ch 27 bereaved individual

elisabeth kubler ross stages of grief

traditional 5 stages of grief (denial, anger, bargaining, depression, acceptance) sometimes 6 (+ making meaning)

john bowlby stages of grief

1. Numbness or protest

2. Disequilibrium

3. Disorganization and despair

4. Reorganization

george engel stages of grief

1. shock and disbelief

2. developing awareness

3. restitution

4. resolution of the loss

5. recovery

william worden steps of grief

1. accepting the reality of the loss

2. processing the pain of grief

3. adjusting to a world without the lost entity

4. finding an enduring connection with the lost entity in new life

acute grief typical duration

6-8 weeks

delayed/inhibited grief

maladaptive, stuck in denial, grief can be triggered much later and be more extreme

distorted/exaggerated grief

maladaptive, stuck in anger, incapable of managing activities of daily living

chronic/prolonged grieving

maladaptive if certain behaviors are exhibited, aimed at keeping lost loved one alive

red flags of complicated grief examples

episodes of rage, inability to focus on other things, self destructive behavior, suicidal thoughts and actions

birth-2 yrs concept of death

can't understand, still feel loss

3-5 yrs concepts of death

some understanding, difficulty with fantasy vs reality, may think it's reversible

6-9 yrs concept of death

begin to understand, can't perceive their own, have somatic symptoms (ex: bed wetting)

10-12 yrs concept of death

understand death is final, depression is common, interested in physical aspects of death

adolescents concept of death

see it on an adult level, may act out, easier to discuss with peers than adults

elderly adults concept of death

bereavement overload (loss of people, abilities, memory, etc)

living will

clear instructions for future care in case of loss of ability to make decisions (ex: DNR)