Concept; Grief and Loss - Lecture 4 Flashcards
type of loss that is recognized by others
actual los
type of loss that is experienced by one person but cannot be verified by others
perceived loss
type of loss that is experienced before the loss actually occurs.
anticipatory loss
(a) Loss of aspect of oneself - a body part, a physiological function, or a psychological attribute.
(b) loss of an object external to oneself
(c) separation from an accustomed environment
(d) loss of a loved one or valued person
Sources of Loss
total response to emotional experience of loss
grief
subjective response by survivors
bereavement
behavioral process of grief resolution
mourning
occurs when a person is unable to acknowledge the loss to other people
disenfranchised grief
grief that is extended in length and severity
unresolved or chronic grief
type of grief that occurs when feelings are purposely or subconsciously suppressed until a much later time.
delayed grief
type of grief where many of the normal symptoms of grief are suppressed until a much later time.
inhibited grief
stage of grief where one refuses to believe that the loss is happening. Is unready to deal with practical problems, such as prosthesis after the loss of a leg. May assume artificial cheerfulness to prolong this particular stage.
denial
stage of grief where the client or family may direct anger at nurse or staff about matters that normally would not bother them
Anger
stage of grief that one seeks to bargain to avoid loss
Bargaining
Stage of grief that one grieves over what has happened and what cannot be. May talk freely or may withdraw
Depression
Stage of grief that one comes to terms with loss. May have decreased interest in surroundings and support people. May wish to begin making plans
Acceptance
What are the signs and symptoms of complicated grief?
Failure to grieve
avoids visiting brave/participating in the memorial services
symptomatic on anniversary of loss/holidays
minor events trigger grief response
Does not understand the concept of death; believes death is reversible, a temporary departure, or sleep.
infancy to 5 years
understands that death is final. believes own death can be avoided. associates death with aggression or violence
5 to 9 years old
understands death as the inevitable end of life. beings to understand own mortality, expressed as interest in afterlife or as fear of death.
9 to 12 years old
fears a lingering death. may fantasize that death can be defied, acting out defiance through reckless behaviors, seldom thinks about death
12 to 18 years old
has attitude toward death influenced by religious and cultural beliefs
18 - 45 years old
accepts own mortality and encounters death of parents and some peers. experiences peaks of death anxiety.
45 - 65 years old
fears prolonged illness. encounters death of family members and peers. sees death as having multiple meanings
65+ years
