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Form of sorrow involving the person's thoughts, feelings, behaviors, occurring as a response to an actual or perceived loss. |
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The experience of parting with an object, person, belief, or relationship that is valued. |
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Psychological process of reaction activated by an individual to assist in overcoming a great personal loss. |
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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. |
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The characteristic pattern of intellectual, psychological and physiologic responses a person makes to the impending loss. |
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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. |
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Grief that falls outside the normal response range and may be seen as exaggerated, prolonged, or an absence of grief. |
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There is no expression of grief following a significant loss. Not showing emotion may be because the way there are raised. Ex: Males |
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Uniquely defined by the person experiencing the loss and are less obvious to other people. Ex: empty nest syndrome. |
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The study of death and those involved in the perideath experience. |
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Loss of external objects Loss of known environment Loss of significant other Loss of an aspect of self Loss of own life |
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Form of necessary loss and include all normally expected life changes across the life span. |
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Factors Affecting Responses to Grief and Loss |
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Age; Significance; Culture; Spiritual Beliefs; Gender; Socioeconomic State |
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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. |
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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. |
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Understands death as the inevitable end of life. Begins to understand own mortality expressed as interest in afterlife or as fear of death. |
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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. |
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Has attitude toward death influenced by religious and cultural beliefs. |
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Accepts own mortality. Encounters death of parents and some peers. Experiences peaks of death anxiety. Death anxiety diminshes c emotional well being. |
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Fears prolonged illness. Encounters death of family members and peers. See death as having multiple meanings. |
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Sander's Phases of Bereavement |
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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. |
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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. |
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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. |
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Engel's Stages of Grieving |
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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. |
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Stages of Grief: Kubler-Ross 1. Denial |
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Individual acts as if nothing has happened and may refuse to believe that a loss has occurred. |
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Stages of Grief: Kubler-Ross 2. Anger |
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Individual resists the loss and may act out to everyone and everything in environment. |
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Stages of Grief: Kubler-Ross 3. Bargaining |
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Postponement of reality of the loss. The individual may attempt to make a deal with God. |
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Stages of Grief: Kubler-Ross 4. Depression |
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Occurs when the loss is realized. |
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Stages of Grief: Kubler-Ross 5. Acceptance |
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Coming to terms c the situation rather than submitting to resignation or hopelessness. |
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1. Ability to func in the fam. 2. Ability to func in work role. 3. Ability to func in social role. |
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1. Preoccupation c thoughts of loss. 2. Searching for the lost person/object. |
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Loss or Gain of Faith; Anger at God; Spiritual Coping Strategies. |
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1. Silence & Listening 2. Counseling Referral: Clergy or Professional. |
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1. Spiritual Distress (Most Common) 2. Anticipatory Grieving 3. Dysfunctional Grieving 4. Impaired Adjustment 5. Social Isolation |
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Implementaion- Facilitating Grief |
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Presence; Attentive Listening; Silence; Open & Closed Questioning; Paraphrasing; Clarifying; Reflecting; Summarizing. "Wisdom over Advice" |
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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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