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Module 10 Chapter 36 The bereaved Individual

AB
LossThe experience of separation from something of personal importance.
GriefDeep mental and emotional anguish that is a response to the subjective experience of loss of something significant.
Mourningas the psychological process (or stages) through which the individual passes on the way to successful adaptation to the loss of a valued object.
Bereavementdescribed as the period of grief and sadness that is the normal process of reacting to a loss and may include mental, physical, social, and emotional reactions
KÜBLER-ROSS- Stage 1Denial
KÜBLER-ROSS- Stage 2Anger
KÜBLER-ROSS- Stage 3Bargaining
KÜBLER-ROSS- Stage 4Depression
KÜBLER-ROSS- Stage 5Acceptance
BOWLBY- Stage 1Numbness/protest
BOWLBY- Stage 2Disequilibrium
BOWLBY- Stage 3Disorganization and despair
BOWLBY- Stage 4Reorganization
Engel Stage 1Shock/disbelief
Engel Stage 2Developing awareness
Engel Stage 3Restitution
Engel Stage 4Resolution of the loss
Engel Stage 5Recovery
WORDEN Stage 1Accepting the reality of the loss
WORDEN Stage 2Processing the pain of grief
WORDEN Stage 3Adjusting to a world without the lost entity
WORDEN Stage 4Recovery
Anticipatory grievinghe experiencing of the feelings and emotions associated with the normal grief response before the loss actually occurs.
Delayed or Inhibited Griefrefers to the absence of evidence of grief when it ordinarily would be expected.
Distorted (Exaggerated) Grief Responseall of the symptoms associated with normal grieving are exaggerated.
Chronic or Prolonged Grievingmay be a problem when behaviors such as those that prevent the bereaved from adaptively performing activities of daily living are in evidence.
Bereavement overloadAging individuals experience many losses and are vulnerable to depression and feelings of low self-worth
Birth to Age 2irritable and crying more.
Ages 3 to 5difficulty distinguishing between fantasy and reality. They believe death is reversible, and their thoughts about death may include magical thinking.
Ages 6 to 9They may believe that death is contagious and avoid association with individuals who have experienced a loss by death. Death is often personified, in the form of a “bogey man” or a monster—someone who takes people away or someone whom they can avoid if they try hard enough.
Ages 10 to 12interested in the physical aspects of dying and the final disposition of the body. Peer relationships and school performance may be disrupted.
Adolescentsthey have difficulty tolerating the intense feelings associated with the death of a loved one. They may or may not cry. They may withdraw into themselves or attempt to go about usual activities to avoid dealing with the pain of the loss. Some teens exhibit acting-out behaviors, such as aggression and defiance. It is often easier for adolescents to discuss their feelings with peers than with their parents or other adults
Hospicea program that provides palliative and supportive care to meet the special needs of people who are dying and their families.
Advance Directivesan individual to provide directions about his or her future medical care.
A living willa written document made by a competent individual that provides instructions that should be used when that individual is no longer able to express his or her wishes for health-care treatment.
The durable power of attorneyis a written form that gives another person legal power to make decisions regarding health care when an individual is no longer capable of making such decisions.
Patient Self-Determination Actrequires that all health-care facilities must advise clients of their rights to refuse treatment, to make advance directives available to clients on admission, and to keep records of whether a client has an advance directive or a designated health-care proxy


Nursing Faculty
Rasmussen University
MN

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