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Essentials Final > Ch. 36 Loss, Grief, Death > Flashcards

Ch. 36 Loss, Grief, Death Flashcards

1
Q

what shapes how a person regards loss and how they grieve

A

the values learned in their family, community, society, and culture

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2
Q

what is maturational loss

A

are a type of necessary loss and include those changes that occur across the life span. ex child leaving for college

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3
Q

what are necessary losses

A

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.

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4
Q

what is an actual loss

A

occurs when a person can no longer feel, hear, or know a person or object.

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5
Q

whats a situational loss

A

sudden, unpredictable, external events like a car crash

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6
Q

whats a perceived loss

A

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

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7
Q

are perceived vs actual losses grieved the same way

A

yes

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8
Q

what is the ultimate loss

A

death

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9
Q

whats grief

A

An emotional response to a loss, manifested in ways unique to an individual based on personal experiences, cultural expectations, and spiritual beliefs.

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10
Q

what is mourning

A

the outward, social expressions of grief and the behavior associated with loss

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11
Q

what is the term that incorporates both mourning and grief

A

bereavement

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12
Q

what is normal grief?

A

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.

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13
Q

anticipatory grief occurs:

A

before the actual loss or grief occurs.

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14
Q

whats disenfranchised grief also known as

A

marginal or unsupported grief

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15
Q

what is disenfranchised grief

A

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

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16
Q

whats an ambiguous loss

A

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.

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17
Q

D. Maturational loss.

A

D

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18
Q

which type of grief is puts ppl at a risk for suicide

A

exaggerated

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19
Q

what is exaggerated grief

A

a person responds with self destructive or maladaptive behavior, obsessions, or psychiatric disorders

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20
Q

what is delayed grief

A

type of loss brought on by a second loss, response is delayed in order to avoid the full realization of the loss

21
Q

what is masked grief

A

behaves in a way that interferes with normal functioning but is unaware the behavior is due to the loss

22
Q

what are the five stages of dying according to Kubler Ross

A

denial, anger, bargaining, depression, acceptance

23
Q

what are the four stages of bowlbys attachment theory (mourning)

A

numbing, yearning and searching, disorganization and despair, and reorganization

24
Q

this stage is described as felling stunned or unreal

A

numbing of bowlbys theory, shortest stage

25
Q

which stage of bowlbys theory is represented by emotional outburst, tightness in the chest, SOB, insomnia, etc

A

yearning and searching (separation anxiety)

26
Q

how long does yearning and searching in bowlbys theory last

A

months to longer

27
Q

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

A

disorganization and despair

28
Q

what happens during bowlbys stage of reorganization

A

the person begins to accept the change and move on

29
Q

what is wordens grief tasks model

A
  1. 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
30
Q

how long does worden say it takes a person to realize the full impact of a loss

A

at least three months

31
Q

What does Rando’s R process model believe is important in grief and mourning

A

reminiscence- remembering the deceased

32
Q

what is the dual process model

A

describes moving between the loss oriented (not letting go) and the restoration oriented ( moving on to new things)

33
Q

how long does numbing last

A

few hrs to a week or two

34
Q

how long does reorganizationlast

A

a year or longer

35
Q

how long does wordens model suggests the grieving process takes

A

1 yr

36
Q

what does wordens grief tasks model suggest

A

This model suggests that persons who mourn are able to be actively involved in helping themselves. Outside interventions can assist them.

37
Q

what do postmodern grief theories determine

A

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.

38
Q

what is the goal of palliative care

A

to help pts and families achieve the best possible quality of life

39
Q

is palliative care only for the dying?

A

no it can be for pts receiving treatment for chronic illnesses and are being treated with the hopes of not dying

40
Q

what does palliative care focus on

A

Prevention, relief, reduction of soothing of symptoms of disease or disorder even while seeking treatment.

41
Q

whats hospices priority

A

Priority to managing a patient’s pain and other symptoms, comfort, quality of life.

42
Q

can you make exceptions to visiting policies when your patient is dying

A

yes

43
Q

what is respite care

A

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

44
Q

according to federal law who makes requiests for organ and tissue donation at the time of every death

A

specially trained professionals like transplant coordinator or social worker

45
Q

who gives consent for an autopsy?

A

the family members

46
Q

who usually witnesses or delegates the signing or forms for the dead

A

nurses

47
Q

who signs the request for an autopsy

A

doctors or coroners

48
Q

who provides postmortem care

A

nurses

49
Q

D. Develop a personal understanding of your own feelings about grief and death.

A

D

Essentials Final (4 decks)

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