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Psychiatry > Adulthood: Grief, Death & Dying > Flashcards

Adulthood: Grief, Death & Dying Flashcards

0
Q

The absolute cessation of vital functions

A

Death

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1
Q

Study of the experiences of dying and bereavement

A

Thanatology

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2
Q

The process of losing these functions

A

Dying

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3
Q

Dying, and the individual’s awareness of it, imbues humans with values, passions, wishes and the impetus to make the most of time.

A

Death

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4
Q

Characterized by needless suffering, a dishonoring of patient or family wishes or values, and a sense among participants or observers that norms of decency have been offended.

A

Bad death

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5
Q

One that is free from avoidable distress and suffering for patients, families and caregivers and is reasonably consistent with clinical, cultural and ethical standards.

A

Good death

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6
Q

Reactions to Death

A

Untimely, Subintentional, Unintentional, Intentional & Timely. “USUIT”

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7
Q

DABDA(impending death) formulated by whom

A

Elisabeth Kubler-Ross

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8
Q

Stages of Grieving

A

Denial, Anger, Bargaining, Depression & Acceptance “DABDA”

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9
Q

Reaction to death: outcry, denial & intrusion, working through and completion. By whom?

A

Mardi Horowitz

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10
Q

Reaction to death: 6Rs recognize the loss, react, recollect & re experience, relinquish, readjust & reinvest. By whom?

A

Therese Rando

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11
Q

Jean Piaget: a temporary absence, incomplete and reversible like departure or sleep. _______ from primary caregiver is main fear. What stage of cognitive functioning?

A

Preschool (<5y/o). Separation. Perioperational stage

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12
Q

Jean Piaget: inevitable human mortality. Death is a final reality that happens to old people not children. Usually have active fantasies _______ & _______ dominates by themes of death and killing. What stage of cognitive functioning?

A

5-10y/o. Violence & aggression. Concrete operational thinking.

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13
Q

Jean Piaget: death is inevitable and final but may not accept possibility of their own death. Great potential for ________ & ________. What stage of cognitive functioning?

A

Adolescents. Isolation & withdrawal. Formal concrete operations.

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14
Q

Universal, Inevitable & Irreversible.

A

Puberty

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15
Q

Attitude towards death across the life cycle: Protest, Despair & Detachment. By whom?

A

John bowlby

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16
Q

Erick Erickson: frustrated in their plans to enjoy hard earned pleasure.

A

Middle age

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17
Q

Erick Ericskson: focus on missing the chance to marry.

A

Young adults

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18
Q

Erick Ericskson: confront increasing reality of their own mortality; integrity vs despair

A

Older age

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19
Q

Among the most stressful of all life experiences. Older adults have more favorable outcome. Depressive symptoms peak within the first few months but decline significantly within a year.

A

Spousal Bereavement

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20
Q

Emotional &/or psychological reaction to any loss, not limited to death.

A

Grief

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21
Q

Process by which grief is resolved. Societal expression of post bereavement behavior and practices.

A

Mourning

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22
Q

Wake, internment. Rituals for disposing the body. Rituals for invocation of religious ceremonies. Rituals for periodic official membranes.

A

Rituals for mourning

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23
Q

Prevailing display of bereavement

A

Funeral

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24
Q

State of being deprived of someone by death and being in the state of mourning.

A

Bereavement

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25
Q

Stages of Bereavement according to Clayton

A

Numbness, Depression & Recovery “NDR”

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26
Q

Stage of Bereavement according to Clayton: insomnia, restlessness & irritability. Mostly reduced over time but may be reactivated on holidays, anniversaries, birthdays & at times of other personally meaningful events. Last a few ___ to a ___.

A

Depression. Weeks to year.

27
Q

Stage of Bereavement according to Clayton: dazed, functioning almost automatically(doing what needs to be done w/out much awareness) forgetful of what’s been done. Usually lasts for a few ____ to ___. Seldom ____.

A

Numbness. Hours to days. Weeks.

28
Q

Stage of Bereavement according to Clayton: acceptance of loss. Return to pre-morbid level functioning. Seek out new relationships & roles; return to roles before death. Varies by age, gender, health of survivor. Within _____ of loss.

A

Recovery. 6mos.

29
Q

Stages of Bereavement according to Bowlby

A

Early phase of acute despair, Phase of intense yearning and searching, Phase of disorganization and despair & Phase of reorganization. “AID R”

30
Q

Symptoms indicating major depressive disorder exceeding usual bereavement.

A

Guilt & Preoccupation

31
Q

Can be influenced by his/her age, personality, developmental stage, earlier experiences with death, his or her relationship with the deceased.

A

Child’s grief

32
Q

Bereavement in children: loss of speech diffuse distress.

A

Younger than 2y/o

33
Q

Bereavement in children: phobic, hypochondriacal, withdrawn, pseudomature, school performance suffers.

A

School aged

34
Q

Bereavement in children: eating, bowel and bladder dysfunctions, strong feelings of sadness, fear & anxiety.

A

Younger than 5y/o

35
Q

Bereavement in children: behavioral problems, somatic symptoms erratic moods to stoicism

A

Adolescents

36
Q

Duration of grief

A

Cultural, Loneliness, In chidren depends on support system & Dictated by society “CLID”

37
Q

Identifying with the deceased taking on traits/possessions.

A

Normal grief

38
Q

Believes he is the dead person or dying of the same disease.

A

Pathological grief

39
Q

Persistent, intrusive complex auditory hallucinations

A

Pathological grief

40
Q

Hear fleeting, transient voice.

A

Normal grief

41
Q

Dead person still alive

A

Pathological grief

42
Q

Denial of certain aspects of the deceased

A

Normal grief

43
Q

Disbelief, denial & shock. Sense of unreality withdrawal.

A

Normal grief

44
Q

Depression impaired self esteem suicidal & denial delayed or absent grief

A

Pathological grief

45
Q

Progressive social isolation & hostility paranoid reactions.

A

Pathologic grief

46
Q

Profound sadness survival guilt intact self esteem. Anger and irritability.

A

Normal grief

47
Q

Mood fluctuations. Waves, washes over and time limited.

A

Grief

48
Q

Mood disturbance is pervasive, unremitting & hopeless.

A

Depression

49
Q

A normal albeit, intensely painful state that is responsive to support, empathy and passage time.

A

Grief

50
Q

Potentially a medical emergency that requires immediate intervention to forestall a complication like suicide

A

Major Depressive Disorder

51
Q

Disruption of biological rhythms. Impaired immune functioning. Decreased lymphocyte proliferation. Impaired functioning of natural killer cells.

A

Acute grief

52
Q

Acute grief: _____ appear to be at risk longer than widows.

A

Widowers

53
Q

Physician responses: often reflect underlying attitude towards _____. Death as a ________ to personal immortality.

A

Death. Personal failure/threat.

54
Q

Physician responses: medical training focuses almost entirely on the ________ & ________ of disease at the expense of care and comfort of the person with the disease.

A

Control and eradication.

55
Q

Physician responses: ______ of own attitudes toward death and dying. Unconscious feeling of ______ and power of preventing death.

A

Awareness. Omnipotence.

56
Q

Hallmarks of appropriate care: visiting patient regularly, eye contact, touching, listening & respect.

A

Compassionate care

57
Q

_______ the family for the probability that a loved one will die. ______ the family’s ventilation of feelings.

A

Preparing. Encourage.

58
Q

Regularly scheduled sessions where grieving people are encouraged to talk about feelings of loss and about a person who has died.

A

Grief therapy

59
Q

Provides temporary support until a sense of confidence about the future develops.

A

Attachment to the therapist

60
Q

Most are practiced to protect the living. Appease the spirits thought to have caused the person’s death.

A

Ghost protection rituals

61
Q

Death & Burial Customs: _____ the eyes of the dead person. Covering the _____ of the dead. Carry the dead out of the house ____ first. _____ were covered. Family photographs turned _______.

A

Shutting. Face. Feet. Mirrors. Face down.

62
Q

Tombstones to weigh down the dead. Mazes the entrance of ancient tombs. Beating on the grave, firing of guns, funeral bells & wailing chants. Bodies lie w/ their heads to the west and their feet to the East.

A

Cemeteries

63
Q

House, funeral parlor & church. Usually lasts for 5-7 days or longer. 24 hrs. Novena, mass & prayer. Nearest kin sits beside the coffin.

A

The wake/vigil

64
Q

Walk behind the funeral car, stopbat the church after mass relative will make a speech, grave site, house of the family, children are passed over the coffin & 40days.

A

Requiem mass/ Funeral

Psychiatry (8 decks)

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