Professional Documents
Culture Documents
illness that causes pain and or physical distress (ex. Arthritis, back pain) resulting
a sleeping problems
they require more sleep than normal, and the normal of sleep and wakefulness is
often disturbed
Illness
like:
-Respiratory conditions- shortness of breath, nasal congestion, or sinus drainage
-Gastric
or
duodenal
ulcerspain
during
REM
sleep
-endocrinehyperthyroidism
and
hypothyroidism
-the need to urinate during night
2. Environment
3. Emotional Stress
it change results in deep sleep and REM sleep and more stage changes and
awakenings
4. Lifestyle
5.
Following an irregular morning and night time schedule can affect sleep.
The persons ability to relax before retiring is an important factor affecting the
ability to fall asleep.
weight gain is associated with reduced total sleep time, broken sleep and earlier
awakening
weight loss, associated with an increase in total sleep time and less broke sleep
6. Diet
7. Smoking
nicotine has a stimulating effect resulting of more difficulty falling asleep than
non smokers do.
8. Motivation
9.
Medications
Drugs that disrupt REM sleep, delay onset of sleep, decrease sleep time:
Alcohol, amphetamines, antidepressants, beta blockers, bronchodilators,
caffeine, decongestants, narcotics, steroid
Grief (kalungkutan)
permits individual to cope with the loss gradually and to accept it as part of reality
social process
Bereavement (pangungulila)
the subjective response experienced by the surviving loved ones after the death of a
person with whom they have shared a significant relationship
Mourning (pagluluksa)
behavioral process through which grief is eventually resolved or altered; often influenced
by culture, spiritual beliefs, and custom.
1. Abbreviated grief- brief but genuinely felt; occurs when the lost object is not
significantly important to the grieving person or may have been replaced immediately by
another, equally esteemed object.
2. Anticipatory grief- experienced in advance of the event
-grief is expressed in anticipation
3. Disenfranchised grief-occurs when a person is unable to acknowledge the loss to
other persons.
-situations that relate to a socially unacceptable loss that cannot be spoken about
-examples: abortion, suicide, giving child for adoption, loses of relationship that are
socially unsanctioned
4. Complicated grief
-pathologic, unhealthy grief
-exists within the strategies to cope with the loss are maladaptive
-factors like traumatic loss, family or cultural barriers, emotional expression of grief,
sudden death, strained relationship between survivor and deceased and lack of
adequate port of survivor
1. Age- affects person's understanding of and reaction to loss. With familiarity, people
usually increase their understanding and acceptance of life, loss and death
Childhood
-differs from adult not only in understanding but also how they are affected by the loss of
others
-it can threaten a child's ability to develop, and regression sometimes results.
-they can feel afraid, abandoned, and lonely
-it can a serious effects later in life
Late adulthood
-losses experienced by older adults include loss of health, mobility, independence, and
work role.
-for older adults, the loss through a death of a long time mate is profound
subsequent behaviour.
-most religious groups have practices related to dying and these are often important to
the client and support people
-to provide support at a time of death, nurses need to understand the client's particular
belief and practices.
5. Gender
-men are frequently expected to "be strong" and show very little emotion during grief,
whereas acceptable for women to show grief by crying
6. Socioeconomic status
-it often affects the support system available at the time of the loss
7. Support system
-the people closest to the grieving individual are often the first to recognize and provide
needed emotional, physical, and functional assistance
8. Cause of Loss or Death
-individual and societal views on the cause of loss or death may significantly influence
the grief response.