25 - Loss and Grief Flashcards

1
Q

Necessary losses

A

things come and go and loss is based on the attatchment

Losses that are replaced by something different or better, natural and positive part of life. Examples: child leaves home to go to college, leaving behind family and friends to go on and make new friends and begin a career.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Actual loss

A

loss of person or thing that can no longer be felt (loss of limb, job, toy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Perceived loss

A

loss of unique to person dealing with it. Loss that they are percievign to themselves

Examples: 4.0 students attending nursing school and receiving a much lower letter grade than they are used to, due to grading scale.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Maturational loss

A

change related to development (empty nesting)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Situational loss

A

sudden or unpredictable (accident, natural disaster)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Grief

A

Grief is an emotional response to a loss or a death.

Each individual responds to loss differently and, therefore, grieves at an individual pace and pattern.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Bereavement

A

Includes grief and mourning
The state of having lost a significant other to death
Non linear process.
Ring on finger: at first you very notice it but over time you get use to it and don’t feel it, but the ring “loss” is still there

Grief describes the response to any type of loss. Bereavement is grief that involves the death of a loved one.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Normal grief

A

healthy giref

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Anticipatory grief

A

letting go in advance of actually loss, may decrease grief later when loss actually occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Complicated grief

A

grief that extends beyond whats acceptable and has 4 kinds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Chronic grief

A

unabe to get past the grief and you are always in the grieving stage

Chronic Grief
Strong grief reactions that do not subside and last over a long period of time. Continually experiencing extreme distress over the loss with no progress towards feeling better or improving functioning.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Delayed grief

A

delayed normal reaction

the emotional pain from loss is repressed or put on a shelf so to speak, to be dealt with at a later time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Exaggerated grief

A

grief that overwhelms to the point that the person isn’t functioning

elt through the intensification of normal grief responses. This intensification has a tendency to worsen as time moves on. This may result in self-destructive behaviour, suicidal thoughts, drug abuse, abnormal fears, nightmares, and even the emergence of underlying psychiatric disorders.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Masked grief

A

behaviours by the griever that interfer with normal functions and the person is unaware of these behaviorus

grievers do not admit their grief, and end up suffering other symptomology.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Disenfranchised grief

A

greif that can’t be expressed or acknowledged due to stigmitization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hope

A

Hope: anticipation of good or continued lessened of an event/thing
Brings comfort to being
Spiritual distress: based on a person hope/lack of it

17
Q

Bioethics

A

Bioethics are concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy.

Dying person’s bill of rights
Provincial/territorial regulatory organizations

18
Q

MAID

A

medical assistance in dying
-nurses cannot administer a substance to die, we cannot suggest MAID, we can discuss it if the patient brings it up but we cannot offer it

19
Q

ACP

A

advanced care plan. 3 levels: resuscitation, medical, comfort. Patient can change it whenever, need a new sheet evey single time.
Substitute decision maker: done in advance, person knows the patients wishes regarding treatment and life sustaining procesurelly and ideally lives locally
Advance care directive: documents a peron’s preference regarding end of life support

20
Q

Palliative care

A
  • Aim of palliative care is to relieve suffering and improve the quality of living and dying.
  • For any age, diagnosis and any time. Care for the physical, mental, spiritual and all other aspects of patients life
  • Relief from pain and distressing symptoms
  • Affirm life and regard dying as a normal process
  • Neither hasten nor postpone death
  • Integrate psychological and spiritual aspects
  • Offer support system
  • Enhance quality of life
21
Q

Cheyne-Stokes respirations

A

a rare abnormal breathing pattern that can occur while awake but usually occurs during sleep. The pattern involves a period of fast, shallow breathing followed by slow, heavier breathing and moments without any breath at all, called apneas

22
Q

Modelling

A

skin turns purple