Quiz 2- Grief Characteristics and phases Flashcards
What areas of life does grief affect?
physical emotional cognitive behavioral spiritual
What are the physiological signs of grief?
initial shock or disbelief
followed by sorrow and often regret
What are the grief-related emotions?
anger guilt despair sadness depression denial fear
What are physical signs of grief?
fatigue sighing hyperventilation feelings of physical emptiness in the abdomen and chest sense of lump in the throat Other possible signs: anorexia insomnia disorientation
What are the cognitive signs of grief?
anxiety
confusion
difficulty making decisions
What are the types and responses to grief?
Anticipatory acute chronic delayed suppressed
What is anticipatory grief?
experienced prior to the actual loss
- preparing for the losses that will occur due to death, surgery, and disease
- associated with caregiver burden
What is conventional grief?
experienced after loss
What is the acute conventional grief?
begins following a recent or sudden loss
- severity dependent on the perceived void resulting from the loss
- may experience profound sadness, anxiety, denial, anger and depression, overwhelmed, confused, numb, helpless, and hopeless
What is chronic conventional grief?
person enters a stage of perpetual mourning
Symptoms: different than anxiety and depression, lower quality of life, challenges with mental health, avoidance of things associated with the loss
What is delayed or absent conventional grief?
grief triggered at a later date
What are the stages of grieving and dying?
Kubler Ross:
1) Denial- deny situation, fears, and thoughts; form of self preservation, protective reaction initially
2) Anger- can feel cheated out of normal life, “it can’t be me!”, “Why me?”
3) Bargaining- short term strategy to postpone an anticipated lost, way to reassert some control
4) Depression- profound sadness more than depression, but depression can exist
5) Acceptance- no longer denies the reality, is not angry, does not bargain and is not depressed, represents advancing on the continuum, not synonymous with joy or satisfaction, can be resignation, sense of peace
What are the stages of grief according to the integrative theory of bereavement?
1) Shock: respond to loss with disbelief, numb, unable to make decisions and complete simple tasks
2) Awareness of loss: reality sets in, begin understanding the meaning of the loss
3) Conservation and withdrawal: conserving personal resources and avoiding tasks perceived as “extra” or unnecessary, may isolate from others
4) Healing: adjustment to new reality, activities resumed
5) Renewal: reaching resolution of grief, engaging in life enthusiastically
What are the tasks of mourning?
Created by Worden 2002
1) Accept the reality of the loss
2) Experience the pain associated with grief
3) Adjust to circumstances created by loss
4) Emotionally relocate the person who has died and progress with life
