Loss, Grief, & Bereavement Flashcards
what are the 3 classification of deaths
premature, unexpected, & catastrophic
define a PREMATURE DEATH
death of infant/child w/o warning
define an UNEXPECTED DEATH
death w/o warning in seemingly healthy ppl
define a CATASTROPHIC DEATH
death from violent/destructive acts
list grief support techniques
- offer self & support
- avoid generalizations
- recognize time for healing
- be nonjudgmental
- suggest professional help
define LOSS
an encounter 1 faces during their life that challenges priorities & relationships
how do infants understand death?
no concept
how do toddlers understand death?
temporary & reversible
how do pre-schoolers understand death?
believe their thoughts cause death leading to guilt & shame
how do school-age kids understand death?
death is permanent but may associate it w/their misdeeds; personify death as evil/monstrous
how do adolescents understand death
mature, subject to guilt & shame; least likely to accept death
how do early adults understand death?
concerns about mortality only appear after someone their age dies/gravely ill
how do middle adults understand death?
focus on physical changes & losses leads to consideration of mortality
how do elderly understand death?
prepare for it by talking about death
define MOURNING
natural process remembering & grieving after major loss
define BEREAVEMENT
state of having sustained loss through death
define GRIEF
feeling/outward expression of mental anguish that comes w/bereavement; 2 types
what are the 2 types of grief?
anticipatory & maladaptive
define maladaptive grief
exaggerated, lengthy, & unpredictable leading to unresolved conflicts
list s/s of grief
- sadness, crying, loneliness
- dry mouth
- anxiety & depression
- tightness in throat
- abdominal complaints
- weakness & fatigue
define a WIDOW
female surviving spouse
define a WIDOWER
male surviving spouse
give examples of symbolic losses
- loss of work
- loss of status
- change in roles
list signs of approaching death
- quiet & still/restless & agitated
- withdrawn/less alert
- potential decrease in senses
- Cheyne-Stokes respirations
- BP drops & BPM slows
- bowel & bladder control weak
- loss of body heat
List the 5 stages of Kuber-Ross stages’ of grief
- denial
- anger
- bargaining
- depression
- acceptance
describe DENIAL STAGE of Kuber-Ross’s stages
believe diagnosis of death is a mistake & cannot accept reality or deal w/full implication of prognosis
describe the ANGER STAGE of Kuber-Ross’s stages
internalize truth of impending death
describe the BARGAINING STAGE of Kuber-Ross’s stages
accept death but wants more time so turns to religion to bargain w/higher power; will to live is strong & wants to achieve goals
describe the DEPRESSION STAGE of Kuber-Ross’s stages
realize death is soon & can’t fulfill goals; become withdrawn & quiet bc they know they can’t change outcome
describe the ACCEPTANCE STAGE of Kuber-Ross’s stages
work through unresolved feelings & problems; separate themselves from world & others; make final goodbyes
what are Bowlby’s Stages of Separations
compares similarities of child & mother separation w/adult grief
what are the 3 parts of Bowlby’s stages of separation
- protest
- despair
- detachment
what are the 4 parts of Bowlby’s stages of mourning?
- numbing
- painful
- disorganization & despair
- reorganization
describe the NUMBING STAGE of Bowlby’s stages of mourning
protective mechanism
describe the PAINFUL STAGE of Bowlby’s stages of mourning
face magnitude of death & feel intense longing for person/thing lost
describe the DISORGANIZATION & DESPAIR STAGE of Bowlby’s stages of mourning
angry & search for answers
describe the REORGANIZATION STAGE of Bowlby’s stages of mourning
adapt to new roles & revise priorities
