loss and grief

Question 1

actual vs perceived loss

Answer 1

death of family vs rejection by someone

Question 2

physical vs psychological loss

Answer 2

amputation, loss of function vs loss of trust

Question 3

external vs internal loss

Answer 3

loss of home/car from tragedy vs individualized feelings, not everyone can see or feel

Question 4

loss of aspects of self

Answer 4

occurs through physical trauma, mental trauma, etc

Question 5

environmental loss

Answer 5

moving to another home (previous home memories)

Question 6

loss of significant relationships

Answer 6

loss of a spouse, family member, close friend

Question 7

anticipatory loss

Answer 7

begins before actual loss, but people around know that the loss is coming (terminal illness)

Question 8

ambiguous loss

Answer 8

inolves incomplete or uncertain losses

Question 9

first type of ambiguous loss

Answer 9

loved one who is psychologically present but physically absent; person is on your mind because they are gone (missing soldiers, abducted children)

Question 10

second type of ambiguous loss

Answer 10

loved one is physically present but psychologically absent (addicts, dementia pts, people with mental disorders or head trauma)

Question 11

why is ambiguous loss the most devastating type of loss?

Answer 11

due to its unconfirmed and hazy nature

Question 12

who created the psychological stages of dying and grief?

Answer 12

Dr. Elizabeth Kubler-Ross

Question 13

what is common 1-3 months before death?

Answer 13

person begins to withdraw from the people around them, sleeping longer, appetite decreases

Question 14

what is common 1-2 weeks before death?

Answer 14

cardiovascular changes (decrease pulse and BP), decreased respiratory rate, congestion

Question 15

what is common days to hours before death?

Answer 15

person is dehydrated, difficulty swallowing/ drooling, weak or fatigued

Question 16

what is common moments before death?

Answer 16

short series of long and spaced breaths, sense of hearing will be active (last sense to go)

Question 17

what are the five stages of grief?

Answer 17

Denial, Anger, Bargaining, Depression, and Acceptance

Question 18

what is expected in denial?

Answer 18

person is dying and cannot believe it is happening to them

Question 19

what is expected in anger?

Answer 19

person acts out in anger towards family/HCP; “why me?”

Question 20

what is expected in bargaining?

Answer 20

person “sets a goal” to live to see a certain event then is ok with passing

Question 21

what is expected in depression?

Answer 21

person is withdrawn with sadness and beginning to realize the impact of their death

Question 22

what is expected in acceptance?

Answer 22

person is coming to terms with their death and are ok with it

Question 23

if a person is griefing, what might indicate the duration of mourning will be extensive?

Answer 23

if their personality is dependent or avoidant

Question 24

violent or untimely losses may create what to someone?

Answer 24

shock and a great sense of injustice

Question 25

what is grief?

Answer 25

grief is an individualized response to a loss by the person experiencing the loss

Question 26

what is Worden’s contribution to staging of grief?

Answer 26

states that the person mourning will initially feel a numbness or denial and as time goes on the person can move on from the loss

Question 27

what is Rando’s contribution to staging of grief?

Answer 27

provides the 6 R’s of griefing; 1st R is recognize the loss

Question 28

what is Bowlby’s contribution to staging of grief?

Answer 28

they created the attachment theory; that one must sever the attachment to a significant person or thing that they have lost

Question 29

what is chronic grief?

Answer 29

begins as normal grief and extends to long term

Question 30

what is masked grief?

Answer 30

when someone covers grief by overuse of substances such ETOH or drugs

Question 31

what is delayed grief?

Answer 31

when someone holds up the grieving process by “dealing with it at a later time” due to other obligations

Question 32

what is exaggerated grief?

Answer 32

intensification of normal grief responses; may cause self-destructive behavior, nightmares, and thoughts of suicide or self-harm are common

Question 33

what is disenfranchised grief?

Answer 33

loss of someone who is not socially sanctioned (former spouse, pet, terminated pregnancy)

Question 34

what is anticipatory grief?

Answer 34

when it is expected that someone will pass away soon often due to terminal illness