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Psychiatry Module 5 > Grief, Death and Dying > Flashcards

Grief, Death and Dying Flashcards

0
Q

it is the absolute cessation of vital functions

A

death

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1
Q

it is the Study of the experiences of dying and bereavement

A

Thanatology

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2
Q

the process of losing these vital functions

A

dying

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3
Q

2 kiinds of death

A

good death

bad death

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4
Q

kind of death?

one that is free from avoidable distress and suffering for patients, families and caregivers and is reasonably consistent with clinical, cultural and ethical standards

A

good death

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5
Q

kind of death

characterized by needless suffering, a dishonoring of patient or family wishes or values, and a sense among participants or observers that norms of decency have been offended

A

bad death

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6
Q

reactions to death

A 
Timely 
Untimely 
Intentional 
Unintentional 
Subintentional
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7
Q

stages of death according to Elizabeth Kubler-Ross

A 
Stage 1:  Shock and Denial
Stage 2:  Anger
Stage 3:  Bargaining
Stage 4:  Depression
Stage 5:  Acceptance
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8
Q

reactions to death according to Mardi Horowitz

A

–Outcry
–Denial and Intrusion
–Working Through
–Completion

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9
Q

reactions to death according to Therese Rando

A 
–Recognize the loss
–React
–Recollect and Re-experience
–Relinquish
–Readjust
–Reinvest
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10
Q

Attitudes Toward Death Across The Life Cycle

according to Jean Piaget
Pre-school (< 5 y.o)

A

-animistic
–Perioperational stage
–a temporary absence, incomplete and reversible, like departure or sleep
–Separation from primary caregiver is a main fear

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11
Q

Attitudes Toward Death Across The Life Cycle

according to Jean Piaget
Pre-school (5-10 y.o.)

A

inevitable human mortality
Concrete operational thinking
Death is a final reality that happens to old people not children Usually have active fantasies of violence and aggression dominated by themes of death and killing

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12
Q

Attitudes Toward Death Across The Life Cycle

according to Jean Piaget
Adolescent

A

Formal concrete operations
–Death is inevitable and final but may not accept possibility of their own death
–Great potential for isolation and withdrawal
- Puberty -universal, inevitable, irreversible

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13
Q

Attitudes Toward Death Across The Life Cycle

 Phases according John Bowlby

A

Phase 1 : Protest
Phase 2 : Despair
Phase 3 : Detachment

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14
Q

according to erik erickson

the age where in they focus on missing the chance to marry

A

young adults

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15
Q

according to erik erickson

the age wherein frustrated in their plans to enjoy hard earned pleasure

A

middle age

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16
Q

according to erik erickson

the age wherein they confront increasing reality of their own mortality ; integrity vs despair

A

older age

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17
Q

it is emotional &/or psychological reaction to any loss, not limited to death

A

grief

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18
Q

it is the Process by which grief is resolved and societal expression of post bereavement behavior and practices

A

mourning

19
Q

it is a State of being deprived of someone by death and being in the state of mourning

A

bereavement

20
Q

stages of bereavement according to Clayton

A

stage 1 numbness
stage 2 depression
stage 3 recovery

21
Q

stages of Bereavement according to Bowlby

A

Stage 1 : early phase of acute despair (numbness and protest) Stage 2: phase of intense yearning and searching
Stage 3 : phase of disorganization and despair
Stage 4: phase of reorganization

22
Q

bereavement in children younger than 2 years old

A

loss of speech

diffuse distress

23
Q

bereavement in children younger than 5 years old

A 
eating
bowel andbladder dysfunctions
strong feelings of sadness
fear
anxiety
24
Q

bereavement in children of school aged

A 
hypochondriacal
phobic
withdrawn
psuedomature
school performance suffers
25
Q

bereavement in children in adolescent age

A

behavioralproblems

somatic symptom serratic moods to stoicism

26
Q

Symptoms indicating major depressive disorder exceeding usual bereavement

A

–Guilt about things other than actions taken or not taken by the survivor at the time of death
–Morbid preoccupation with worthlessness
bereavement
–Marked psychomotor retardation
–Prolonged marked functional impairment–Hallucinatory experiences

27
Q

types of Grief

A

normal grief
uncomplicated grief
pathological grief

28
Q

type of grief?

–identifying with the deceased taking on traits/ possessions
–hear fleeting, transient voice
–denial of certain aspects of the deceased

A

Uncomplicated Grief

29
Q

type of grief?

-disbelief, denial shock
–Profound sadness survival guilt intact self esteem
–Sense of unreality withdrawal
-anger and irritability

A

normal grief

30
Q

type of grief?

-believes he is the dead person or dying of the same disease
–persistent, intrusive complex auditory hallucinations
–dead person still alive
–Denial delayed or absent grief
–Depression impaired self esteem suicidal
–Progressive social isolation
-hostility and paranoid reactions

A

pathological grief

31
Q

difference between grief and depression

A

Grief–mood fluctuations–waves, washes over–time limited

Depression–mood disturbance is pervasive, unremitting– hopeless

32
Q

it is A normal albeit, intensely painful state that is responsive to support, empathy and passage of time

A

grief

33
Q

it is a Potentially a medical emergency that requires immediate intervention to forestall a complication like suicide

A

major depressive disorder

34
Q

in uncomplicated bereavement without major depression disorder the Psychomotor retardation, morbid guilt & worthlessness, suicidal ideation is ________

A

rare

35
Q

in a non-bereavement related major depression disorder, the treatment seeking and responds to anti-depressant treatment is _______

A

often

36
Q

bereavement from major depression disorder

the marked functional impairment isrom weeks to months and pervasive

A

bereavement- related major depression disorder

non-bereavement- related major depression disorder

37
Q

in dealing with grief

the hallmarks of appropriate careknk

A

visiting the patient regularly
maintaining eye contact
touching appropriately
listening to what the patient have to say
being willing to answer all questions in a respectful way

38
Q

it is regularly scheduled sessions where grieving people are encouraged to talk about feelings of loss and about the person who has died

A

grief therapy

39
Q

it Appease the spirits thought to have caused the person’s death

A

ghost protection rituals

40
Q

death and burial customs

A 
Shutting the eyes of the dead person 
Covering the face of the dead 
Carry the dead out of the house feet first 
Mirrors were covered 
Family photographs turned face down
41
Q

death and burial customs

done in cemeteries:

A

–Tombstones to weigh down the dead
–Mazes at the entrance of ancient tombs
–Beating on the grave, firing of guns, funeral bells and wailing chants
oi–Bodies lie with their heads to the West and their feet to the East

42
Q

Filipino Practices/Rituals in wake or vigil

A 
–House, funeral parlor, church
–Usually lasts for 5-7 days or longer
–24 hours
–Novenas, prayers, mass everyday
–Nearest kin sits beside the coffin
43
Q

filipino practices/ rituals

in The Requiem Mass/Funeral

A 
–Walk behind the funeral car
–Stop at the church after mass relative will make a speech
–Grave site
–House of the family
–Children are passed over the coffin
 40 Days
44
Q

filipino practices /rituals

superstitious beliefs

A

Feed the mourners, but don’t walk them to the door when they leave.
Don’t sweep the floor while the body is still lying in state or else other deaths in the family may follow
No tears should fall on the dead or the coffin as it would make a person’s journey to the afterlife difficult
When someone sneezes at the wake, pinch him
During the wake the dead person’s relatives must not take a bath

45
Q

filipino practices /rituals

superstitious beliefs

A

Food from the wake should not be brought home because it’s believed that the dead touches all of it
After a funeral service, guests should not go directly home. This way the spirit of the dead won’t follow them to their house
When carrying a coffin out for burial, it should be carried head first as it prevents the soul of the dead from coming back
Family members should wear black or white, colors are prohibited

46
Q

filipino practices /rituals

superstitious beliefs

A

Weddings, birthdays, and other social activities should not be celebrated for one year
The widow, children, and immediate family members are prohibited from carrying the coffin or else they will become ill and die
While the casket is on its way to the cemetery or the church, relatives who preferred to stay at home should not have a glimpse of the casket or else someone in the family would die

Psychiatry Module 5 (5 decks)

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