Concepts of Nursing

Read the following scenario and answer the questions.   Terrance Roberts is a 28-year-old man who was involved in an automobile crash after falling asleep at the wheel. His wife and two children were killed. He sustained injuries resulting in the loss of his left leg. He recognizes he will be unable to return to work as a firefighter. The assessment reveals that Terrance has become withdrawn and depressed. He feels extreme guilt for the deaths of his family members and has avoided seeing other family members and friends. He is disinterested in his own physical recovery and has become dependent on narcotic pain medications prescribed for his leg injury. 1. Describe important assessment data related to the concept of stress indicated. 2. What are the stages in the Kubler-Ross Model of Grief and what are presented with this patient?  What is the difference between bereavement and grief? What type of grief is Terrance experiencing? 3. What patient teaching can be provided to this client? Palliative care.  1. In what ways is Palliative care different or the same as Hospice care relating to goals?  2. Describe the physical, spiritual, and cultural needs for end of life care and how the nurse can best address each. 3. What are the physiological signs and symptoms of a patient at the end of life?

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