Grief, Death, Dying Flashcards
believes he is the dead person or dying of the same disease, persistent, intrusive, complex auditory hallucinations, dead person still alive
pathological grief
the process of losing these functions
Dying
eating, bowel, and bladder dysfunctions and strong feelings of sadness, fear and anxiety
younger than 5
mood fluctuations, waves, washes over, time limited
grief
What are the stages of reaction to death according to Elisabeth Kubler Ross
1: Shock and Denial 2:Anger 3: Bargaining 4:Depression 5: Acceptance
behavioral problems somatic symptoms erratic moods to stoicism
adolescents
type of grief that is identifying with the deceased taking on traits/possessions, heart fleeting, transient voice, denial of certain aspects of deceased
uncomplicated grief
absolute cessation of vital functions
Death
state of being deprived of someone by death and being in the state of mourning
bereavement
disbelief, denial shock profound sadness survival guilt intact self esteem sense of unreality withdrawal anger and irritability
normal grief
Stages of Bereavement according to Bowlby
1:early phase pf acute despair (numbness and protest) 2:intense yearning and searching 3:disorganization and despair 4:reorganization
free from avoidable distress, suffering for patients, families and caregivers
Good death
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
Concrete operational thinking
a sense among participants or observers that norms of decency have been offended
Bad death
what symptoms peak within the first few months but decline significantly within a year
depressive
stage of bereavement, accdg to Clayton, dazed, functioning almost automatically, forgetful of what’s been done usually lasts for a few hours to days, seldom weeks
numbness
universal, inevitable and irreversible
puberty
prevailing display of bereavement
funeral
According to Erick Erickson, these focus on missing the chance to marry
young adults
Type of reaction to death: heart attack, sudden
untimely
it is among the most stressful of all life experiences
Spousal bereavement
insomnia, restlessness, irritability mostly reduced over time but may be reactivated on holidays, anniversaries lasts a few weeks to a year
depression
loss of speech diffuse distress
younger than 2
A temporary absence, incomplete, reversible, like departure or sleep, separation from primary caregiver is main fear
Perioperational stage
Reaction to Death according to Mardi Horowitz?
Outcry Denial and Intrusion Working Through Completion
process by which grief is resolved, societal expression of post bereavement behavior and practices
mourning
needless suffering, dishonoring of patient or family wishes or values
Bad death
acceptance of loss return to pre-morbid level of functioning seek out new relationship within 6 months of loss
recovery
disruption of biological rhythms impaired immune functioning decreased lymphocyte proliferation impaired functioning of natural killer cells
acute grief
Study of experiences of dying and bereavement
Thanatology
What are the 6 Rs?
Recognize the loss React Recollect and Reexperience Relinquish Readjust Reinvest
Type of reaction to death: suicide
Intentional
What are the hallmarks of appropriate care
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
phobic, hypochondriacal, withdrawn, pseudomature, school perfomance suffers
school aged
reasonably consistent with clinical, cultural, and ethical standards
Good death
type of reaction to death: got hit by a car
unintentional
emotional and psychological reaction to any loss, not limited to death
Grief
6 Rs Reactions to Death belongs to
Therese Rando
denial delayed or absent grief, depression impaired self esteem suicidal progressive social isolation hostility paranoid reactions
pathological grief
frustrated in their plans to enjoy hard earned pleasure
middle age
appear to be at risk longer than widows
widowers
normal albeit intensely painful state that is responsive to support, empathy and passage of time self reproach common survivor guilt
grief
Death is inevitable and final but not accept possibility of their own death, great potential for isolation and withdrawal
formal concrete operations
confront increasing reality of their own mortality; integrity vs. despair
older age
potentially a medical emergency that requires immediate intervention to forestall a complication like suicide
Major depressive disorder
Type of reaction to death: Person died because of old age
Timely
mood disturbance is pervasive, unremitting, hopeless
depression
According to Jean Piaget, this age/stage would think that death is animistic?
Pre-school (less than 5 y. o.)
What are John Bowlby’s 3 phases toward death?
1: protest 2:despair 3:detachment
type of reaction to death: taking drugs, smoking, drinking alcohol
subintentional
