Grief, Death and Dying

Question 0

it is the absolute cessation of vital functions

Answer 0

death

Question 1

it is the Study of the experiences of dying and bereavement

Answer 1

Thanatology

Question 2

the process of losing these vital functions

Answer 2

dying

Question 3

2 kiinds of death

Answer 3

good death

bad death

Question 4

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

Answer 4

good death

Question 5

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

Answer 5

bad death

Question 6

reactions to death

Answer 6

Timely 
Untimely 
Intentional 
Unintentional 
Subintentional

Question 7

stages of death according to Elizabeth Kubler-Ross

Answer 7

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

Question 8

reactions to death according to Mardi Horowitz

Answer 8

–Outcry
–Denial and Intrusion
–Working Through
–Completion

Question 9

reactions to death according to Therese Rando

Answer 9

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

Question 10

Attitudes Toward Death Across The Life Cycle

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

Answer 10

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

Question 11

Attitudes Toward Death Across The Life Cycle

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

Answer 11

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

Question 12

Attitudes Toward Death Across The Life Cycle

according to Jean Piaget
Adolescent

Answer 12

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

Question 13

Attitudes Toward Death Across The Life Cycle

 Phases according John Bowlby

Answer 13

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

Question 14

according to erik erickson

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

Answer 14

young adults

Question 15

according to erik erickson

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

Answer 15

middle age

Question 16

according to erik erickson

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

Answer 16

older age

Question 17

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

Answer 17

grief

Question 18

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

Answer 18

mourning

Question 19

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

Answer 19

bereavement

Question 20

stages of bereavement according to Clayton

Answer 20

stage 1 numbness
stage 2 depression
stage 3 recovery

Question 21

stages of Bereavement according to Bowlby

Answer 21

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

Question 22

bereavement in children younger than 2 years old

Answer 22

loss of speech

diffuse distress

Question 23

bereavement in children younger than 5 years old

Answer 23

eating
bowel andbladder dysfunctions
strong feelings of sadness
fear
anxiety

Question 24

bereavement in children of school aged

Answer 24

``` hypochondriacal phobic withdrawn psuedomature school performance suffers ```

Question 25

bereavement in children in adolescent age

Answer 25

behavioralproblems | somatic symptom serratic moods to stoicism

Question 26

Symptoms indicating major depressive disorder exceeding usual bereavement

Answer 26

–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

Question 27

types of Grief

Answer 27

normal grief uncomplicated grief pathological grief

Question 28

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

Answer 28

Uncomplicated Grief

Question 29

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

Answer 29

normal grief

Question 30

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

Answer 30

pathological grief

Question 31

difference between grief and depression

Answer 31

Grief–mood fluctuations–waves, washes over–time limited Depression–mood disturbance is pervasive, unremitting– hopeless

Question 32

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

Answer 32

grief

Question 33

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

Answer 33

major depressive disorder

Question 34

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

Answer 34

rare

Question 35

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

Answer 35

often

Question 36

bereavement from major depression disorder the marked functional impairment isrom weeks to months and pervasive

Answer 36

bereavement- related major depression disorder | non-bereavement- related major depression disorder

Question 37

in dealing with grief the hallmarks of appropriate careknk

Answer 37

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

Question 38

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

Answer 38

grief therapy

Question 39

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

Answer 39

ghost protection rituals

Question 40

death and burial customs

Answer 40

``` 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 ```

Question 41

death and burial customs done in cemeteries:

Answer 41

–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

Question 42

Filipino Practices/Rituals in wake or vigil

Answer 42

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

Question 43

filipino practices/ rituals in The Requiem Mass/Funeral

Answer 43

``` –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 ```

Question 44

filipino practices /rituals superstitious beliefs

Answer 44

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

Question 45

filipino practices /rituals superstitious beliefs

Answer 45

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

Question 46

filipino practices /rituals superstitious beliefs

Answer 46

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