Chapter 16 LECTURE 14 PART I Flashcards
Loss, Grief, and Bereavement
THE CONCEPT OF LOSS
-Loss is a ____ part of life
natural
THE CONCEPT OF LOSS
-Loss is often ____ and requires what?
-Loss occurs only in older adults (T/F)
-painful; difficult adjustments
-False; Loss occurs at almost every stage of life
NORMAL LOSSES DURING THE LIFE CYCLE: Maturational Loss
-What is maturational loss?
developmentally expected loss
NORMAL LOSSES DURING THE LIFE CYCLE
-What is the newborn’s loss?
-What is the toddler’s loss?
-Puberty involves the loss of what?
-Teen’s loss is what?
-loss of security of the womb
-loss of being the exclusive focus when a sibling arrives
-perceived body image of adulthood
-loss of security when they leave for college
NORMAL LOSSES DURING THE LIFE CYCLE: Situational Loss
-What kind of loss is this?
Unexpected loss
NORMAL LOSSES DURING THE LIFE CYCLE: Situational Loss
-What are two examples of this kind of loss?
Loss of income and loss of health
NORMAL LOSSES DURING THE LIFE CYCLE: Atypical Loss
-What are two types of examples of this loss?
- Natural disaster loss, such as Superstorm Sandy
–> losing home - Loss of health and control, such as with the COVID-19 pandemic
RESPONSES TO LOSS
-The individual must learn how to cope with what?
-Why?
-disappointments
-to adapt to the various normal losses in life
RESPONSES TO LOSS
-Children should be allowed to experience what?
-Example?
-Loss
-If they lose & still get a medal, it may affect their ability to deal with loss later in life
RESPONSES TO LOSS
-Attitude toward ____ and ____ often determines what?
-death and loss
-the quality of life that is maintained
RESPONSES TO LOSS
-Response to _____ ____ determines what?
-normal losses
-how losses are perceived & managed in old age
TASKS ASSOCIATED WITH DEATH
-What is the ultimate loss?
Death –> loss of life
TASKS ASSOCIATED WITH DEATH
-What has the hospice movement enabled?
The terminally ill to experience the task of dying with dignity
TASKS ASSOCIATED WITH DEATH
-Legacy may give a person what kind of feeling?
-What are some examples of legacy?
-A feeling of immortality
-A grandchild, property, a culture, etc.
TASKS ASSOCIATED WITH DEATH
-What can be a meaningful task?
Establishing spiritual connection & belief that there is an afterlife
GRIEF
-What is grief?
The emotional response to a loss of anyone or anything
GRIEF
-What is mourning?
The outward expression of grief
GRIEF: Bereavement
-What does bereavement involve?
-What does this occur with?
-Grief and mourning
-the loss of a loved one
GRIEF: Delayed Grief
-What is delayed grief?
When emotions in response to the loss are postponed, but are then triggered by another life event
GRIEF: Delayed Grief
-When can this occur?
-Can it be intentional? How?
-months or years after
-Yes, such as having to focus on school or kids first
GRIEF: Anticipatory Grief
-What kind of grief if this?
Grief that occurs before the loss
GRIEF: Anticipatory Grief
-Describe it
-Give an example
-It is expected and they are waiting for it (a loss is coming, a loss is approaching)
-The family knows the person is going to die, so they start the grieving process
GRIEF: Complicated Grief
-What kind of grief is this?
Intense, long-lasting grief that makes it hard to function & move forward after a loss
GRIEF: Complicated Grief
-What kind of emotions can accompany this kind of grief?
Anger, deep sadness, constant thoughts about the deceased person
GRIEF: Complicated Grief
-Describe how this may show.
-Give an example
-They are not able to go on without the person or get back into some kind of normalcy
-10 years ater a person dies, their room is made up as if they are still there
GRIEF: Culture, Religion, and Death
-What does culture impact?
-Grief is often directed by what?
-How you grief
-cultural and religious traditions and practices
GRIEF: Normal Grief Responses
-What are the stages of Grief according to Kubler-Ross
Denial, Anger, Bargaining, Depression, Acceptance
GRIEF: Dysfunctional Grieving
-What is dysfunctional grieving?
Failure to follow a predictable course of a normal grieving process to a resolution
GRIEF: Dysfunctional Grieving
-The person may resort to what?
Abnormal or maladaptive coping strategies
GRIEF: Dysfunctional Grieving
-What may they begin doing?
-Examples?
-innapropriate or risky things
-drinking, promiscious behavior, etc.
SIGNS & SYMPTOMS OF DYSFUNCTION GRIEF
1. Profound continuous _____
2. _____ expressions about ____ in general
3. ______, ______, or _____
4. _____ disturbances including being _____ to ____ or sleeping ________
5. Declining _____ to personal _____
6. Withdrawal from _____ interactions and _____
7. ____ and ____
8. Distracted ____ performance
9. Worsening of any preexisting ___ ____ ____
10. _____ over or _____ _____ of the deceased
11. Inability to manage _____ ____ ____
12. _____ , ______, or potentially ______-_____ behavior
13. Talk of ____, or actual _____ ____
- sadness
- Pessimistic; life
- Irritabilty, anger, or bitterness
- Sleep; unable to sleep; all the time
- attention; appearance
- social; activities
- Denial; defensiveness
- job
- mental health conditions
- Obsessing; avoiding momentos
- necessary daily affairs
- Reckless; impulsive, self-destructive
- Suicide; suicide attempts
TASKS OF THE GRIEF PROCESS
-What are the three stages?
- Notification of death
- Recognition of the reality of death
- Adjustment or reintegration
TASKS OF THE GRIEF PROCESS
-What happens upon notification of death?
-You share the event with extended family and friends
TASKS OF THE GRIEF PROCESS
-What is an intervention for notification of death? (3)
- Assist with intial coping
- refer to community resources as needed
- Assess support system
TASKS OF THE GRIEF PROCESS
-What happens upon recognititon of reality of death?
-you share the response by expressing grief
TASKS OF THE GRIEF PROCESS
-What is an intervention for recognition of reality of death? (2)
- Understand anger may be directed toward health-care professionals
- Survivors may need help with feelings of guilt
TASKS OF THE GRIEF PROCESS
-What happens upon adjustment or reintegration?
-You reorganize family structure and life goals
TASKS OF THE GRIEF PROCESS
-What is an intervention for adjustment or reintegration?
- The survivor may need help setting up a memory book
- They may need help planning for the future & reintegrating into society
TASKS OF THE GRIEF PROCESS
-What should you tell the family?
-To not forget to give them a call & check on them
-the most difficult time is when they are alone & have to process it
