NUR233: Exam #3 Questions and
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Loss - ✔✔-a universal experience bc everyone will experience loss at some
point (job, employment, home, ppl)
Then-ontology - ✔✔-course at URI that has to do with death and dying
Loss can be associated with - ✔✔-normal age-related changes
-change in life situations
-loss of loved ones
-work to retirement, moving, health to chronic illness, loss of friends
-losing a spouse and figure out how to live life without them is a very
significant loss
Grief definition - ✔✔-acute response to a loss
-individuals response to a loss
Mourning definition - ✔✔-an active and evolving process that includes
behaviors used to incorporate the loss into ones life after the loss
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-STRONGLY INFLUENCED BY SOCIAL AND CULTURAL NORMS
-EACH Person GRIEVES IN THEIR OWN WAY
Bereavement - ✔✔-pertains to even having a loss
-the whole process of loss
Worden's model of grieving - ✔✔1. accept reality of the loss
2. work through the physical and emotional pain associated with the
diagnosis
3. adjust to the change in the environment
4. emotionally relocate the loss and move on with life
Types of grief - ✔✔-anticipatory
-acute grief: sudden-> difficult w/ADLs, crisis
-complicated grief: chronic, delayed, exaggerated, masked
-disenfranchised grief: holding back grief b/c ppl don't understand it
Anticipatory grief - ✔✔-aware of a grief
-its your response before it actually happens
-for examples with a terminal illness
-its a problem because sometimes it means a premature detachment to the
sick person
Acute grief - ✔✔-sudden and have a hard time functioning, a crisis, a "fog"
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-confusion or lack of concentration can be caused by acute grief
Complicated grief - ✔✔-chronic, delayed, exaggerated, masked
-grieving process lasts much longer than anticipated. have a hard time
reframing life with that loss
-relives acute grief over and over
-symptoms: insomnia, decrease nutrition, can trigger major depressive
episode if another loss occurs within the year
Masked grief - ✔✔-complicated grief
-they don't express that loss
-dont want to look vulnerable
-can lead to headaches or other things
Disenfranchised grief - ✔✔-type of grief where you can't openly talk about
grief
-holding back grief because some people might not understand
-EXAMPLE: DOG
"Good copers" - ✔✔-confront realities
-focus on solutions
-consider alternatives
-seek and use constructive health
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-accept support when offered
Factor affecting grief - ✔✔-degree of loss and the number
-past experience with loss
-timing of loss
-level of health and fitness before loss
-how important the loss is to the person
Psychological symptoms - ✔✔-sadness
-guilt
-anxiety
-depression
-anger
-loneliness
Physical symptoms - ✔✔-loss/increased appetite
-fatigue
-apathy: lack of interest or enthusiasm
-sleep difficulties
-lethargy (tired)
-decreased energy
Social changes associated with loss - ✔✔-widowhood