death and dying :( Flashcards
necessary loss?
part of maturing
leaving home, graduating, etc.
actual loss?
any loss of person or object that can no longer be felt, experienced
perceived loss?
defined uniquely by the person
maturational loss?
change in developmental process normally expected
situational loss?
sudden, unpredictable event, death for example
multiple losses?
extremely overwhelming, more time required to grieve (tramautic)
ultimate loss?
death
most peoples main fear?
pain and dying alone
grief is?
an emotional response to death
everyone is different based on?
experiences, coping strategies, culture, spiritual beliefs
what is bereavement
grief and mourning, a sate of having lost a SO,
not linear, cant be sequenced
kubler ross stages of grief?
- denial
- anger
- bargaining
- depression
- acceptance
bowlbys phases of mourning?
attachment... Four stages 1. numbing 2. yearning and searching 3. disorganization and despair 4. reorganization
wordens four tasks of mourning?
accept reality of loss
work through pain and grief
adjust in environment without
emotionally relocate
normal grief?
normal feelings, opportunity to cope
anticipatory grief?
before loss, may exhibit few symptoms when death occurs
complicated grief?
chronic, delayed, exaggerated, masked.
longer, can impair function and ruin relationships
disenfranchised grief?
when loss can not always be acknowledged due to stigma?
acute grief?
somatic distress, emotionl pain, gradually subsides
factors affecting loss and grief
- human development
- psychosocial perspectives
- socioeconomic status
- personal relationships
- nature of loss
- culture and ethnicity
- spiritual beliefs
what is HOPE?
hope is the anticipation of a continued good, helps maintain sense of control
in palliative care how can hope help
maintain dignity
sustain relationships
contribute to enhancing control
nursing process and end of life?
-meaning of loss, coping strategies, active listening, physical symptoms
EOL decisions?
-advance directives