Chapter 37 The experience of loss, death, & grief Flashcards Preview

Introduction to nursing > Chapter 37 The experience of loss, death, & grief > Flashcards

Flashcards in Chapter 37 The experience of loss, death, & grief Deck (10)
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1
Q

How one grieves depends on?

A

Cultural norms, belief systems, support systems, & personal faith

2
Q

A maturational loss is a?

A

Form of necessary loss and includes all normally expected life changes across the life span
-associated with normal life transitions & they help people develop coping skills to use when they experience unplanned, unwanted, or unexpected loss

3
Q

Sudden, unpredictable external events bring about?

A

Situational loss
-person in car accident sustains injury with physical changes that make it impossible to return to work/school, leading to loss of function, income, life goals, & self-esteem

4
Q

Actual loss vs perceived loss

A

Actual loss- occurs when a person can no longer feel, hear, see, or know a person or object (loss of body part, death of family, loss of job)
Perceived loss- uniquely defined by the person experiencing the loss & is less obvious to other people (rejection by a friend that creates loss of confidence or changes their status in social group). How the individual interprets the meaning of the perceived loss affects the intensity of the grief response.
-perceived losses are easy to overlook but are just as painful as actual losses

5
Q

Mourning is

A

The outward, social expressions of grief and the behavior associated with loss. Most mourning rituals are culturally influenced, learned behaviors.
-Example: The jewish mourning ritual of Shivah is a time period when normal life activities come to a stop. Those mourning welcome friends & family into the home as a way of honoring the dead and receive support during the mourning period

6
Q

Define bereavement

A

Encompasses both grief and mourning and includes the emotional responses & outward behaviors of a person experiencing loss
-should be encouraged to talk about loss & reassured that the feelings are normal and that major decisions should be postponed

7
Q

Normal (uncomplicated) grief

A

Complex, emotional, cognitive, social, physical, behavioral, & spiritual responses to loss & death

  • disbelief, yearning,anger, depression
  • helpful coping mechanisms include: hardiness & resilience, a personal sense of control, & the ability to make sense of and identify positive possibilities after a loss
8
Q

Disenfranchised grief

A

People experience this grief when their relationship to the deceased is not socially sanctioned, cannot be shared openly, or seems of lesser significance
-examples: death of former spouse, married lover, incarcerated person or terminated pregnancy

9
Q

Ambiguous loss

A

-uncertainty, a type of disenfranchised grief, can occur when the lost person is physically present but not psychologically available as in dementia or brain injury, other times it could be from a kidnapping, prisoner of war, or no body found

10
Q

Complicated grief

A

A person has a prolonged or significantly difficult time moving forward after a loss.

  • 4 different types:
    1) Chronic grief: normal grief response, extends for longer period of time, years-decades on intense grieving
    2) Exaggerated grief: self destruction or maladaptive behavior, obsessions, or psychiatric disorders. Suicide risk
    3) Delayed grief: unusually delayed or postponed because loss is so overwhelming. Frequently triggered by a second loss, sometimes not as significant as first
    4) Masked grief: Sometimes a grieving person behaves in ways that interfere with normal functioning but is unaware that the disruptive behavior is a result of the loss & ineffective grief resolution