Death, dying and bereavement Flashcards
what are issues surrounding chronic illnesses in the general population
chronic illnesses are becoming more common as treatment improves, people live longer and bad heath behaviour exists
list some of the challenges of having a chronic illness
adjusting to symptoms and disability
maintaining a reasonable emotional balance
preserving a satisfactory self-image and sense of competence
learning about symptoms, treatment procedures and self-management
sustaining relationships with family and friends
forming and maintaining relationships with healthcare providers
preparing for an uncertain future
draw out the Self Regulator Model
stage 1: interpretation representation of health threat emotional response to health threat stage 2: coping stage 3: appraisal
list some of the psychological impacts of long-term conditions
people with one LTC are 2-3x more likely to develop depression
people with 3+ LTCs are 7x more likely to have depression
having a M/H problem increases the risk of physical illness
having both a LTC and M/H problem decreases employment
people with a M/H condition die younger
explain the overlap of LTCs and M/H conditions
30% of England population have LTC
30% of these people also have a M/H problem
20% of England population have M/H problem
46% of these people also have a LTC
think of a Venn diagram with the overlap in the middle
5 stages for dealing with loss
denial anger bargaining depression acceptance
what are some pros about the 5 Stage Theories of loss
can be helpful and give sense of control
“makes sense” of all the uncertain emotions
applicable to numerous situations
what are some cons about the 5 Stage Theories of loss
some people do not conform to these stages and may be seen as abnormal
patient put in passive role
focuses on emotional response but not conditions and behaviour
does not acknowledge environment (eg supportive family and friends)
define bereavement
the situation of a person who has recently experienced the loss of someone significant in their lives through that person’s death
what does orientation towards loss during bereavement involve?
preoccupation
thinking and yearning for the person lost
seeking out places as reminders or searching for the person
what does orientation towards restoration during bereavement involve?
adjustments to lifestyle
coping with day-to-day life
building a new identity
distracting away from painful thoughts
what is the dual process model of coping with bereavement
interaction between loss-orientated and restoration-orientated response (see other flashcards)
response oscillates between the two
what affects severity of a person’s grief
how attached they were to the deceased person
the circumstances of the death
how much time they had to work through anticipatory mourning
individual differences in coping
85% of people will usually have adjusted by the 2nd year of bereavement
draw out the response to bereavement
check picture
what is chronic grief
when people are more severely affected by grief
can be associated with worsening of mental health
