Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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normal and maladaptive grieving: the loss of self-esteem. Normal versus Maladaptive Grieving(p. 215).bereaved from adaptively performing activities of daily living are in evidence. Another example is of a widow who refused to participate in family gatherings following the death of her hus-band. For many years until her own death, she took a sandwich to the cemetery on holidays, sat on the tombstone, and ate her “holiday meal” with her husband. Other bereaved individuals have been known to set a place at the table for the deceased loved one long after the completed mourning process would have been expected.grieving and maladaptive grieving (the feeling of worthlessness Several authors have identifiloss of self-esteem commonly found in most clinical depression” or low self-esteem) ultimately precipitates depression.Marked feelings of worthlessness are indicative of depression rather than uncomplicated bereavement. Corr, Nabe, and Corr (2008) have stated, “Normal grief reactions do not include the that is not common in normal grief reactions. Cheong, Herkov, and Goodman (2009) affially experience a sense of worthlessness, guilt and/or low self-esteem Although both conditions may have depressed mood, loss of appetite, sleep disturbance, and decreased energy, people with depression usu-It is thought that this major difference between normal ed one crucial difference between Loss and Bereavement rmed: ●^399

2 2506_Ch24_390-405.indd 0399 506 Ch 24 390 - 405 .indd Concepts of Death—Developmental Issues 0 Children 399 Birth to Age 2. Children of this age are capable of understanding at least Ages 3 to 5. guishing between fantasy and reality. They believe death some of what they see and hear from adult conversations or understanding about death but often have diffito die.thoughts or behaviors caused a person to become sick or more.emotions of adults by becoming more irritable and crying home where a death has occurred. They often react to the this age will likely sense changes in the atmosphere of the may become quiet, lose weight, and sleep less. Children at separation. Infants who are separated from their mothers stand death, but they can experience the feelings of loss and magical thinking. For example, they may believe that their is reversible, and their thoughts about death may include Preschoolers and kindergartners have some Infants are unable to recognize and under- culty distin- 1 10/1/10 9:38:48 AM 0 / 1 / 10 9 : 38 : 48 AM
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