Types of Grief & Loss
Grief that is complicated by adjustment disorders, major depression, substance abuse, and post-traumatic stress disorder.
What is complicated grief
Beliefs about the meaning of life, death and afterlife.
What is death ethos
Age group is dependent on caregivers for their needs but are trying to master independence
What is ages 2-3 (toddlers).
A type of damage to the mind that occurs as a result of a severely distressing event.
What is psychological trauma
A document that allows the client/patient to state their wishes for end-of-life medical care. The client/patient is not subjected to any treatment without his/her consent. The client/patient is instructing medical personnel to use, withhold or withdraw life-sustaining treatment when the patient can no longer make decisions.
What is a living will or advance directive
A natural reaction to an event or loss that is personally painful or traumatic
What is normal grief.
Communal or institutional expression or practice of faith
What is religion
Middle age adults meeting the needs of of their own family, their parents and older family members are known as the specific type of generation.
What is the sandwich generation.
Trauma that is usually inflicted by others on a group of people based on their ethnicity, race, color, or religion for the profit or benefit of the oppressors
What is historical trauma
Provides pain relief and comfort care to those who are seriously ill no matter what the prognosis.
What is palliative care
The normal mourning that occurs when a death or other loss is expected.
What is anticipatory grief.
Refusal to believe that death would take anything away and believe it could be overcome.
What is death defying
This age group does not recognize death but experiences loss in reaction to separation by being sluggish, quiet and unresponsive.
What is infancy.
Historical trauma leads to another type of trauma
What is intergenerational trauma
This form is an approach to improving end-of-life care in the United States, encouraging doctors to speak with patients and create specific medical orders to be honored by health care workers during a medical crisis.
What is the POLST form
Loss surrounded by a stigma that results in lack of support, acknowledgment and/or understanding of survivors and the challenges they face
What is disenfranchised grief
Viewing death as an inevitable and natural part of the life cycle.
Behaviors and events of the dying process are integrated into everyday life.
What is death accepting
This age group is at great risk for maladaptive coping strategies such as substance abuse, risk taking, sexual experimentation and suicide
What is adolescence
Example of historical and intergenerational trauma
´Native American/First Nation Genocide
´African American Enslavement
´The Holocaust (WWII Europe)
´The Khmer Rouge
´The Annexation of China by the Japanese (e.g., The Rape of Nanking)
´Rwandan Genocide
´Pinochet Regime & The Disappeared (Chile)
´Extreme Poverty
Interventions that are unlikely to provide significant benefit for the patient.
What is medical futility
Delayed grief which may occur when one is expected to “be strong” for others
Complicated grief
That which gives meaning to ones life.
What is spirituality
The cumulative experience of both symbolic and actual losses that occur as one ages.
What are pileup losses.
A result of this may result in the lack of trust in “outsiders”
What is historical and intergenerational trauma
In Washington State, doctors provide the means to end the patient’s life by prescribing a lethal dose of medication that the patient self-administers.
Death with Dignity Act