NurseReview.Org - Loss and Grief

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<p>GRIEF AND LOSS Loss</p> <p>is a universal experience that occurs throughout life span is a form of sorrow involving feelings, thoughts, and behaviors caused by bereavement</p> <p> Grief</p> <p>GRIEF AND LOSS Responses</p> <p>to loss are strongly influenced by ones cultural background The grief process involves a sequence of affective, cognitive, and psychological states as a person responds to, and finally accepts a loss.</p> <p>Loss and grieving LOSS=</p> <p>something valuable is gone GRIEF= total response to emotional experience related to loss BEREAVEMENT= Subjective response by</p> <p>GRIEF AND LOSSStages of Grieving (Kubbler-Ross) Denial- refuses to believe that the loss has occurred Anger- the individual resists the loss and may act out feelings. Bargaining- the individual attempts to make a deal in an attempt to postpone the reality of loss. Depression- overwhelming feeling of loneliness and withdrawal from others Acceptance- the individual comes to terms with loss, or impending loss, psychological reactions to loss</p> <p>Loss and grievingStages of Grieving by KubblerRoss DABDA DENIAL= refusal to believe ANGER= hostility BARGAINING= feeling of guilt, fear of punishment DEPRESSION= withdrawn behavior ACCEPTANCE= comes to terms</p> <p>Loss and grievingStages D A B D A Behaviors Refuses to believe that loss is happening Retaliation Feelings of guilt, punishment for sins Laments over what has happened Begins to plan like wills, prosthesis</p> <p>AGE</p> <p>Death and Dying (Kozier) BeliefsNO clear concept of Death It is Reversible, Understands DEATH is temporarycan be FINAL but sleep AVOIDEDINEVITABLE Death is Understands own mortality Fears a lingering Death Attitude is influenced by religion Experiences peak of death anxiety Death as multiple meanings</p> <p>Infancy to 5 years old 5 to 9 years 9-12 years 12-18 years 18-45 45-65 years 65 and above</p> <p> Nurses</p> <p>Nursing responsibilities In Death and dying</p> <p>need to take time to analyze their own feelings about death before they can effectively help others with terminal illness</p> <p>clients are: 2. To maintain PHYSIOLOGIC and PSYCHOLOGIC support 3. To Achieve a dignified and peaceful death 4. To maintain personal control</p> <p>Nursing responsibilities In Death and dying dying The major goals for the</p> <p>Loss and Death RESPONSIBILITIES Provide</p> <p>Relief from loneliness, fear and depression Help clients maintain sense of security Help clients accept losses Provide physical comfort</p> <p>LOSS ,GRIEVING AND DEATH DEATH</p> <p>CONCEPTS</p> <p> 1-5 IMMOBILITY AND INACTIVITY Wishes and unrelated action responsible for action 5-10 final but can be avoided 9-12 understands own mortality and fears death 12 18 fears and fantasizes avoidance 18-45 increased attitude awareness 45-65 accepts mortality</p> <p>Interventions </p> <p>D SUPPORTIVE A- PROVIDE STRUCTURE AND CONTINUITY B LISTEN AND ENCOURAGE D- ALLOW EXPRESSION AND PROVIDE FOR SAFETY A- ENCOURAGE PARTICIPATION</p>