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28 Cards in this Set

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Name the types of losses?
anticipatory grief:"letting go:
actual loss
maturational loss:"aging"
situaltional loss:"Divorce"
dysfunctional grief
death
public display of grief?
mourning
the act of grieving?
bereavement
allows a person to live with loss but can't forget, allows person to work through stages of grief?
grief work
the end result of grief is ?
letting go
acceptance
stages of the normal grieving process?
stage 1: period of shock

stage 2: reality

stage 3: recovery
engles stages of grief?
SHOCK & DISBELIEF
difficulty accepting
-fight or flight response
DEVELOPING AWARENESS:
anger,guilt,depression,crying
REORGANIZATION & RESTITUTION
choose different people
Name the kubler-ross stages of death and dying?
DENIAL
ANGER
BARGAINING
DEPRESSION
ACCEPTANCE
tends to create dysfunction in persons roles
may begin in child hood
not assoc with any one loss
all pervasive: focus of the persons life
chronic grief
occurs after a loss
bereaved does not show signs of grieving
appears strong in charge of funeral arrangements
takes care of others grieving
inappropriate to show feelngs
a young child unaware of death
delayed grief
occurs after many losses not grieved for
assoc with loss of functioning x 6mts
culturally influenced
multiple losses all at once
exaggerated grief
develops physical and mental illness post loss?
masked grief
Name factors for dysfunctional grieving?
-sudden loss
-ambivalence toward loss
-unresolved emotional conflicts with lost rltnshp
-hx of maladaptive cope behav
-multiple losses
-disenfranchised:loss cannot be publicly shared
-mental illness
risk factors for depression?
-fm hx & prior depression
-recent neg stressors & losses
-childhood abuse,neglect,loss of parent
-lack of social support
-mental d/o
-woman
-not working outside of home
-substance abuse/dependency
CAuses of depression?
bilogical: low 5HT &NE
sociocultural:learned helplessness
cognitive:impaired
psychoanalytical: anger turned inward,object loss theory
what does the 5HT transporter gene contain?
alleles: short (s):prone to depression: cause:low 5HT
long (l)
Name types of depression non DSMIV :
grief
abnormal/dysfunctional grief
postpartum
primary & secondary
endogenous/exogenous
describe features of endogenous?
-EMA
-anhedonia
-vegetative cluster
-diurnal variation
-wt loss
-psychomotor changes
describe features of exogenous?
-DFS
-some anhedonia,vegatative,diurnal variation
-wt loss or gain(NOT GREAT)
-NO PSYCHOMOTOR CHANGES
tx for depression?
-psychotherapy: insight vs supportive
-grief counseling,marital
-group therapy
-cognitive therapy
-physical therapy:stimulates endorphnes
-ECT:resets brain
-light therapy:keep eye open
-medications:antidepressants
When a pt has a depression or a significant loss, the nurse best 1st action is to?
-do suicide evaluation
-ask directly about self harm
signs to look for if client is suicidal?
-psychomotor changes
-vegatative sign
-pt keeps rumanating:constant neg.thoughts
-self care deficits
-dysthmic
-
symptoms of SIGECAPS for at least 2 weeks?
major depression
symptoms of SIGECAPS most of the days for 2 years
dysthmic
2 sets of symptoms in the same illness (schizophrenia and mood d/o)?
schizoaffective
hx of manic and hypomanic episodes. current feature depression. Mixed sx x 1 yr. rapid cyclers 4 episodes/year
bipolar(depressed)
depressed in the winter months. Natural light influences sleep/activity?
seasonal affective d/o
70% of females experience "blues" 10 days after giving birth due to sleep deprivation/hormonal changes. S&S: pre-occupation with infants welfare, agitation/lack of sleep.possible H&Ds
post-partum depression