undesired change/removal of an object, person, or situation
when does loss begin and end
begins at birth (loss of the womb)
ends at death
what is bereavement
period of mourning after loss
intensity of grief depends on ___
the meaning/intensity of attachment to the loss
what is uncomplicated grief
"normal grief"
natural response to a loss
S/S of uncomplicated grief
- sleep disturbances
- nausea
- HAs
- fatigue
- palpitations
- chest pain
- decreased focus and concentration
,what is complicated grief
prolonged acute grief
what defines complicated grief
- intense emotions AND longer length of time
- maladaptive responses!!
- depression or suicidal
what are the three types of complicated grief
1. chronic
2. masked
3. delayed
what is chronic grief
- long term
- inability to rejoin normal life
what is masked grief
expressed through maladaptive behaviors
what is delayed grief
grief is put off until a later time
,your patient states that they have been drinking every night ever since their spouse passed away. what
type of grief is this?
masked grief
what is disenfranchised grief
a loss that's not socially supported
what is anticipatory grief
grief before the loss actually occurs
what are some factors that can affect grief
- significance of loss
- support systems
- unresolved conflicts
- circumstance/timeliness of loss
- previos losses
- spiritual/cultural beliefs
what are the Elizabeth kubler-ross stages of grief?
1. denial
2. anger
3. bargaining
4. depression
5. acceptance
T/F: individuals MUST experience every stage of grief in a linear order
, false.. individuals can experience these stages in different orders, or can experience two or more
stages at the same time
what stage are they in: stating "not me, this can't be happening"
denial
what stage are they in: "why me? why is this happening"
anger
what stage are they in: "if only I can live until..."
bargaining
what stage are they in: the patient is experiencing a withdrawn sadness
depression
what stage are they in: the patient is coming to terms with death
acceptance
what does the Uniform Determination of Death Act of 1978 state?
"irreversible cessation of circulation and respiratory functions"
- providers use methods to assess the brain stem (fixed pupils unresponsive to light, no corneal reflex,
absence of vestibulo-cochlear reflexes)