LOSS, GRIEVING, AND DEATH Flashcards

1
Q

o Actual or potential situation in which something
valued is changed or no longer available

A

Loss

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2
Q

o Loss for dying person and those who survive
o Can stimulate people to grow in understanding of
self, others

A
  • Death
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3
Q

Two types of loss:

▪ Recognized by others

A

o Actual

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4
Q

Two types of loss:

▪ Experienced by one person but cannot
be verified by others
▪ Psychological losses are often perceived
losses because they are not directly
verifiable.

A

o Perceived

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5
Q

o Experienced before loss occurs
o Can be actual or perceived

A
  • Anticipatory
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6
Q

o Total response to emotional experience of loss
o manifested in thoughts, feelings, and behaviors
associated with overwhelming distress or sorrow

A

Grief

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7
Q

STAGES OF GRIEVING

o Refuses to believe that loss is happening.
o Is unready to deal with practical problems, such as
prosthesis after the loss of a leg.
o May assume artificial cheerfulness to prolong
denial.

A

Denial

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7
Q

o Subjective response by surviving loved ones

A
  • Bereavement
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7
Q

o Behavioral process through which grief is resolved
or altered

A
  • Mourning
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8
Q

o brief but genuinely felt
o occur when the lost object is not significantly
important to the grieving person or may have been
replaced immediately by another, equally
esteemed object.

A
  • Abbreviated grief
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9
Q

o occurs when a person is unable to acknowledge
the loss to other people.
o Situations in which this may occur often relate to a
socially unacceptable loss that cannot be spoken
about, such as suicide, abortion, or giving a child
up for adoption.

A

Disenfranchised grief

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9
Q

Complicated grief may take several forms.

  • many of the normal symptoms
    of grief are suppressed and
    other effects, including somatic,
    are experienced instead.
A

Inhibited grief

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9
Q

STAGES OF GRIEVING

o Client or family may direct anger at nurse or staff
about matters that normally would not bother
them.

A

Anger

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10
Q

Complicated grief may take several forms.

  • is extended in length and
    severity.
  • same signs are expressed as
    with normal grief, but the
    bereaved may also have
    difficulty expressing the grief,
    may deny the loss, or may
    grieve beyond the expected
    time.
A

Unresolved or chronic grief

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10
Q

o experienced in advance of the event

A
  • Anticipatory grief
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11
Q

Complicated grief may take several forms.

occurs when feelings are
purposely or subconsciously
suppressed until a much later
time.

A

▪ Delayed grief

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11
Q

what are “Six stages of Grieving”

A

Shock and disbelief

Developing awareness

Restitution

Resolving the loss

Idealization

  • Outcome
11
Q

o Unhealthy grief
o exists when the strategies to cope with the loss are
maladaptive and out of proportion or inconsistent
with cultural, religious, or age-appropriate norms

A

Complicated grief

12
Q

Complicated grief may take several forms.

  • A survivor who appears to be
    using dangerous activities as a
    method to lessen the pain of
    grieving
A

▪ Exaggerated grief

13
Q

– “Five stages of Grieving”

A

KÜBLER-ROSS

14
Q

Five phases of Bereavement”

o Friends and family resume normal activities. The
bereaved experience the full significance of their
loss.

A

Awareness of loss

14
Q

STAGES OF GRIEVING

o Comes to terms with loss.
o May have decreased interest in surroundings and
support people.
o May wish to begin making plans (e.g., will,
prosthesis, altered living arrangements).

A
  • Acceptance
14
Q

STAGES OF GRIEVING

o Seeks to bargain to avoid loss (e.g., “let me just
live until and then I will be ready to die”).

A

Bargaining

14
Q

STAGES OF GRIEVING

o Grieves over what has happened and what cannot
be. May talk freely (e.g., reviewing past losses
such as money or job), or may withdraw.

A

Depression

14
Q

– “Five phases of Bereavement”

A

SANDERS MODELS

14
Q

– “Six stages of Grieving”

A

ENGEL

14
Q

Five phases of Bereavement”

o During this phase, survivors feel a need to be
alone to conserve and replenish both physical and
emotional energy. The social support available to
the bereaved has decreased, and they may
experience despair and helplessness.

A

Conservation/ withdrawal

15
Q

Five phases of Bereavement”

Survivors are left with feelings of confusion,
unreality, and disbelief that the loss has occurred.
They are often unable to process normal thought
sequences. Phase may last from a few minutes to
many days.

A

Shock

16
Q

Five phases of Bereavement

During this phase, the bereaved move from
distress about living without their loved one to
learning to live more independently.

A

Healing;

17
Q

who created Five clusters of grief

A

Martocchio’s clusters

18
Q

Five phases of Bereavement”

o In this phase, survivors move on to a new self-
awareness, an acceptance of responsibility for

self, and learning to live without the loved one.

A

Renewal

19
Q

Five clusters of grief

A

o Shock and disbelief
o Yearning and protest
o Anguish, disorganization, and despair
o Identification in bereavement
o Reorganization and restitution

20
Q

Three types of awareness

▪ Client not aware of impending death
▪ The family may choose this because they
do not completely understand why the
client is ill or they believe the client will
recover.

A

Closed awareness

21
Q

Three types of awareness

▪ Client, family, and health personnel know
prognosis is terminal but do not talk
about it.

A

Mutual pretense

22
Q

Three types of awareness

▪ Client and others know about impending
death and feel comfortable discussing it.
▪ provides the client an opportunity to
finalize affairs and even participate in
planning funeral arrangements.

A

o Open awareness

23
Q

The hospice movement was founded by the physician
_____ in London, England, in 1967.

A

Cecily Saunders

24
Q

o Quality, not length, of life

A

Hospice care

25
Q

o Comfort, not cure

A

Palliative care

26
Q

o Stiffening of body 2–4 hours after death

A

Rigor mortis

27
Q

o Decrease of body temperature

A

Algor mortis

28
Q

o Discoloration in dependent areas o After blood circulation has ceased, the red blood
cells break down, releasing hemoglobin, which
discolors the surrounding tissues.

A

Livor mortis