Loss, Death & Grief

Front 1

NECESSARY LOSS

Back 1

-part of life
-anticipated but still maybe intensely felt

Front 2

MATURATIONAL LOSS:

Back 2

-form of necessary loss, includes all normal expected life changes across the life span
-ie. mother feels loss when her clild leaves home for school
-helps in developing coping skills to use when experiencing unplanned, unexpected loss

Front 3

SITUATIONAL LOSS:

Back 3

-unpredictable loss caused by an external event
-ie. automoblie accident

Front 4

ACTUAL LOSS:

Back 4

-occurs when a person can no longer feel, hear, or know a person or object
-ie. loss of a body part, loss of a family member
- loss of valued objects
-ie. marriage, home

Front 5

PERCEIVED LOSS:

Back 5

-uniquely defined by the person experiening the loss & are less obvious to other people
ie. loss of a friend
-ie. person who love to dance, is injuried & can no longer dance
ie. loss of confidence

Front 6

Emtional response to a loss, unique to an individual, based on personal experiences, cultural expectation & spiritual beliefs

Back 6

GRIEF

Front 7

MOURNING:

Back 7

-culturally influenced rituals that are learned behaviors
-social expresssion of grief & the behavior associated w/ loss

Front 8

Captures both grief & mourning, emotional responses & outward behaviors for a person experiencing loss

Back 8

BEREAVEMENT

Front 9

Expected feelings that accompany loss, such as anger, resentment, withdrawal, crying:

Back 9

-NORMAL(UNCOMPLICATED)
GRIEF
-a complex response w/ emotional, cognitive, social, physical, behavioral & spiritual concepts
-grieving:in the process of coping w/ death of a loved one

Front 10

YEARNING:

Back 10

-a longing or searching for the deceased person
-negative feeling
-peaks around 2 months after the loss

Front 11

Negative emotions include:

Back 11

-anger and depression
-peaks around 4 months & were in decline by 6 months

Front 12

Grieving person has a prolonged or significantly difficult time moving forward after a loss:

Back 12

-COMPLICATED (DYSFUNCTIONAL) GRIEF
-experience a chronic & disruptive yearning for the deceased & have trouble accepting the death & trusting of others
-feels excessively bitter
-feels uneasy about the future
-feels emotional numb

Front 13

In what situations do you see experiences w/ COMPLICATED(dysfunctional) GRIEF?

Back 13

-conflicted relationships w/ the deceased
-prior or multiple losses or stressors
-mental health issues
-lack of social support
-loss associated w/ homicide, suicide, sudden accidents or loss of a child

Front 14

How how do the symptoms & disturbances of complicated grief last?

Back 14

-6 months after a loss & they interrupt every dimension of the persons life

Front 15

ANTICIPATORY GRIEF

Back 15

-the unconscious process of disengaging or "letting go" before the actual loss or death occurs
-see in situations of prolonged or predicted loss

Front 16

DISENFRANCHISED GRIEF:

Back 16

aka: marginal or unsupported grief
-a loss that cannot be publicly shared or is not socially sanctioned, seems of lesser significance
-ie. abortion

Front 17

What are examples for DISENFANCHISED GRIEF:

Back 17

-death of a very old person
-an ex-spouse
-gay partner
-loved pet

Front 18

KUBLER ROSS: 5 stages of dying:

Back 18

-denial:
-anger
-bargaining
-depression
-acceptance

Front 19

Denial Phase:

Back 19

-clients acts as though nothing has happen
-refuses to accept the loss
-difficulty believing a terminal dx or loss

Front 20

Anger Phase:

Back 20

- lashes out at other people or things
-may feel anger toward GOD

Front 21

Bargaining Phase:

Back 21

-negotiates for more time or a cure

Front 22

Depression Phase:

Back 22

-person realizes the full impact of a loss
-saddened over the inability to change the situation

Front 23

ACCEPTANCE PHASE:

Back 23

-recognizes what is happening
-finds ways to move forward
-plans for the future

Front 24

What theory describes the Experience of Mourning(4):

Back 24

-BOWLBY'S ATTACHMENT THEORY:
-numbing
-yearning & searching
-disorganization & despair
-reorganization

Front 25

BOWLBY'S ATTACHMENT THEORY: Numbing

Back 25

-may last a few hour to a week or >
-feeling of "stunned" or "unreal"
-protects the person from feeling the full impact of the loss

Front 26

BOWLBY'S ATTACHMENT THEORY: Yearning & Searching

Back 26

-emotional outburst of tearful sobbing
-acute distress
-Physical Sx: tightness in chest/throat, SOB, lethargy, insomina, loss of appetite
-last for months or >

Front 27

BOWLBY'S ATTACHMENT THEORY: Disorganization & Despair

Back 27

-endlessly examines how & why the loss occured or
-expresses anger at anyone who seems responsible for the loss
-gradually realizes loss is permanent

Front 28

BOWLBY'S ATTACHMENT THEORY:
Reorganization:

Back 28

-takes year or >
-begins to accept change
-assume familiar roles
-acquire new skills
-build new relationships

Front 29

What are ie. of emotional disclosures:

Back 29

-venting
-talking about one's feelings
-having people write about their feelings

Front 30

When does SPIRITUAL INTEGRATION occur?

Back 30

-when a individual experiencing comes to terms w/ his or her life & puts life's pieces together in a way consistent w/ one's entire life
-near end of life, it helps a perons attend to broken relationships or unfinished business

Front 31

Spirituality, energizes and provides comfort to individuals experiencing personal challenges?

Back 31

-HOPE

Front 32

What are the S/S of a client who has just experienced a significant loss?

Back 32

-sad affect
-withdrawal behaviors
-HA
-upset stomach
-decreased ability to concentrate

Front 33

Symptom of Normal Grief:
Cognitions (thought process)

Back 33

-disbelief
-confusion or memory problems
-problems w/ decision making
-inability to concentrate
-feeling the presence of the decease

Front 34

PALLATIVE CARE:

Back 34

-prevention, relief, reduction or soothing of sx of disease of disorders throughout the course of an illness,
-includes: care of the dying & bereavement follow-up for the family

Front 35

What is the goal of Pallative care?

Back 35

-help clients & family memers achieve the best possible quality of life

Front 36

Psychological sx a client may experience at the end of life?

Back 36

-anxiety
-depression
-altered body image
-denial
-powerlessness
-uncertainty
-isolation

Front 37

Side effects of opioid admin:

Back 37

-constipation
-nausea
-sedation
-respiratory depression
-myoclonus

Front 38

Chronic grief?

Back 38

-grief reactions continuing longer than expected

Front 39

DELAYED GRIEF?

Back 39

-suppression of normal grieving until a later time that may be due to a desire to avoid the pain of grief

Front 40

EXAGGERATED GRIEF:

Back 40

overwhelming emotions causing social dysfunction

Front 41

MASKED GRIEF:

Back 41

-occurrence of unwholesome behaviors that survivors do not relate to the loss

Front 42

Conditions that signal impending death:

Back 42

-irregular breathing patterns
-noisy respiration
-decreased LOC
-skin changes of the lower extremities
-cold hands/feet
-weak pulse
-decreased urine output
-diminished swallowing

Front 43

Steps for postmortem care :

Back 43

1. confim that request for organ/tissue donation and/or autopsy has been made
2. collect any needed specimes
3. speak to family about participation
4. remove all drain & indwelling tubes
5. bathe
6. position for family viewing
7. notify a support person (spiritual care provider)
8. tag the body, w/ deceased identity, & safety issues regarding infection control