Lecture 10 - Relational practice, Loss & Grief Flashcards
What is the definition of loss?
“…is an actual or a potential situation in which something
that is valued is changed, no longer available, or gone”
What is greif?
The experience of loss
What is the definition of ‘grieving’?
“…a normal, complex process that includes emotional, physical, spiritual, social, and intellectual responses and behaviours by which individuals, families, and communities incorporate an actual, anticipated, or perceived loss into their daily lives.”
What is an actual loss?
The loss of a person or object that can no longer be heard, felt, known, or experienced by the individual.
It can be identified by others.
What is a perceived loss?
Any loss that is defined uniquely by the grieving individual, it is less obvious to others.
What are Kubler-Ross’s stages of greif?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
*Criticized for focusing research only on dying patients
What are Bowlby’s phases of mourning?
- Numbing
–> Protects - Yearning and searching
–> Acute distress, trying to assign meaning - Disorganization and despair
–> Examines loss and tries to assign blame, expressed anger - Reorganization
–> Begins to accept change, new role, or skills
*Applies to the grieving person or those grieving for them
What are Worden’s four tasks of mourning?
- To accept reality of the loss
- Experience and work through pain of grief
- Adjust to the environment in which the deceased is missing
- Emotionally relocate and reinvest in the new reality
What is normal/uncomplicated grief?
The normal, expected, human reaction to a loss.
What is complicated grief?
Grief that is prolonged (chronic), delayed, exaggerated, masked
What is anticipatory grief?
Commonly experienced during the terminal stage of an illness. Grieving starts before individual has passed.
Sometimes a person has already experienced the phases of grief before the individual passes, death may be a relief in some ways.
e.g., a caregiver grieving who a person used to be before dementia or illness
What is disenfranchised grief?
Grief that is not accepted, acknowledged, or legitimized by society.
e.g., loss of a pet, loss by suicide, divorce.
How do young children experience grief?
Young children do not comprehend the permanence of death, but experience distress and anxiety about being separated from their loved one.
How do older persons experience grief?
Often they are more resilient in responding to grief.
Critical thinking requires…
- Knowledge
- Previous Experiences
- Standards of Care & Evidence
–> CNA code of ethics
–> Dying person’s bill of rights
–> CNO (regulatory bodies) - Critical Thinking Qualities
–> Risk taking, accountability, openness, perseverance
