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18 Cards in this Set

  • Front
  • Back
what is grief?
the physical and emotional pain precipitated by a significant loss (person, place, pet, etc)
what is bereavement?
to be robbed by death
what is mourning?
behaviors, rituals, and observances reflecting a culture or relgion's views about the meaning of death and the role of the survivor
what is delayed grief?
the absence of the expression of grief at the time of a loss
what is unresolved grief?
grief symptoms that reach extremes of intensity, duration, or tenacity
what is complicated grief?
unresolved grief plus complications (physical symptoms) that interfere with daily function
what are 3 stages of bereavement?
1) shock, denial
2) physical and emotional symptoms and social isolation (sleep disturbances, decreased appetite, decreased hallucinations)
3) a reorganization of life that acknowledges, but is not defined by, the loss of the loved one
what are 4 normal dimensions of grief?
continuing relationship with deceased
changes in daily function
changes in relationships
changes in self-identity
how long after death can major depressive disorder be diagnosed?
two months, even though sometimes after 2 months the symptoms may still be normal
when does complicated grief occur?
when there is a sense of bitterness, anger, resentment, etc
what are some clinical complications of complicated grief?
anxiety, physical morbidity, social/occupational/family dysfunction
what can complicate the treatment of grief?
a pre-existing psychiatric condition
what is medication used for with grief?
not to take the feelings away but to help with symptomatic relief for anxiety and sleep
what is the goal of psychotherapy for grief?
to help establish new roles and activities
listen
what is competence for the dying patient?
knowing about the illness and the treatment
what are the 5 stages of dying?
denial
anger
bargaining
depression
acceptance
what is the overriding goal of treatment for the dying patient?
give them a sense of control over their fate by controlling symptoms when possible, attempting to predict what symptoms will occur, and to smooth relations with the family so that family members are better able to deal with the dying person
what are 3 possible treatments for depressed dying patients?
psychotherapy
antidepressants
stimulants