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*N126-U4-Grief
Dobrisky-grief process and intervention
| Question | Answer |
|---|---|
| what are the different types of loss? | maturational, situational & perceived |
| describe maturational loss | empty nest syndrom |
| describe situational loss | sudden |
| describe perceived loss | loss of confidence |
| mourning is considered to be what type of process? | adapting |
| grief is a period of what type of feelings? | intense |
| bereavement times | vary |
| Is grieving a linear process? | no |
| what are the responses to grief? | shock & disbelief, protest & despair, emotionless cognitive activity, yearning, disorganization, rebuilding |
| describe emotionless congitive activity | performing the tasks of planning the funeral |
| in which process of grief are you reestablishing your life without the lossed loved one? | rebuilding |
| rebuilding occurs when during grief? | after death and before in cases of long term illnesses |
| what are the types of grief? | anticipatory, acute, dysfunctional, disenfrancised |
| if a person's grief is unsupported by others it is what type of grief | disenfranchised |
| if the grief is complicated, it is traumatic conflicted, or absent it is considered to be | dysfunctional grief |
| anticipatory grief begins | with diagnosis |
| in acute/normal grief saddness | lessens over time |
| in dysfunctional grief what is there a risk for? | suicide |
| a dysfunction grieving process is conflicted when | there was conflict in the relationship with the lost person |
| if a person is dependent on their partner for most everything and then loses them what type of grief will be most prominent? | chronic |
| responses to loss are | physical, cognitive, behavioral and emotional |
| tightness in the chest is a common | physical manifestation of grief |
| what is the most common response to a sudden loss? | cognitive manifestations...conversations with the deceased person |
| behavioral and relating manifestations can lead to what type of grief? | dysfunctional grief |
| affective (emotional) manifestations of grief are more common to the loss of | a child |
| survivor guilt is an overwhelming feeling that is considered to be what type of manifestation of guilt? | affective manifestation |
| nursing assessment of the dying patient should include | assessing the client's meaning of loss; observe for symptoms of grief response, note the quality and extent of the client's support system |
| assess the dying patient for | their meaning of loss, s/s of grieving, quality of support |
| risk for self-directed violence and complicated grieving are nursing diagnosis appropriate for which type of grief? | dysfunctional grief |
| what are two rn diagnosis for chronic sorrow r/t grief? | caregiver role strain and anticipatory grieving |
| for the patient grieving what is the #1 patient outcome we can ask for? | verbalization of not being suicidal |
| what is another important outcome in dysfunctional grief? | pt participates in atleast one social activity per week |
| what do we worry about with the use of meds in the patient that is grieving? | that the meds will suppress the grieving process |
| do children generally display their grief differently than adults? | yes |
| should children be included in the griving process? | yes |
| are children more apt to develop grief quickly or slowly | slowly |
| who adapts more quickly to loss, the very young or the very old | very old |
| symptoms of what disorders can mask the symptoms of grief? | dementia, depression, suicidal ideation and substance abuse |
Created by:
Lori Dobrisky
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