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Bowlby’s Phases of Mourning
1. Numb stage2. Painful stage3. Disorganized & despair4. Reorganization stage
Types of lose
• Physical– Death of spouse– Death of parent– Death of child– Death of friend
• Symbolic losses– Loss of work – Loss of status– Loss of mobility– Loss of independence
Loss of a Spouse
• Great magnitude• Risk of death– >2yrs
• Men– Feel alone
• Women – Feel abandoned
• Widows younger than widowers
Signs of approaching death
• Withdraw• i senses• Cheyne-Stokes
Respirations
• BP– i
• Pulse– i
• Temp– i
Development of concept of death
• Infant– No concept
• Toddler– Separation anxiety
• Preschool– Pain avoidance
• 5-6 – Punishment
• School-age– Have capacity to understand!
Durable power of attorney for health care
• Appoint someone to make their wished known in the event they can’t any longer