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Chapter 36
Loss and grief
| Question | Answer |
|---|---|
| necessary loss | life changes |
| maturational loss | growing up, part of necessary loss |
| situational loss | sudden, unpredictable. external events |
| actual loss | person who can no longer feel, hear, see, or know a person or object |
| perceived loss | uniquely defined by the person experiencing the loss and is less obvious to people around them |
| grief | individualized response to a loss that is perceived, real, or anticipated by the person experiencing loss |
| mourning | coping with grief |
| bereavement | the time of sadness after a person experiences a significant loss through death |
| normal (uncomplicated ) grief | includes complex emotional, cognitive, social, physical, behavioral, and spiritual responses to loss and death ex: anger, disbelief, yearning, depression |
| anticipatory grief | experienced before the actual loss. or death occurs ex: family member with terminal illness |
| disenfranchised grief | when the relationship to the deceased person is not socially sanctioned, cannot be shared openly, or seems of lesser significance ex: death of a former spouse, death from homicide, terminated pregnancy, health care worker, suicide |
| ambiguous loss | type of disenfranchised loss that can occur when the person who is lost is physically present but not psychologically available ex: severe dementia, brain injury, refugees and loss of homeland, missing person |
| complicated grief | prolonged or significantly difficult time moving. forward after a loss |
| chronic grief | normal grief response that extends for a long period of time, years to decades |
| exaggerated grief | exhibiting self-destructive or maladaptive behavior, obsessions, or psychiatric disorder ex: alcoholism, |
| delayed grief | loss is so overwhelming that the person must avoid the full realization of the loss |
| masked grief | not aware that their behaviors that interfere with normal functioning are a result of a loss, Examples: pain |
| stages of grief and dying | denial, anger, bargaining, depression, acceptance |
| attachment theory | numbing, yearning and searching, disorganization and despair, and reorganization |
| griefs task model | accepts the reality of the loss experiences the pain of grief adjusts to a world in which the deceased is missing emotionally relocates the deceased and moves on with life |
| rando's r process | recognize, react, recollect. and reexperience, relinquish, readjust, and. reinvest |
| dying patient's bill of rights | right to be treated as a living human until death, right to maintain a sense of hopefulness, however changing its focus may be, right not to die alone, right to be free from pain |
| palliative care | focuses on the prevention, relief, reduction, or soothing of symptoms of disease or disorders throughout the course of the illness |
| hospice | philosophy and model of care that focuses on the care, comfort, and quality of life of a person with serious illness who is approaching the end of life |
| who asks for autopsy permission? | the health care provider |
| documentation of end-of-life care | time & date of death & all actions taken to respond to the impending death, verification of death according to health care agency policy, people notified of the death & person who declared time of death, name of person making request for organ requ |
| 3 major form of grief | normal, anticipatory, and. disenfranchised |
| palliative care characteristics | appropriate for patients of any age, with any diagnosis, at any time, and in any setting. |
Created by:
anixvg