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powerpoint_10_-_death_and_bereavement - Death and...

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Unformatted text preview: Death and Bereavement Death Emotional responses to chronic illness illness Denial Examples: I don’t have the illness My illness is not severe My illness can be cured Adaptive or maladaptive? Anxiety Overwhelmed Hypervigilant Emotional responses to chronic illness illness Depression Poorer compliance Increased symptoms Difficult to diagnose Positive reactions Cognitive adaptation Reframing Minimization Gives of negative life meaning Take Brings time to enjoy what is important people together More empathetic Beliefs about chronic illness Beliefs Think Think about how each of these can be adaptive and maladaptive: adaptive Self-blame Other-blame Control beliefs Conception of death over the lifespan lifespan Childhood Not understood before age 5 5-9 may understand death is final 9-10 may understand that death is universal Young Young Link adulthood death with trauma Conception of death over the lifespan lifespan Middle adulthood Death becomes more realistic Midlife crisis Late adulthood More prepared to face death Had experience with death Treatment issues in advancing illness illness Continued Continued treatment is often debilitating and unpleasant and Moral and legal issues Euthanasia Euthanasia “Right to die” DNR policies Living wills Psychological issues related to dying dying Changes in the self-concept Changes in social interactions Changes in communication Kubler-Ross five stage theory Kubler-Ross Denial “Maybe there was a mistake” Anger “Why me?” Bargaining Bargaining Trade good behavior for good health Depression Depression Anticipatory grief Acceptance Tired, peaceful, calm Evaluation of Kubler-Ross stages Evaluation Never going through a stage Going through a stage multiple times Going through multiple stages at once Does not acknowledge anxiety Medical staff and the terminally ill patient the Understaffing Hospital regulations Significance Risk of staff to patient of terminal care for staff Achieving an appropriate death Achieving Informed Safe consent conduct Significant survival Anticipatory Timely grief and appropriate death Counseling with the terminally ill Counseling Counseling for the patient Counseling for the family Counseling for survivors Alternatives to hospital care Hospice Deal with death in a positive manner Palliative rather than curative Psychological comfort is stressed Home care Psychological comforting for patients Quality of care can be an issue Can be stressful for family Problems of survivors Problems Time Few around death can be frenzied weeks before death: Visits to the hospital Legal issues Last minute therapies Few weeks after death: Funeral arrangements Dealing with family members and well wishers Dealing with new and foreign responsibilities Problems of survivors Problems Grief Feeling Feeling of hollowness marked with preoccupation of the person who has died preoccupation Adult survivor Needs to take on new responsibilities Social support system crucial Child survivor Understanding of death may be incomplete Feelings of guilt ...
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