Ch. 36 Loss, Grief, Death Flashcards
what shapes how a person regards loss and how they grieve
the values learned in their family, community, society, and culture
what is maturational loss
are a type of necessary loss and include those changes that occur across the life span. ex child leaving for college
what are necessary losses
they are a part of life. These cause us to undergo some type of change. When a loss occurs, oftentimes it can be replaced by something different or better.
what is an actual loss
occurs when a person can no longer feel, hear, or know a person or object.
whats a situational loss
sudden, unpredictable, external events like a car crash
whats a perceived loss
is defined by the person experiencing the loss. This is often less obvious to others but is real to that person. like how some ppl perceive rejection by a friend to be a loss
are perceived vs actual losses grieved the same way
yes
what is the ultimate loss
death
whats grief
An emotional response to a loss, manifested in ways unique to an individual based on personal experiences, cultural expectations, and spiritual beliefs.
what is mourning
the outward, social expressions of grief and the behavior associated with loss
what is the term that incorporates both mourning and grief
bereavement
what is normal grief?
uncomplicated, common. This type of grief has a known cause and can help the person to mature and develop coping methods to deal with future losses.
anticipatory grief occurs:
before the actual loss or grief occurs.
whats disenfranchised grief also known as
marginal or unsupported grief
what is disenfranchised grief
when their relationship to the deceased person is not socially sanctioned, cannot be openly shared, or seems of lesser significance. Ex are death of ex spouse, gay partner, pet, or death from stigmatized illness like alcoholism or during the commission of a crime
whats an ambiguous loss
a type of disenfranchised grief, occurs when the lost person is physically present but is not psychologically available, as in cases of severe dementia or severe brain injury.
D. Maturational loss.
D
which type of grief is puts ppl at a risk for suicide
exaggerated
what is exaggerated grief
a person responds with self destructive or maladaptive behavior, obsessions, or psychiatric disorders
what is delayed grief
type of loss brought on by a second loss, response is delayed in order to avoid the full realization of the loss
what is masked grief
behaves in a way that interferes with normal functioning but is unaware the behavior is due to the loss
what are the five stages of dying according to Kubler Ross
denial, anger, bargaining, depression, acceptance
what are the four stages of bowlbys attachment theory (mourning)
numbing, yearning and searching, disorganization and despair, and reorganization
this stage is described as felling stunned or unreal
numbing of bowlbys theory, shortest stage
which stage of bowlbys theory is represented by emotional outburst, tightness in the chest, SOB, insomnia, etc
yearning and searching (separation anxiety)
how long does yearning and searching in bowlbys theory last
months to longer
which stage of bowlbys does a person endlessly examine how and why the loss occurred or express anger at the person responsible for the loss
disorganization and despair
what happens during bowlbys stage of reorganization
the person begins to accept the change and move on
what is wordens grief tasks model
- accept the reality of the loss, 2. experience the pain of grief, 3. adjust to a world in which the deceased is missing, 4. emotionally relocate the deceasead and moce on with life
how long does worden say it takes a person to realize the full impact of a loss
at least three months
What does Rando’s R process model believe is important in grief and mourning
reminiscence- remembering the deceased
what is the dual process model
describes moving between the loss oriented (not letting go) and the restoration oriented ( moving on to new things)
how long does numbing last
few hrs to a week or two
how long does reorganizationlast
a year or longer
how long does wordens model suggests the grieving process takes
1 yr
what does wordens grief tasks model suggest
This model suggests that persons who mourn are able to be actively involved in helping themselves. Outside interventions can assist them.
what do postmodern grief theories determine
More recent grief theories take into consideration that human beings construct their own experiences and truths differently and make their own meanings when confronted with loss and death.
what is the goal of palliative care
to help pts and families achieve the best possible quality of life
is palliative care only for the dying?
no it can be for pts receiving treatment for chronic illnesses and are being treated with the hopes of not dying
what does palliative care focus on
Prevention, relief, reduction of soothing of symptoms of disease or disorder even while seeking treatment.
whats hospices priority
Priority to managing a patient’s pain and other symptoms, comfort, quality of life.
can you make exceptions to visiting policies when your patient is dying
yes
what is respite care
when the pt chooses to die at home the family that is taking care of the dying can receive temporary care from a health team so they can get away to rest and relax
according to federal law who makes requiests for organ and tissue donation at the time of every death
specially trained professionals like transplant coordinator or social worker
who gives consent for an autopsy?
the family members
who usually witnesses or delegates the signing or forms for the dead
nurses
who signs the request for an autopsy
doctors or coroners
who provides postmortem care
nurses
D. Develop a personal understanding of your own feelings about grief and death.
D
