Grief and Loss Flashcards
what is a death of a fetus or infant from conception through 28 days following birth?
perinatal loss
what is an intrauterine fetal death?
baby not born yet
what is a stillbirth/fetal demise?
after 20 weeks, no HR or resp attempt
what is a neonatal death?
born alive, dies prior to 28 days
what is a fetal death?
death after 20 weeks gestation
what are some causes of fetal death?
- unknown
- asphyxia
- congenital malformation
- placental abruption/previa
- cord accidents
- growth restriction
- alloimmunization
- preeclampsia
- diabetes
- lupus
- thyrpid probs
- renal probs
what are risk factors of fetal death?
- nullipara
- multiple gestation
- obesity
- infection
- clotting disorder
what is when thromboplastin is released from fetal tissues, activating the clotting system?
DIC (disseminated intravascular coagulation)
how is DIC managed?
transfusions
what kind of things can be done after a stillbirth/fetal demise?
- autopsy
- chromosomal studies
- cultures
- visual exam
- blood test
- xray/MRI
what is the term to suffer a loss
bereavement
what is the reaction of loss called?
grief
what is the process of incorporating a loss called?
mourning
what does the dual process model do?
shows loss and restoration
* need to adress loss
* regain balance in light of loss
what is the attachment theory?
the intensity of grief can be assessed by considering attachment to the anticipated baby
what are the steps of the attachment theory before the birth?
- planning pregnancy
- confirming pregnancy
- accepting pregnancy
- fetal movement
- accepting fetus as an individual
what are the steps of the attachment theory after birth?
- giving birth
- seeing baby
- touching baby
- caring for baby
what is meaning reconstruction?
- redefining life after a loss
- search for meaning
what are the steps of the caring theory?
- knowing
- being with
- doing for
- enabling
- maintaining
what step of the caring theory is understanding the loss as it pertains to the parents
knowing
what step of the caring theory is the ability to give yourself to the family
being with
what step of the caring theory is to do for the family as you would want others to do for you
doing for
what step of the caring theory is helping the family through events surrounding loss
enabling
what step of the caring theory is believing that the parents can get through this loss
maintaining belief
what is the acronym for caring for a grieving family
responding
what does the responding acronym mean?
- R = recognition and validation of loss
- E = emotional availability
- S = spiritual and cultural accomodation
- P = physical presence
- O = open communication
- N = normalization of grief reactions
- D = decision making assistance
- I = interdisciplinary involvement
- N = nonjudgemental attitude
- G = genuine caring
