Exam 2 - Seminar Material Flashcards
natural and normal reaction to loss (range from emotional, physical, social, or symbolic, etc.)
Grief
period following a loss during which grief and mourning occurs
Bereavement
the process by which people adapt to a loss. Influenced by cultural customs and rituals
Mourning
grapple with the real possibility of loss in the near future
Anticipatory Grieving
loss of a limb is an example of loss that would fall where on maslows hierarchy of needs?
Physiologic
Domestic or public Violence is an example of loss that falls where on maslows hierarchy of needs?
Safety
loss of a relationship, home, job, breach of confidentiality is an example of loss that falls where on maslows hierarchy of needs?
Security
loss of role in a relationship or group is an example of loss that falls where on maslows hierarchy of needs?
Belonging
change in self-perception or self-worth is an example of loss that falls where on maslows hierarchy of needs?
Self - Esteem
A block, inhibiting personal goals or individual potential
is an example of loss that falls where on maslows hierarchy of needs?
Self-actualization
Describe The Kubler-Ross theory on grieving.
- DABDA*-5 stages
- Denial - shock and disbelief
- Anger - expressed towards god, family etc
- Bargaining - Making a deal with god for more time
- Depression - Acute awareness of loss, present & future
- Acceptance - Coming to terms
Describe Rodebaughs theory on grieving
- Reeling – shock, disbelief, denial
- Feeling – anguish, guilt, sadness, anger, body issues
- Dealing – begins to adapt, support groups, etc.
- Healing – integrates loss as part of life
Stages of Grief?
- Avoidance - Numbing, Blunting, Denial
- Confrontation - Active mourning, Disorganization, Despair
- Reestablishment - Gradual, Reorganization, Recovery
What are the responses to loss?
- Affective - Anger, Guilt
- Behavioral - Inability to perform ADLs, isolation, rumination
- Cognitive - Difficulty concentrating, Hallucinations
- Physical - Anorexia, insomnia
- Spiritual - Disillusioned with higher power
Tasks in grief?
- Telling death story
- Expressing sadness, guilt, emotions
- Reviewing the relationship
- Exploring life after loss
- Understanding problems in grief
- Being understood/accepted by others
Grief over a loss that is not or cannot be acknowledged openly, mourned publicly, or supported socially
Disenfranchised Grief
3 categories of Disenfranchised Grief?
- Non-legal relationship
- Loss is not recognized (Miscarriage, Pet)
- Griever is not recognized (Older adult, Child)
Describe complicated grieving
*Response outside the norm - void of emotions, disproportionate expressions of grief, prolonged period
Risk Factors for complicated grief?i
- Death of a spouse or child, parent (especially) in early childhood or adolescence
- Unexpected, untimely or multiple death, murder or suicide
- Low self-esteem, mistrust, psychiatric disorders, previous suicide threats or attempts, absent/unhelpful family, ambivalent attachment, dependent or interdependent attachment to deceased, insecure attachment to parents in childhood, learned helplessness
Give an example of anticipatory grief
Catastrophic diagnosis
Give an example of acute grief
painful experience after loss
Give examples of Dysfunctional grief?
- Traumatic
- Conflicted
- Absent/inhibited
- Chronic
Bereavement care before a loss?
Primary promotion - family involvement in community, improved parenting
Bereavement care for impending loss
- Assist towards reconciliation
- Promote participation in care
- Support groups/hospice
- Preventative counseling grief therapy
