LP 13: Loss and Death Flashcards
What types of loss are there?
*Actual
*Perceived
What is Actual Loss?
It can be recognized by others
What is Perceived Loss?
It is experienced by one person but cannot be verified by others.
What are the different sources of loss?
*Some aspect of self (Loss of ability to do what you like due to injury, amputation, etc).
*External objects (Pets, special objects, etc).
*Familiar environment (Nursing home residents, new school, new neighborhood).
*Loved ones (Family and friends)
What is Grief?
The response to a loss
What are the responses to a loss?
*Anticipatory
*Disenfranchised
*Complicated grief
What is Anticipatory Loss?
Being aware that it will happen before it actually occurs.
What is Disenfranchised Loss?
Unable to acknowledge loss (Abortion, affair. Dealing with it without saying anything).
What is Complicated Grief?
Unhealthy or pathologic process to deal with a loss (Drugs or alcohol).
What are the 5 stages of Kubler-Ross’s grieving process?
*Denial
*Anger
*Bargaining
*Depression
*Acceptance
What factors influence with Grief responses?
*Age
*Significance of the loss (Something or someone you were very close to).
*Culture (Believing wheather there is a God or not).
*Spiritual beliefs
*Gender
*Socioeconomic status
*Support (Do you have someone to support you or are you alone?).
*Cause of loss or death (How the person died… Overdose, murder, suicide, etc).
What are some Interventions for Grieving?
*Identify stage of grief (denial, anger, etc).
*Explore culture, ethnic, and values.
*Listen attentively, silence.
*Clarify, reflect feelings.
*Reinforce supportive relationships ( Encourage people do do normal daily activities).
Promote client autonomy
*Encourage the return to normal activities.
*Engage community resources.
What are the responses to Death & Dying?
*Depends on all the factors regarding the loss.
*Tend to cluster in the Stages of Grieving
*Caregivers, both professionals and support people respond to the impending death.
What are the Concepts of Death & Dying?
- 5yr old -> Death is sleep
- 9yr old -> Believes unrelated actions caused by death; Believes own death can be avoided.
- 18 yr old -> Fantasizes that death can be defied (Nothing will ever happen to me)
- 18-45 yr old -> Influence by religion/culture
- 45-65 yr old -> Accepts own mortality; death of parents; peaks of death anxiety
- 65+ yr old -> Fears prolonged illness; death of peers; sees death as having multiple meanings
What are some Communication Blocks when talking about death? (Avoid these)
*Change the subject
*Offer false reassurance
*Deny what is happening
*Be fatalistic (Everybody dies one day)
*Block discussion
*Be aloof
*Manage client care
What is Heart-lung Death?
Cessation of apical pulse, respirations, and blood pressure
What are the Legalities of Death?
*Advanced directives
*Autopsy
*Certification of death
*DNR orders
*Inquest
*Organ donation
What is a Living Will in WI?
Life sustaining measures when near death or persistant veg. state
What is aPower of Attorney for Health Care in WI?
Agent able to make range of health care decisions.
What is Inquest?
Legal inquiry into the cuase or manner of death (accidents)
What is Preparetion of the (death) Body?
Washing of body by family members
What religions/Cultures are opposed to Autopsy?
*Jews
*Jehovah’s Witnessess
*Muslims
What religions/cultures are opposed to Organ Donation?
*Jehovah’s Witnessess
*Muslims
What religions/cultures are opposed to Cremation?
*Mormon
*Islamic
*Catholic faiths
