Adulthood: Grief, Death & Dying

Question 0

The absolute cessation of vital functions

Answer 0

Death

Question 1

Study of the experiences of dying and bereavement

Answer 1

Thanatology

Question 2

The process of losing these functions

Answer 2

Dying

Question 3

Dying, and the individual’s awareness of it, imbues humans with values, passions, wishes and the impetus to make the most of time.

Answer 3

Death

Question 4

Characterized by needless suffering, a dishonoring of patient or family wishes or values, and a sense among participants or observers that norms of decency have been offended.

Answer 4

Bad death

Question 5

One that is free from avoidable distress and suffering for patients, families and caregivers and is reasonably consistent with clinical, cultural and ethical standards.

Answer 5

Good death

Question 6

Reactions to Death

Answer 6

Untimely, Subintentional, Unintentional, Intentional & Timely. “USUIT”

Question 7

DABDA(impending death) formulated by whom

Answer 7

Elisabeth Kubler-Ross

Question 8

Stages of Grieving

Answer 8

Denial, Anger, Bargaining, Depression & Acceptance “DABDA”

Question 9

Reaction to death: outcry, denial & intrusion, working through and completion. By whom?

Answer 9

Mardi Horowitz

Question 10

Reaction to death: 6Rs recognize the loss, react, recollect & re experience, relinquish, readjust & reinvest. By whom?

Answer 10

Therese Rando

Question 11

Jean Piaget: a temporary absence, incomplete and reversible like departure or sleep. _______ from primary caregiver is main fear. What stage of cognitive functioning?

Answer 11

Preschool (<5y/o). Separation. Perioperational stage

Question 12

Jean Piaget: inevitable human mortality. Death is a final reality that happens to old people not children. Usually have active fantasies _______ & _______ dominates by themes of death and killing. What stage of cognitive functioning?

Answer 12

5-10y/o. Violence & aggression. Concrete operational thinking.

Question 13

Jean Piaget: death is inevitable and final but may not accept possibility of their own death. Great potential for ________ & ________. What stage of cognitive functioning?

Answer 13

Adolescents. Isolation & withdrawal. Formal concrete operations.

Question 14

Universal, Inevitable & Irreversible.

Answer 14

Puberty

Question 15

Attitude towards death across the life cycle: Protest, Despair & Detachment. By whom?

Answer 15

John bowlby

Question 16

Erick Erickson: frustrated in their plans to enjoy hard earned pleasure.

Answer 16

Middle age

Question 17

Erick Ericskson: focus on missing the chance to marry.

Answer 17

Young adults

Question 18

Erick Ericskson: confront increasing reality of their own mortality; integrity vs despair

Answer 18

Older age

Question 19

Among the most stressful of all life experiences. Older adults have more favorable outcome. Depressive symptoms peak within the first few months but decline significantly within a year.

Answer 19

Spousal Bereavement

Question 20

Emotional &/or psychological reaction to any loss, not limited to death.

Answer 20

Grief

Question 21

Process by which grief is resolved. Societal expression of post bereavement behavior and practices.

Answer 21

Mourning

Question 22

Wake, internment. Rituals for disposing the body. Rituals for invocation of religious ceremonies. Rituals for periodic official membranes.

Answer 22

Rituals for mourning

Question 23

Prevailing display of bereavement

Answer 23

Funeral

Question 24

State of being deprived of someone by death and being in the state of mourning.

Answer 24

Bereavement

Question 25

Stages of Bereavement according to Clayton

Answer 25

Numbness, Depression & Recovery "NDR"

Question 26

Stage of Bereavement according to Clayton: insomnia, restlessness & irritability. Mostly reduced over time but may be reactivated on holidays, anniversaries, birthdays & at times of other personally meaningful events. Last a few ___ to a ___.

Answer 26

Depression. Weeks to year.

Question 27

Stage of Bereavement according to Clayton: dazed, functioning almost automatically(doing what needs to be done w/out much awareness) forgetful of what's been done. Usually lasts for a few ____ to ___. Seldom ____.

Answer 27

Numbness. Hours to days. Weeks.

Question 28

Stage of Bereavement according to Clayton: acceptance of loss. Return to pre-morbid level functioning. Seek out new relationships & roles; return to roles before death. Varies by age, gender, health of survivor. Within _____ of loss.

Answer 28

Recovery. 6mos.

Question 29

Stages of Bereavement according to Bowlby

Answer 29

Early phase of acute despair, Phase of intense yearning and searching, Phase of disorganization and despair & Phase of reorganization. "AID R"

Question 30

Symptoms indicating major depressive disorder exceeding usual bereavement.

Answer 30

Guilt & Preoccupation

Question 31

Can be influenced by his/her age, personality, developmental stage, earlier experiences with death, his or her relationship with the deceased.

Answer 31

Child's grief

Question 32

Bereavement in children: loss of speech diffuse distress.

Answer 32

Younger than 2y/o

Question 33

Bereavement in children: phobic, hypochondriacal, withdrawn, pseudomature, school performance suffers.

Answer 33

School aged

Question 34

Bereavement in children: eating, bowel and bladder dysfunctions, strong feelings of sadness, fear & anxiety.

Answer 34

Younger than 5y/o

Question 35

Bereavement in children: behavioral problems, somatic symptoms erratic moods to stoicism

Answer 35

Adolescents

Question 36

Duration of grief

Answer 36

Cultural, Loneliness, In chidren depends on support system & Dictated by society "CLID"

Question 37

Identifying with the deceased taking on traits/possessions.

Answer 37

Normal grief

Question 38

Believes he is the dead person or dying of the same disease.

Answer 38

Pathological grief

Question 39

Persistent, intrusive complex auditory hallucinations

Answer 39

Pathological grief

Question 40

Hear fleeting, transient voice.

Answer 40

Normal grief

Question 41

Dead person still alive

Answer 41

Pathological grief

Question 42

Denial of certain aspects of the deceased

Answer 42

Normal grief

Question 43

Disbelief, denial & shock. Sense of unreality withdrawal.

Answer 43

Normal grief

Question 44

Depression impaired self esteem suicidal & denial delayed or absent grief

Answer 44

Pathological grief

Question 45

Progressive social isolation & hostility paranoid reactions.

Answer 45

Pathologic grief

Question 46

Profound sadness survival guilt intact self esteem. Anger and irritability.

Answer 46

Normal grief

Question 47

Mood fluctuations. Waves, washes over and time limited.

Answer 47

Grief

Question 48

Mood disturbance is pervasive, unremitting & hopeless.

Answer 48

Depression

Question 49

A normal albeit, intensely painful state that is responsive to support, empathy and passage time.

Answer 49

Grief

Question 50

Potentially a medical emergency that requires immediate intervention to forestall a complication like suicide

Answer 50

Major Depressive Disorder

Question 51

Disruption of biological rhythms. Impaired immune functioning. Decreased lymphocyte proliferation. Impaired functioning of natural killer cells.

Answer 51

Acute grief

Question 52

Acute grief: _____ appear to be at risk longer than widows.

Answer 52

Widowers

Question 53

Physician responses: often reflect underlying attitude towards _____. Death as a ________ to personal immortality.

Answer 53

Death. Personal failure/threat.

Question 54

Physician responses: medical training focuses almost entirely on the ________ & ________ of disease at the expense of care and comfort of the person with the disease.

Answer 54

Control and eradication.

Question 55

Physician responses: ______ of own attitudes toward death and dying. Unconscious feeling of ______ and power of preventing death.

Answer 55

Awareness. Omnipotence.

Question 56

Hallmarks of appropriate care: visiting patient regularly, eye contact, touching, listening & respect.

Answer 56

Compassionate care

Question 57

_______ the family for the probability that a loved one will die. ______ the family's ventilation of feelings.

Answer 57

Preparing. Encourage.

Question 58

Regularly scheduled sessions where grieving people are encouraged to talk about feelings of loss and about a person who has died.

Answer 58

Grief therapy

Question 59

Provides temporary support until a sense of confidence about the future develops.

Answer 59

Attachment to the therapist

Question 60

Most are practiced to protect the living. Appease the spirits thought to have caused the person's death.

Answer 60

Ghost protection rituals

Question 61

Death & Burial Customs: _____ the eyes of the dead person. Covering the _____ of the dead. Carry the dead out of the house ____ first. _____ were covered. Family photographs turned _______.

Answer 61

Shutting. Face. Feet. Mirrors. Face down.

Question 62

Tombstones to weigh down the dead. Mazes the entrance of ancient tombs. Beating on the grave, firing of guns, funeral bells & wailing chants. Bodies lie w/ their heads to the west and their feet to the East.

Answer 62

Cemeteries

Question 63

House, funeral parlor & church. Usually lasts for 5-7 days or longer. 24 hrs. Novena, mass & prayer. Nearest kin sits beside the coffin.

Answer 63

The wake/vigil

Question 64

Walk behind the funeral car, stopbat the church after mass relative will make a speech, grave site, house of the family, children are passed over the coffin & 40days.

Answer 64

Requiem mass/ Funeral