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When someone or something can no longer be felt, seen, heard, known or experiened.
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
Can be difficult to identify as it is less tangible and less understood by others.
Eg; loss of dignity, confidence, role, self esteem
Occurs as a result of normal life transitions
Eg, when a child goes to school, or adolescent leaves home
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
a cause or occasion of keen distress or sorrow over somethng that is loss.
The actual process a person goes through following a significant loss.
Culturally and socially determined behaviour and rituals that identify the grieving process
Nature of dealth
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
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
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?
- *more active, less illnesses
- *growth completed by age 20
- *Critical thinking habits increase
- 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
Developmental tasks: Havighurst
- select a mate
- learning to live with partner
- starting a family
- starting an occupation
- rearing children
general principles of psychosocial changes
- 1. Lifestyle
- 4.single status
- 6.emotional health
- - risk factors
- -family history
- -unplanned pregnancy
- -personal hygiene habits
- -Health promotion
- -routine health screening
begins mid 30- late 60s
*physical changes may impact self concpt and body image
*cognition changes is rare, unless illness or trauma occurs
Erikson theory: generativity Vs stagnation
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.
- -help teenager to develope
- -achieve adult social responsibility
- -relate to one's physical changes
- -adjust to ageing parents
- -expected events
- -career transitions
- -sandwich generation is caring for ageing parents, children and grandchildren.
- Stress and stress reduction
- related illnesses include:
- -heart attacks
- *level of wellness
- *positive health habits
- *psychosocial concerns-anxiety and depression
Discrimnation against older adults.
Role of RN towards older adults
create positve enviroment
be supportive and non-judgementatal
what are the stages of grief according to theory Kubler Ross
Integrity and dispair
- -satisfied with what has been achieved in the past
- -or dispair at goals never been reached and unanswered questions