Psych Final

Front 1

anticipatory grief:

Back 1

grief that occurs before an actual loss, during this time painful feelings maybe partially resolved

Front 2

bereavement:

Back 2

is the social experience of dealing with the death of a loved one.

Front 3

Disenfranchised grief:

Back 3

the grief a person experiences when they incur a loss that is not and cannot be openly acknowledged, publicly mourned, or socially supported. Secret lover, neighbor, co worker, roommate, or health care worker.

Front 4

Four gifts of resolving relationships:

Back 4

forgiveness, love, gratitude, farewell

Front 5

Grief :

Back 5

is the reaction to loss, normal reactions include depression, insomnia, anxiety, poor appetite, loss of interest, guilt feelings, dreams about the deceased, and poor concentration.

Front 6

Hospice:

Back 6

the care where the acceptance of death is seen as a natural conclusion to life and the belief that clients rather than health care providers should make end of life decisions regarding how they want to live and die.

Front 7

Mourning:

Back 7

refers to the culturally patterned expressions of bereavement and grief. How grief is resolved. Sensitivity to ethnic, cultural, spiritual and religious beliefs can more effectively help a nurse identify a persons needs

Front 8

Palliative care:

Back 8

is the medical specialty focused on relief of the pain and other symptoms of serious illness. The goal is to prevent and ease suffering and to offer patients and their families the best possible quality of life. Palliative care is appropriate at any point in a serious or life-threatening illness. It is not dependent on prognosis. It can also be provided at the same time as curative and life-prolonging treatment.

Front 9

Public tragedies:

Back 9

involve a loss whose impact is felt broadly across a community or general public.

Front 10

Guidelines for self care

Back 10

1. remind yourself that what is happening to your clients is not happening to you.
2. When you notice strong emotions to explore deeper issues talk with a friend counselor, or colleague
3. protect your private life avoid overworking and working outside normal hours
4. state what you can and can’t do for your clients
5. expect the unexpected can be very emotional at times
6. practice humility : it is out of your control
7.Do your own mourning when your heart is touched and you need to acknowledge the importance of others
8. create a healthy balanced life by releasing stress

Front 11

Dysfunctional grief:

Back 11

is grief that is unresolved. Prolonged depression is the most common response to unresolved grief. Disturbance in mood and biological changes in the body during stress related depression. Can be caused by being heavily dependent on the deceased, unresolved conflict, loss of a child, had a meaningful relationship with deceased, unexpected death.

Front 12

anticipatory grief:

Back 12

grief that occurs before an actual loss, during this time painful feelings maybe partially resolved . Felt by both client and family of client; signs of this can include: feelings of emptiness, feeling numb, disbelief, weeping or rage, desire to run away from the situation, need to oversee every detail of clients care to protect them, anger at client and medical profession, fear of unknown.

Front 13

Chronic grief:

Back 13

continues on and does not subside.

Front 14

Delayed grief:

Back 14

too busy or unable to grieve at the time of death, may occur at any time from weeks to months or years later may come on suddenly.

Front 15

Exaggerated grief:

Back 15

self destruction after death of a person, suicide, excessive drug and alcohol.

Front 16

Interventions for anticipatory grief

Back 16

1. validate expressions of grief by listening , understanding, accepting and explaining the grivers reactions can be very freeing.
2. Inform clients and families about the disease and its symptoms
3. Invite clients and families to deal with affective issues. Helps people deal with there feelings and emotions
4. Acknowledge the losses and changes in their lives. Helps people identify and bein to cope with their losses.
5. Explore ways of coping.

Front 17

Grief cycle model

Back 17

1. Shock: the person is in a state disbelief and lower level of functioning may last hours to a few days
2. Protest: level of functioning continues to drop, intense physical and psychological distress. Usually starts on week after loss and last through the third month.
3. Disorganization: Person sinks to lowest level of functioning, depression and social withdrawal. Starts around 3rd month and last 3-6 months.
4. Reorganization: starts around the 6th month and continues for about a year but can be much longer. People with better resources begin to improve, those with fewer resources are often unable to recover fully and function at a lower level than before the loss.

Front 18

Kubler-Ross

Back 18

Denial (it did not happen)
Anger (angry with everyone)
Bargaining (should have could have)
Depression (loss of appetite, insomnia, weight loss)
Acceptance (Reinvesting back into your life)

Front 19

Phenomena experienced during bereavement

Back 19

Sensations of somatic distress: tightness in throat, shortness of breath, pain or discomfort symptoms experienced by deceased.
Pre occupied with death: thinks and talks about many positive memories of the deceased.
Guilt: should have should not have etc
Anger: often displaced on medical staff but directed to the deceased
Changes in behavior ,depression, and disorganization.
Reorganization