Exam 3 - Lecture 3 (Grief, Dying, Spirituality) Flashcards
(46 cards)
what are the types of grief?
- anticipatory
- acute
- shadow
- disenfranchised
what is anticipatory grief?
response to a real or perceived loss before it occurs
what is acute grief?
a crisis that includes definite somatic, emotional, and functional symptoms
what is shadow grief?
moments of intermittent sadness caused by triggers (anniversary of event)
what is disenfranchised grief?
person cannot openly acknowledge or publicly mourn a loss
what do older adults typically lose in their old age?
- spouse
- friends
- family
- financial security
- independence
- health
- mental stability
- people in their community
the beginning stage of grief has physical and psychological manifestations
true
in this stage of grief daily functioning is affected
middle stage
end stage of grief
the griever is refocused and adjusted to the loss
what is involved in step 1 of restoring equilibirum after suffering a loss?
- making sense of the event
- searching for meaning
- survivor’s guilt
what is involved in step 2 of restoring equilibirum after suffering a loss?
- integration & acceptance of loss
- stabilized emotions
- channeled emotions
- others step in to assume roles left behind
what is involved in step 3 of restoring equilibirum after suffering a loss?
- creating a system to promote normalcy after the loss
- reframing memories
- accepting the different outcomes from the loss
how can one restore equilibrium in their lives?
set up a system to promote routines
cyclical grief is commonly experienced by which group of people?
those who have chronic illnesses
what are the interventions for reestablishing new memories among grievers?
- provide functional assistance
- engaging emotions
- informing others
- adaptation
- reframing memories
common denominator: active listening
what is the second most painful life loss?
death of a spouse
patterns of adjustment to widowhood
Box 34-3
- Step 1: Reactionary
- Step 2: Withdrawal (first few months)
- Step 3: Recuperation (six months after step 2)
- Step 4: Exploration (second year)
- Step 5: Integration (fifth year)
components of the cycle of acceptance
- normal existence
- receipt of bad news
- denial
- anger
- depression
- bargaining
- acceptance
good coping skills
Box 35-3
- avoid avoidance
- confront realities
- focus on solutions
- redefining problems
- consider alternatives
- good communication with others
- seek & use constructive help
- accept support when offered
- maintaining morale
the 6 C’s of nursing actions
- Care
- Control
- Composure
- Communication
- Continuity
- Closure
hierarchy of a dying person’s needs
- self-actualization / transcendence
- self-esteem / self-efficacy
- belonging & attachment
- safety & security
- biological & physiological integrity
physical factors influencing the grieving process
Box 35-2
- number of concurrent medical conditions
- use of sedatives
- inadequate nutrition
- inadequate exercise
what is palliative care?
an approach to care that improves the quality of life of patients and their families
what does palliative care offer?
- life-prolonging measures
- stabilizing care
