Exam 2 - Grief & Loss Flashcards
the entire process precipitated by the loss of a loved one through death
bereavement
cultural and/or public display of grief through one’s behavior. It is the process through the resolution of grief may be accomplished
mourning
the 5 stages of grief are
(1) shock / denial
(2) anger (guilt)
(3) bargaining
(4) depression (searching, disorientation)
(5) acceptance (resolution)
bargaining includes…
(1) struggling to find meaning
(2) reaching out to others
(3) telling one’s story
reorganization phase of grief can be described as…
return to usual level of functioning but the pain remains
name at least 3 factors that influence grief
(1) interpersonal relationships
(2) social support networks
(3) type and significance of loss
(4) culture and ethnicity
(5) spiritual and religious beliefs
(6) prior experience with loss
(7) coping skills
(8) sudden vs expected death
death of a child can be described as
loss of one’s own parenthood and part of themselves through the child
early pregnancy loss
T1 and T2 (<20 weeks gestational age)
late pregnancy loss
> 20 weeks gestational age
Stillbirth is considered
late pregnancy loss
loss of a twin is called
concurrent death and survival in multifetal pregnancy
relinquishing the newborn to the care of another family
adoption
a unique experience of death of another inside their body
perinatal loss
during perinatal loss, partners may ____
receive less support than the pt
partners in perinatal loss tend to be ___
less expressive in grief
what are 3 considerations for siblings that experience loss of sibling?
(1) provide education regarding ill child
(2) siblings may regress developmentally
(3) relationships with other family members may be altered
what you DO say as a nurse
I am sorry
What can i do to help you?
Would you like to speak to xx…
what you DO NOT SAY
you’re young, you can have another
it was probably for the best
god’s plan
Nursing role in the death of a child includes
(1) giving bad news
(2) memories & mementos
(3) encourage parental time with dying / decreased child
(4) address questions and preferences
(5) address spiritual needs
4 nursing outcomes for families in grief include
(1) family can express feelings re loss
(2) family makes decisions
(3) family knows about community resources
(4) family moves into a grieving process
