someone else. • Patient may sleep more or be overly talkative or cheerful. • Patient or family may be hostile. • Patient or family may have excessive demands. • Patient may be withdrawn cold, or unemotional. • Feelings may include envy, resentment, or rage. • Patient may be angry at family for being well. • Patient may be uncooperative or manipulative. • This may be the time that patients are the hardest to care for but the time when they need us the most! Interventions should be based on the stage of dying and grief.
Care of the Dying
Stages of Dying and Grief
Anger
Interacting with the Dying Patient and the Family
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