Foundations Ch 25 Flashcards
When the aspect of self is no longer available to a person, that person suffers?
Loss
Cessation of life
Death
a patter of physical and emotional responses to bereavement, separation, or loss. it is a natural response to loss
Grief
Adaptation process of mourning a loss
Grief Work
the condition of being subject to death
Mortality
mental health treatment aimed at helping a patient deal with the pain of loss; a program that assists the bereaved to cope with their loss
Grief Therapy
is identified easily, such as a woman who has a mastectomy.
actual loss
such as the loss of confidence or when a woman hope to give birth to a female child but delivers a male instead, is less obvious
Perceived loss
a loss that results from normal life transitions examples:
the loss of childhood dreams
the loss felt by an adolescent when a romance fails
the loss felt when leaving childhood home for college or marriage establishing a home of one’s own
menopause
loss of hair, teeth, hearing, sight, and “youth”
Maturational loss
a loss that occurs suddenly in response to a specific external event examples :
the sudden dent death of a beloved one
loss of a job can lead to a loss of self esteem
Situational loss
any significant loss that necessitates adaption through grieving process
personal loss
a common depressed reaction to a death of a beloved one
bereavement
reaction activated by a person to assist in overcoming a great personal loss. refers to culturally defined patters for the expression of grief. Patters:
funerals
wakes
memorials
black dress
defined time of social withdrawals
Mourning
the involuntary and unexpected reapperance of emotions and behaviors associated with grief. Example:
various triggers, eating at a restaurant or eating a certain food that triggers a memory of the deceased loved one may cause a
Grief attack
a behavioral-oriented theory that includes five stages:
Kubler-Ross Stages of dying
the individual acts though nothing has happened and may refuse to believe of understand loss has occured
Denial
the individual resists the loss and my strike out at everyone and everything
Anger
the individual postpones awareness of the reality of the loss and may try to deal in a subtle overt way as though the los can be prevented
Bargaining
the individual feels overwhelmingly lonely and withdraws from interpersonal interaction
Depression
the individual accepts the loss and looks to the future
Acceptance
When a person has difficulty processing through the normal stages of grieving, bereavement becomes complicated. in these cases, bereavement appears to “go wrong” and loss never resolves, which threatens a person’s relationships with others. Includes four types:
Complicated Grief
Active acute morning characterized by normal grief reactions that do not decrease but persist over long periods. People verbalize an inability to “get past” the grief
Chronic grief
The rise by no more grief reactions that are suppressed or postponed. The survivor consciously or unconsciously avoids the pain of the loss. Active grieving is held back, only to resurface later, usually in response to a trivial loss or upset.
Delayed Grief
People become overwhelmed by grief, and they cannot function. This is a reflection in the form of severe phobia or self-destructive behaviors such as alcoholism, substance abuse, or suicide.
Exaggerated Grief
survivors are not aware that behaviors that interfere with normal functioning are a result of their loss.
Masked Grief
to expect, await, or prepare for the loss of a family member or significant other
Anticipatory Grief
Before an initial loss is resolved, it is compounded by an additional loss
Bereavement Overload
unresolved Grief or complicated mourning
Complicated/Dysfunctional Grieving
sometimes active, deliberate action is taken with the purpose of shortening life to end suffering or to carry out the wishes of a terminally ill patient
Euthanasia (Greek for easy death”
permitting the death of a patient by withholding treatment that may extend life, such as medication, life support systems, or feeding tubes
Passive Euthanasia
Assisting in such a death
Active Euthanasia
(pediatric population) – More acceptable to parents. “Allow a
natural death” acknowledges that one is going to die and forgoes aggressive treatment
Allow Natural Death
two types of advance directives
living wills and durable power of attorney
the prevention, relief, reduction, or soothing of symptoms of disease or disorders without affecting a cure. Allows patients to make more informed choices, achieve better alleviation of symptoms, and have more opportunity to work on issues of life closure
Palliative Care
Examination performed after a person’s death to confirm or determine the cause of death
Autopsy
care for the patient’s body after death
Postmortem care
person trained in the care of the dead
Mortician
