Bereavement & Grief - Wolfe Flashcards

1
Q

What is a crisis?

A
  • “an unstable or crucial time or state of affairs whose outcome will make a decisive difference for better or for worse.”
    • not necessarily negative experience
    • personal growth
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2
Q

What are four different types of “stories” people tell?

A
  1. Signature stories (easy ones that they talk about, not as important)
  2. Public vs. Private/Surface vs. Deep
  3. Secret stories (something not shared with many, come out in times of crisis)
  4. Untold stories
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3
Q

How do people relate to patients and families dealing with a life-threatening illness?

A
  • Cognitive Empathy
    • with cultural component
  • Affective Empathy
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4
Q

What is the “Iceberg Theory”?

A
  • What you see is not always the whole story
    • not always obvious
    • only what you see on the outside
    • elective vs. non-elective
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5
Q

What are “Family Mobiles”?

A
  • ​The most important people in your life on a mobile
    • many strings with people
    • sometimes person gets smaller
      • death
      • crisis
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6
Q

What are the two fundamental questions associated with a life-threatening illness?

A
  1. “What is wrong with me?”
  2. “What will happen to me?”
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7
Q

What are four different types of “losses”? What are their impact on the patient/family?

A
  1. Loss of possessions
  2. Loss of self
  3. Developmental loss
  4. Loss of significant others
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8
Q

What is the importance of utilizing a person’s “lifeline” as an assessment tool?

A
  • Period of Impact - Diagnosis
    • anticipatory mourning
    • advance health care planning
    • make plans
  • The Battle
    • window of opportunity
    • window of rituals
    • meaning of life
  • Period of Defeat
    • acknowledge death
    • visualize life after death
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9
Q

What are various factors that have an impact on a person, and his or her family as they deal with a life-threatening illness?

A
  • Advanced Health Care Directive
  • Power of Attorney
  • Estate planning
  • Gift giving
  • Funeral “pre-planning”
    • rituals, service
  • Companion animal
  • Organ donation/tissue donation
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