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50 Cards in this Set

  • Front
  • Back
Definition:
This is a form of sorrow involving the person's thoughts, feelings, behaviors occurring as a response to an actual or perceived loss.
Grief
Definition:
The experience of parting with an object, person, belief or relationship that is valued.
Loss
This experience necessitates a reorganization of one or more aspects of a person's life.
Loss
Definition:
Psychological process of reaction activated by an individual to assist in overcoming a great personal loss.
Mourning
Definition:
Response to loss through death.
Bereavement
Definition:
Subjective experience that a person suffers after losing a person with whom there has been a significant relationship.
Bereavement
Definition:
Characteristic pattern of intellectual, psychological & physiologic responses a person makes to the impending loss.
Anticipatory Grief
Does the anticipatory grief process positive or negative effects?
Both, it has positive & negative.
Definition:
Complicated form of grieving that entails social stigma.
Disenfranchised Grief
What are three examples of disenfranchised grief?
Death by: Suicide, HIV AIDS, & Abortion.
Definition:
Grief that falls outside normal response range & may be seen as exaggerated, prolonged, or an absence of grief.
Dysfunctional Grief
Definition:
There is no expression of grief following a significant loss.
Inhibited Grief
True or False?

If a loss is only perceived it is not considered a loss.
False
This defines perceived loss.
Definition:
Study of death & those involved in the perideath experience.
Thanatology
In regards to awareness in loss & grief. This is characterized by everyone knowing & nobody talks.
Open-Aware
In regards to awareness in loss & grief. This is characterized by everyone knows & nobody talks.
Closed-Aware
In regards to awareness in loss & grief. This is characterized by nobody acknowledging or speaking about it.
Closed-Pretense
In regards to awareness in loss & grief. This is characterized by everyone acknowledging but no speaking about it.
Open-Pretense
What type of loss would be characterized by the loss of your house or business?
Loss of external objects
What type of loss would be characterized by moving?
Loss of known environment
What type of loss would be characterized by someone important to you passing?
Loss of significant other
What type of loss would be characterized by the loss of a body part?
Loss of an aspect of self
What type of loss would be characterized by pain or loss of control ?
Loss of own life
What are some factors that affect responses to grief & loss?
Age
Significance
Culture
Spiritual Beliefs
Gender
Socioeconomic state
What are the three tasks of mourning?
Accept (reality of the loss)
Share (in the process of working through the pain of grief)
Adjust (to an environment in which the deceased is missing)
What age bracket in regards to the Development of Concept of Death does the following apply: No understanding of death concept, believes death is reversible (temporary departure/sleep)
Emphasizes immobility/inactivity as attributes of death.
Infancy to 5 years old
What age bracket in regards to the Development of Concept of Death does the following apply: understands death is final
Believes own death is avoidable
Associates death with aggression/violence
Believes wishes or unrelated actions can be responsible for death
5-9 years old
What age bracket in regards to the Development of Concept of Death does the following apply: Understands death as inevitable end of life.
Begins to understand own mortality expressed as interest in afterlife or as fear of death
9 to 12 years old
What age bracket in regards to the Development of Concept of Death does the following apply: Fears a lingering death.
May fantasize that death can be defied, acting out defiance through reckless behaviors.
Seldom thinks about death but views it in religious/philosophic terms.
Reaches adult perception of death but unable to accept it emotionally
May still hold concepts from previous dev stages
12-18 years old
What age bracket in regards to the Development of Concept of Death does the following apply: Has attitude toward death influenced by religious or cultural beliefs.
18-45 years old
What age bracket in regards to the Development of Concept of Death does the following apply: Accepts own mortality
Encounters death of parents & some peers
Experiences peaks of death anxiety
Death anxiety diminishes with emotional well being
45-65 years old
What age bracket in regards to the Development of Concept of Death does the following apply: Fears prolonged illness.
Encounters death of family members & peers.
Sees death as having multiple meanings. (free from pain, reunion with deceased friends/family)
65+ years old
What do the following represent in relation to grief loss?
Helps promote good mental & physical health after a loss.
To fill the emptiness with other healthy interests.
To be able to remember the lost object or person without intense pain.
To be able to redirect emotional energy into one's own life.
To be able to regain the capacity to love. (reaching out around you)
The goals of grieving
The following are examples of what?

The dead will always be with us.
There is an afterlife.
There is no afterlife.
Death is a natural event.
Death is graduation.
There is recovery for survivors.
Grief philosophies.

***These are highly individual & not standardized***
Major decisions that are made in this year of grief are not usually wise & are regretted.
First year.
In the Kubler-Ross philosophy How many are there & what are the stages of grief?
5 stages
Denial
Anger
Depression
Bargaining
Acceptance
During this stage the individual acts as if nothing has happened and may refuse to believe that a loss has occurred.
Denial
During this stage the individual resists the loss& may act out to everyone & everything in the environment.
Anger
During this stage a postponement of the reality of the loss. The individual may attempt to make a deal with god.
Bargaining
During this stage occurs when the loss is realized & the full impact of it's significance is apparent.
Depression
During this stage one comes to terms with the situation rather than submitting to resignation or hopelessness.
Acceptance
What are some things that need to be assessed in regards to grief & loss?
Nature of the loss
Meaning of the loss to client
Client's usual pattern of coping w/ loss
Availability of coping resources
Other stressors (preceeding or concurrent w/ loss)
What are some physical symptoms associated with grief & loss?
Sleep patterns
Appetite increase or decrease
Tightness in throat & Chest
Heart palpitations
Pain in chest
Frequent sighing
Choking or SOB
Loss of muscular power
Empty feeling in abdomen
Repeated somatic distress
Emotional symptoms associated with loss & grief would be?
Sadness
Guilt
Anger
Loneliness
Relief
Anxiety
Wishing to die
Suicidal ideation
What are common substances abused associated with grief & loss?
Alcohol
Illegal drugs
Rx'd drugs
Caffeine
Nicotine
What social behaviors associated with grief & loss must be evaluated?
Ability to function in the family role
Ability to function in a work role
Ability to function in a social role
What are two nursing interventions a nurse can perform in relation to grief & loss?
Silence & listening
Counseling referral (ex Clergy or Professional)
What makes a difference in relation to grief in how you interpret or implement for your client?
The stage of grief
What are some examples of nursing diagnoses used for grief & loss?
Spiritual distress r/t (highly common)
Anticipatory grieving r/t
Dysfunctional grieving r/t
Impaired adjustment r/t (unable to work through grief process)
Social isolation r/t (Big one)
What are a few examples of nursing goals in regards to grief & loss?
Establish a relationship of trust between nurse & family.
Evaluate the clients & families level of trust & confidence.
Maintain the therapeutic relationship crucial in the arena of nursing care.