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Grief and Loss
Fundamentals Ch. 30
36
Nursing
Undergraduate 1
11/27/2010

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Term
Grief
Definition
Form of sorrow involving the person's thoughts, feelings, behaviors, occurring as a response to an actual or perceived loss.
Term
Loss
Definition
The experience of parting with an object, person, belief, or relationship that is valued.
Term
Mourning
Definition
Psychological process of reaction activated by an individual to assist in overcoming a great personal loss.
Term
Bereavement
Definition
A response to loss through death: a subjective experience that a person suffers after losing a person with whom there has been a significant relationship.
Term
Anticipatory Grief
Definition
The characteristic pattern of intellectual, psychological and physiologic responses a person makes to the impending loss.
Term
Disenfranchised Grief
Definition
A complicated form of grieving that entails social stigma. Unsupported grief, the relationship can not be openly acknowledged or publicly shared. Ex: ex-spouse; gay relationship; aids; abortion; addiction.
Term
Dysfunctional Grief
Definition
Grief that falls outside the normal response range and may be seen as exaggerated, prolonged, or an absence of grief.
Term
Inhibited Grief
Definition
There is no expression of grief following a significant loss. Not showing emotion may be because the way there are raised. Ex: Males
Term
Perceived Loss
Definition
Uniquely defined by the person experiencing the loss and are less obvious to other people. Ex: empty nest syndrome.
Term
Thanatology
Definition
The study of death and those involved in the perideath experience.
Term
Types of Losses
Definition
Loss of external objects
Loss of known environment
Loss of significant other
Loss of an aspect of self
Loss of own life
Term
Maturational Loss
Definition
Form of necessary loss and include all normally expected life changes across the life span.
Term
Factors Affecting Responses to Grief and Loss
Definition
Age; Significance; Culture; Spiritual Beliefs; Gender; Socioeconomic State
Term
Infancy-5 years
Definition
Does not understand concept of death.
Infants sense of separation forms basis for later understanding of loss and death.
Believes death is reversible, a temp departure, or sleep.
Emphasizes immobility and inactivity as attributes of death.
Term
5-9 years old
Definition
Understands death is final.
Believes own death can be avoided.
Associates death c aggression or violence.
Believes wishes or unrelated actions can be responsible for death.
Term
9-12 years old
Definition
Understands death as the inevitable end of life.
Begins to understand own mortality expressed as interest in afterlife or as fear of death.
Term
12-18 years old
Definition
Fears a lingering death.
May fantasize that death can be defied acting out defiance through reckless behaviors.
Seldom thinks about death, but views it in religious and philosophic terms.
May seem to reach adult perception of death but can not emotionally accept it.
May still hold concepts from previous development stages.
Term
18-45 years
Definition
Has attitude toward death influenced by religious and cultural beliefs.
Term
45-65 years
Definition
Accepts own mortality.
Encounters death of parents and some peers.
Experiences peaks of death anxiety.
Death anxiety diminshes c emotional well being.
Term
65+ years
Definition
Fears prolonged illness.
Encounters death of family members and peers.
See death as having multiple meanings.
Term
Sander's Phases of Bereavement
Definition
1. Shock: confusion, unreality
2. Awareness of loss: Friends and family return to normal activities.
3. Conservation/Withdrawal
4. Healing: The turning point- learning to live independently.
5. Renewal: New self-awareness.
Term
Goals of Grieving
Definition
1. Helps promote good mental and physical health after a loss.
2. To fill emptiness c other healthy interests.
3. To be able to remember the lost object or person c-out intense pain.
4. To be able to regain the capacity of love.
Term
Task of Mourning
Definition
1. Accept reality of loss.
2. Share in the process of working through the pain of grief.
3. Adjust to an environment is which the deceased is missing.
Term
Engel's Stages of Grieving
Definition
1. Individual denies the reality and is in shock and disbelief.
2. Person begins to feel the loss acutely and may experience desperation, anger, guilt, frustration, depression, and emptiness.
3. inevitability of the loss is acknowledged.
Term
Stages of Grief: Kubler-Ross
1. Denial
Definition
Individual acts as if nothing has happened and may refuse to believe that a loss has occurred.
Term
Stages of Grief: Kubler-Ross
2. Anger
Definition
Individual resists the loss and may act out to everyone and everything in environment.
Term
Stages of Grief: Kubler-Ross
3. Bargaining
Definition
Postponement of reality of the loss. The individual may attempt to make a deal with God.
Term
Stages of Grief: Kubler-Ross
4. Depression
Definition
Occurs when the loss is realized.
Term
Stages of Grief: Kubler-Ross
5. Acceptance
Definition
Coming to terms c the situation rather than submitting to resignation or hopelessness.
Term
Social Behavior
Definition
1. Ability to func in the fam.
2. Ability to func in work role.
3. Ability to func in social role.
Term
Cognitive Behavior
Definition
1. Preoccupation c thoughts of loss.
2. Searching for the lost person/object.
Term
Spiritual Behavior
Definition
Loss or Gain of Faith; Anger at God; Spiritual Coping Strategies.
Term
Nursing Interventions
Definition
1. Silence & Listening
2. Counseling Referral: Clergy or Professional.
Term
Nursing Dx
Definition
1. Spiritual Distress (Most Common)
2. Anticipatory Grieving
3. Dysfunctional Grieving
4. Impaired Adjustment
5. Social Isolation
Term
Implementaion- Facilitating Grief
Definition
Presence; Attentive Listening; Silence; Open & Closed Questioning; Paraphrasing; Clarifying; Reflecting; Summarizing. "Wisdom over Advice"
Term
Nursing Goals
Definition
1. Establish relationship of trust btwn the nurse and fam.
2. Evaluate the clients & families level of trust & confidence.
3. Maintain the therapeutic relationship crucial in the arena of nursing care.
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