Y1:Term 4: Life transitions

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Y1:Term 4: Life transitions
2013-02-18 04:57:26
Study notes

Grief and loss,young adults, older adults
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  1. Loss
    When someone or something can no longer be felt, seen, heard, known or experiened.
  2. Actual loss
    any changes that occur in an individua's situation, that reduces the probability of achieving personal goals. 

    Eg. losing a limb or ability to speak
  3. Perceived loss
    Can be difficult to identify as it is less tangible and less understood by others.

    Eg; loss of dignity, confidence, role, self esteem
  4. maturational loss
    Occurs as a result of normal life transitions

    Eg, when a child goes to school, or adolescent leaves home
  5. Situational loss
    Occurs in response to sudden unpredicted and specific events that have the capacity to threaten and immolise a person's life and wellbeing.

    Eg, divorce, childbirth, chronic illness and death
  6. Grief
    a cause or occasion of keen distress or sorrow over somethng that is loss.
  7. Bereavement
    The actual process a person goes through following a significant loss. 
  8. Mourning 
    Culturally and socially determined behaviour and rituals that identify the grieving process
  9. Nature of dealth
    Anticipated death

    Sudden death


  10. Responding to grief: Disenfranchised grief
    Occurs when people experience a loss that for whatever reason, is not or can not be socially approved, publicly mourned or openly knowledged.

    Eg, dealth of a pet, mistress
  11. Reponding to grief: Dysfunctional grief
    where the grieving process appear to exceed the "expected" time or intensity.

    • Signs of dysfuncitonal grief:
    • *false sense of wellbeing
    • *unable to discuss the loss without crying 
    • *change in relationship with family and freinds
    • *depression
  12. Assessment factor for grieving clients
    • *Personal characteristic - age, sex, education, socioeconomic status
    • *Nature of relationships-function of family, community, society. what is your relationship? will it change?how long have you known the dying client
    • *Social support system- who is present?
    • *cultural and spiritual beliefs
    • *loss of personal life goals- what is your goal in life?
    • *hope - tell me what you will do now?
    • *phase of grief- what are you feeling?
  13. Young adult
    • *more active, less illnesses
    • *growth completed by age 20
    • *Critical thinking habits increase
  14. Erickson theory
    • Adolescent: Identity Vs role confusion
    • -develope a sense of own individuality or get confused about what roles to play

    • Young adult: Intimacy Vs Isolation
    • -youg adult seek love and companionship with another person or becomes isolated from others by fearing rejection or disappointment
  15. Developmental tasks: Havighurst
    • select a mate 
    • learning to live with partner
    • starting a family 
    • starting an occupation
    • rearing children
  16. general principles of psychosocial changes
    • 1. Lifestyle
    • 2.career
    • 3.sexuality
    • 4.single status
    • 5.parenthood
    • 6.emotional health
  17. Health risks
    • - risk factors
    • -family history
    • -violets
    • -unplanned pregnancy
    • -personal hygiene habits
  18. Health concerns
    • -Health promotion
    • -exercise
    • -routine health screening
    • -infertility
  19. Middle adult
    begins mid 30- late 60s

    *physical changes may impact self concpt and body image

    *cognition changes is rare, unless illness or trauma occurs
  20. Erikson theory: generativity Vs stagnation
    Generativity: performs meaninful work, creative activities, and raises a familily. Fulfilling life or achievement.

    • Stagnation: beccomes stagnant and inactive
    • Eg: Individual feel disconnected or uninvolved with eh community.
  21. Havighurst thoery
    • -help teenager to develope
    • -achieve adult social responsibility
    • -relate to one's physical changes
    • -adjust to ageing parents
  22. Pyschosocial changes
    • -expected events
    • -career transitions
    • -sexuality
    • -sandwich generation is caring for ageing parents, children and grandchildren.
  23. Health concerns
    • Stress and stress reduction
    • related illnesses include:
    • -heart attacks
    • -hypertension
    • -migrain
    • -cancers
    • -ulcers
    • -backaches

    • *level of wellness
    • *positive health habits
    • *psychosocial concerns-anxiety and depression
  24. ageism
    Discrimnation against older adults.
  25. Role of RN towards older adults
    create positve enviroment

    be supportive and non-judgementatal

    listen, encouragement
  26. what are the stages of grief according to theory Kubler Ross
    • Denial
    • Anger
    • Barganing
    • Depression
    • Acceptance
  27. older adults
    Integrity and dispair

    • -satisfied with what has been achieved in the past
    • -or dispair at goals never been reached and unanswered questions