Week 3- loss, grief, mourning and bereavement Flashcards
4 key elements of how PC can be used in practice
1 .Decreasing suffering and increasing QOL
2. Holistic care (spiritual, cultural, mental, social, physical)
3. Team based
4. Person and family centered care
Loss=
To be deprived of someone or something important.
anticipatory loss (grief)
- an _______ response to
- can be based on
- An emotional response to expected or impending future losses
- Can be based on the dying person’s or family’s previous losses
Ex. Loss of a long retirement or grandchildren
ambiguous loss
- difficult to
- may be
- difficult to identify, often not tangible
- might be more challenging for family
ex. gradual loss of cognitive function with dementia. person is still alive but not the same
need to support people through loss so they _____
how (3)
don’t develop complicated grief
how: providing support throughout, prepare for loss, open conversations
grief (4)
not necessary to
- natural, healthy response to loss
- whole body experience
- does not end, intensity decreases over time
- everyone grieves differently
- not necessary to alter normal grieving, provide a listening ear, be supportive, provide information
as nurses we can
Acknowledge loss
Assess loss and grief
Education
Leave room for silence
Make space for tears
Lifestyle management
Resources
AAG
Adult attitudes to Grief scale
- assess grief
ask more questions on the areas that scored high
age: 2-4
concept of death (2)
grief response (2)
- seen as abandonment
- seen as reversible
- intensive but brief
- very present oriented
Age 4-7
concept of death
grief response
death is still seen as reversible
A great personification of death
feelings of responsibility because of wishes or thoughts
verbalization
great concerns with person
how, why
7-11
concept of death (3)
grief response (3)
punishment
fear of bodily harm
difficult transition period- still wants to see as reversible
specific questioning
concerned how others are responding (what is the right way)
starting to have ability to mourn
11- 18
concept of death
grief response
- adult approach
ability to abstract
beginning to conceptualize death truly
depression
denial
regression
talk to people outside family
traditional mourning
social, educational, and family factors to help determine grief/bereavement preferences
questions you can ask
- tell me about your family.
- have you or your family had significant experience with someone who has had a serious illness or who has died?, how did that affect you?
cultural, religious and spiritual factors questions to help determine preferences in grief/bereavement discussions
- is there anything I should know about your cultural, religious, or spiritual views about illness or life and death?
freud theory of grief (2)
- The starting point for theories on grief
loss-mourning - Is complete when attachment is severed