Covering up for a weakness by overemphasizing or making up a desirable trait. Example concentrating on not eating so i can lose weight and become more attractive to make up for my stupidity and failures in life.
Painful truths are denied. It is the verbal equivalant of suppression. Example A girl who loved her father very much often came home from school to find him drunk. He often assulted her physically. She found this so unpleasant that she simply did not think about it and so appeared to be quite contented. This is suppression. When a nurse asks her if her father ever beat her she said, "No, he loves me." this is denial.
Putting feeling (especially negative one's) on someone or something else other than the direct cause of those feelings. Ex: yelling at your mother because your teacher embarrassed you.
Unconscious transfer of outside character traits into one's own mind. This is what makes you cry at the movies.
is when a person does the opposite of what they want. Example: If someone you love rejects you, you may be able to deal with this more easily by hating the person instead.
Attempts to make or prove those one's feelings or behaviors are justified. Example: "I don't have enough time to do those exercises", or "I beat her because she talks back."
is a conscious behavior this is the opposite of an unconscious feeling.
assuming childlike behavior
is the involuntary relegation of consciously intolerant ideas into the unconscious mind.
Is finding a social acceptable outlet for a socially loaded problem. Someone that has anger issues becomes a butcher and loves his job.
is the conscious equivalent of repression. Example Mr. Cage a normally model patent develops a fever one night and became confused and struck his nurse. The next day when the fever and confusion were gone he was told that he struck his nurse. When the incident is mentioned to him a week later however he has no recollection of being told that he had struck his nurse. To Mr. Cage the idea of striking his nurse was in conflict with his normal character. Rather than leave such conflicts in his conscious mind, he repressed the painful thought into his unconscious.
When one idea comes to stand for another. Ex money for love.
Using only logical explanations without feelings or an affective component.
Unconsciously incorporating wishes, values, attitudes of others as if they were your own.
Blaming someone else for one's difficulties or placing one's unethical desires on someone else.
The unconscious expression of intrapsychic conflict symbolically through physical symptoms.
Doing something to counteract or make up for a transgression or wrong doing.
The unconscious separation of painful feelings and emotions from and unacceptable idea, situation, or object.
Is the process the individual experiences with loss. It is a form of sorrow that follows the loss of anything or anyone who is valued
What are the symptoms of grieving?
1. Necessary Nothing
2. Perceived Passes
3. Situational S
4. Actual A
5. Maturational M's
6. Ultimate Ukulele
What are the different kinds of losses?
Go away to college, leave friends behind, death of loved one.
What does a necessary loss mean?
Less obvious but real to the person.
What does a perceived loss mean?
Results in a sudden , unpredictable life event.
What does a Situational loss mean?
Loss of a body part, pet, friend, life partner, or if material items are worn out or lost in a natural disaster.
What does a Actual loss mean?
Due to developmental changes, such as growing up and growing older.
What does a Maturational loss mean?
Death is the ultimate loss as relationships with family and friends are ended.
What does a Ultimate loss mean?
An emotional response to a loss and its manifested in many ways.
What is grief?
Involves mourning conscious and unconscious beliefs.
What does grief involve?
Involves grief and mourning.
What does bereavement involve?
1. Denial Did
2. Anger Alan
3. Bargaining Bring
4. Depression Dr. Pepper &
5. Acceptance Alcohol
What are Kubler-Ross's Stages of Dying?
"no not me" stage.
What is the denial stage?
It is the "why me?" stage associated with feelings about the unfairness of life, or anger with God.
What is the Anger stage?
This stage is when the person is saying "Yes, me, but...I need more time."
The bargaining stage involves pleading for time extension or special consideration.What is the Bargaining stage?
Kubler-Ross identified this stage to be the "Yes me" stage, accompanied by depressive feelings and mood swings.
What is the Depression stage?
This stage is characterized by an acknowledgement of the inevitable EOL (End Of Life).
What is the acceptance stage?
1. Numbing No one
2. Yearning and Searching Yelled
3. Disorganization and despair. Devil
4. Reorganization Riots
What are Bowlby's Phases of Mourning?
Feeling stunned or unreal
What characterizes the numbing stage?
Outbursts, tearful sobbing, acute distress (reacting to loss)
What characterizes the Yearning and searching stage?
Think about how and why the loss occurred.
What characterizes the Disorganization and Despair stage?
Acceptance of unaccustomed role.
What characterizes the Reorganization stage?
3. Relinquishes old attachments
4. Readjusts to life after loss.
What does Rando's "R" Process Model include?
Task 1: To accept the reality of the loss
Task 2: To work through the pain of loss
Task 3: To adjust to the environment in which the deceased is missing
Task 4: To emotionally relocate the deceased and move on with life.
What is Worden's Four tasks of Mourning?
1. Normal No one
2. Anticipatory Admits to
3. Complicated Comprehension
4. Disenfranchised Deficits
What are the different types of Grief?
Commonly expected emotions and behaviors
What is Normal grief?
The process of letting go
What is Anticipatory grief?
Includes chronic, delayed, exaggerated, and masked grief.
What is Complicated grief?
Experience a loss, but will not publicly acknowledge it.
What is Disenfranchised grief?
What are factors that influence loss and grief?
1. Human development
2. Psychological perspectives of grief and loss
3. Socioeconomic status
4. Nature of personal relationships
5. Nature of loss
6. Culture and ethnicity
7. Spiritual beliefs
1. Identify type and stages of grief
2. Coping resources
3. End of life decisions
What should you asses for when assessing a patient that is dealing with grief?
is defined as "a clinical approach designed to improve the quality of life for clients and families coping with a life threatening illness". This care is recognized as a philosophy of care and as an emerging practice discipline.
What is Palliative care?
Prevention, reduction or relief of physical, emotional, social, and spiritual symptoms at the end of life.
What does Palliative care include?
Involves multidisciplinary team approach.
What kind of approach does Palliative care need?
(pg 144 A& b) A fundamental difference between the two approaches is that palliative care team can admit and serve patients still receiving curative treatment, with no time restrictions regrading prognosis. Hospice clients must have a prognosis of 6 months or less, and cannot be receiving active medical treatment.
What is the difference between Palliative care and Hospice care?
What kind of care is orientated to Hospice care?
Emphasizes palliative care with family and patient.
What does hospice care emphasize?
Yes. Interdisciplinary team provides psychological and physical resources.
Is there a need for a team approach when it comes to hospice care?
Yes. It is a philosophy of care that addresses pain control and to die at home with dignity and family
Is Hospice care a philosophy of care? And what does this care address?
She/ he must be aware of the symptoms of burnout in any area of nursing due to the constant issue of dealing with people with health care needs.
What must a nurse be aware of?
Focus on the goal of helping the patient.
What do you need to focus on when evaluating the patient?
It reveals that the patient has developed an increased or resorted sense of connectedness.
What does a successful outcome look like?
Ask yourself if you have met the patient's expectations.
What should you ask yourself when you evaluate?
It is manifested by a combination of symptoms that interfere with the ability to work, study, sleep, eat, and enjoy pleasurable activities. .
What is major depression?
_____ is a liess severe form of depression which involves long term chronic symptoms that do not disable, but keep one from functioning well feeling good. Many peeps with _______ experience major depressive episode at some time in their lives.
What is Dysthymia?
This is also known as manic-depressive disorder which is characterized by cycling mood swings: severe highs and lows. Most often these mood swings are gradual but can be sudden and dramatic.
What is bipolar?
Could be biological, stress related, due to the low levels of dopamine or serotonin levels that cause depressive episodes. Medical conditions such as stroke, heart attacks, cancer, Parkinson's disease, and hormonal changes can cause depressive episodes.
What are the causes of depression?
What are the theories of alcoholism?
Is a psychological dependence on a substance.
what is habituation?