Grief and Bereavement

Question 1

state of sadness and loneliness

Answer 1

Bereavement

Question 2

collection of behaviors associated with the loss of a person

Answer 2

Grief

Question 3

What are the types of grief?

Answer 3

1. Anticipatory - Occurs before the impending death of a loved one
2. Normal or Uncomplicated
3. Complicated - Chronic, Exaggerated, Delayed or Masked
4. Disenfranchised -No socially acceptable outlet for mourning a loss

Question 4

What is the psychological experience of grief?

Answer 4

1. Numbness-sense that it is not real
2. Expecting your loved one to come back
3. Experiencing your loved one communicating with you after death
4. Lack of attention and memory
5. Sense of anger, injustice
6. Feelings of emptiness, loneliness, despair
7. Guilt
   and more…

Question 5

what is the physical experience of grief?

Answer 5

1. Difficulty getting to sleep and staying asleep
2. Weight gain or loss
3. Low energy or fatigue
4. Headaches, chest pain, racing heart
5. Upset stomach or digestive problems
6. Hair loss

Question 6

What is the behavior impact of grief?

Answer 6

1. Impaired work performance
2. Withdrawal
3. Avoiding reminders of the deceased
4. Seeking or carrying reminders of the deceased
5. Over-reactivity
6. Changed relationships

Question 7

What are the stages of grief acc to kubler and ross?

Answer 7

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
   - Tools to help us frame and identify what we may be feeling
   - No linear timeline in grief

Question 8

What are the stages of grief according to the medical college of Wisconsin?

Answer 8

1. Notification and shock
2. Experience the loss emotionally and cognitively
3. Reintegration

Question 9

What should be avoided in order to resolute grief?

Answer 9

1. Avoiding emotions
2. Over-activity leading to exhaustion
3. Use of alcohol or other drugs
4. Unrealistic promises made to the deceased
5. Unresolved grief from a previous loss
6. Judgmental relationships
7. Resentment of those who try to help

Question 10

What situations require professional help?

Answer 10

1. Death of a child
2. Murder of a loved one
3. Disenfranchised grief
4. Complicated or incomplete adaptation to a loss

Question 11

What can PTs encourage the bereaved to do?

Answer 11

1. Talk about the loss
2. Identify and express feelings related to the loss
3. Separate emotionally from the person and begin relationships
4. Provide support during special times (holidays/ birthdays)

Question 12

What can PTs do for the bereaved?

Answer 12

1. Educate about grieving
2. Provide support
3. Understand patient’s methods of coping
4. Watch for coping problems
5. Recommend referral for grief therapy

Question 13

What are grief therapy goals?

Answer 13

1. Develop ability to experience, express, and adjust to painful grief-related change
2. Find effective ways to cope with painful change
3. Establish a continuing relationship with the person who died
4. Stay healthy and keep functioning
5. Re-establish relationships and understand that others may have difficulty empathizing with the experience
6. Develop a healthy image of oneself and the world

Question 14

What are coping strategies?

Answer 14

1. Faith
2. Journal
3. Eat right
4. Exercise
5. Find a purpose