Chapter 16 LECTURE 14 PART II Flashcards
Loss, Grief, and Bereavement
ROLE OF THE HEALTH-CARE WORKER
-What is the focus of care on?
The patient and the family unit
ROLE OF THE HEALTH-CARE WORKER
-Cultural competence is key to what?
-As the nurse, you should allow them to do the things they want as long as what?
-Successful communication & support
-As long as it doesn’t interfere with care
GRIEF EARLY IN THE LIFE CYCLE: Pregnant Women
-What kind of loss is common?
Perinatal loss
GRIEF EARLY IN THE LIFE CYCLE: Pregnant Women
-Who tends to suffer more intense grief?
-Even so, what should NOT be neglected?
-The mother
-the impact of the loss on the father
GRIEF EARLY IN THE LIFE CYCLE: Infants
-By what age do infants establish an attachment?
-What does this mean?
-10 months
-That they are capable of responding to loss
GRIEF EARLY IN THE LIFE CYCLE: Infants
-An infants response to loss may resurface when?
In adulthood
GRIEF EARLY IN THE LIFE CYCLE: Infants
-What has been established in infancy that can impact loss?
Separation anxiety, attachment, and object permanence
GRIEF EARLY IN THE LIFE CYCLE: Children
-By what age do children realize that death is NOT reversible?
age 6
GRIEF EARLY IN THE LIFE CYCLE: Children
-In response to loss, children may show what three kinds of emotions?
Anger, guilt, or fear
GRIEF EARLY IN THE LIFE CYCLE: Adolescents
-Adolescents grieve through what three things?
- Academic withdrawal
- Regression
- Physical complaints, like headaches or abdominal pain
GRIEF EARLY IN THE LIFE CYCLE: Young Adults
-Young adults may rage at what?
-What may they have anxiety about?
-Lost opportunities
-the future
GRIEF EARLY IN THE LIFE CYCLE: Young Adults
-What are four types of emotions that they may feel?
- Resentment
- Guilt
- Irritation
- Relief
COMMUNICATING WITH THE BEREAVED
Instead of saying: “I know how you feel”, what should you say?
“I am sorry for your loss”
COMMUNICATING WITH THE BEREAVED
Instead of saying: “You must not blame God. You should not feel like that”, what should you say?
“It is okay to be angry”
COMMUNICATING WITH THE BEREAVED
Instead of saying: “You will be okay in a week or so”, what should you say?
“Grieving takes time. Take your time. Don’t feel pushed to do anything”
COMMUNICATING WITH THE BEREAVED
Instead of saying: “He lived a long and full life”, what should you say?
“It is not easy for you. Tell me about the person you lost”
COMMUNICATING WITH THE BEREAVED
Instead of saying: “Tell me what happened”, what should you say?
“Would you like to talk? I will listen”
COMMUNICATING WITH THE BEREAVED
Instead of saying: “Do not feel guilty. Do not cry”
“You did the best you could. It is okay to cry”
COMMUNICATING WITH THE BEREAVED
-What is the most important thing to do?
Listen
CHILDREN COPING WITH LOSS
-What kind of thinkers are children?
Concrete thinkers
CHILDREN COPING WITH LOSS
-You should avoid what kind of expressions?
-How should you answer questions?
-You should offer details….
-Saying that the person “passed” or “went to sleep”
-simply and honestly
-they can understand
CHILDREN COPING WITH LOSS
-You should allow children to talk about what?
-You should allow them to express what?
-Their fears
-Their sorrow
CHILDREN COPING WITH LOSS
-Play activities are a way that children express what?
-They can be ____ in their grief
-grief
-physical
CHILDREN COPING WITH LOSS
-You can expect their grief to reawaken when?
During strong reminders of the loss
CHILDREN COPING WITH LOSS
-You should allow children to do what? (4)
- Remember
- Reminisce
- Talk about the deceased
- Make choices for a sense of control
CHILDREN COPING WITH LOSS
-Maintain _____ _____ as much as possible
Regular routines
THE HEALING PROCESS: Reintegration & Adjustment
-Complicated grief was formerly termed what?
Unresolved grief
THE HEALING PROCESS: Reintegration & Adjustment
-What two things can be helpful?
- Grief journaling
- Letter writing
THE HEALING PROCESS: Reintegration & Adjustment
-Is it hard to readjust?
-It may take a long time to do what?
-Yes
-reintegrate into some type of normalcy
THE HEALING PROCESS: Mastering Tasks Leading
1. Talk about the _____
2. Accept your ____
3. Take ____ of ____
4. Find ways to _____ others in _____ ____
5. ______ and _____ the life of your loved one
- death
- feelings
- care; yourself
- help; same situations
- Remember and celebrate
HELPING GRIEVING SURVIVORS
-You can send ____
-What is it?
-Condolences
-Expressing sympathy or to grieve together
HELPING GRIEVING SURVIVORS
-What is sympathy?
-Example?
-Pity-based response with a lack of understanding on the part of the person offering it
-“I’m sorry you’re hurting”
HELPING GRIEVING SURVIVORS
-What is empathy?
-Example?
-An emotional response that acknowledges & attempts to understand the suffering of the other person
-“I understand how you’re feeling”
HELPING GRIEVING SURVIVORS
-You always want to remember that you DO NOT want the roles to….
-Why?
-Example?
-reverse
-You need to be their strength
-Family members are taking care of you
HELPING GRIEVING SURVIVORS
-Grief experience is ____ ____
-What is the goal?
-life changing
-To move successfully into a new life that includes many changes
TASKS OF THE FAMILY
-What should they first start preparing for?
A funeral
TASKS OF THE FAMILY
-What is a eulogy?
A speech presented at the funeral ceremony to memorialize the deceased
TASKS OF THE FAMILY
-Reorganization of what may occur?
-Examples?
-Roles
-Taking care of children, earning money to pay the bills
TASKS OF THE FAMILY
-Adults should respond to the needs of who?
-Why?
-Young children
-Because they will not fully understand it, but you shouldn’t brush their feelings aside
TASKS OF THE FAMILY
-They will also be assessing what?
Resources
ROLE OF THE NURSE IN GRIEF & LOSS
-What two things should you build with the family?
Trust and rapport
ROLE OF THE NURSE IN GRIEF & LOSS
-You should assess characteristic signs of ____ and ____ and address them _____
-grief and loss
-appropriately
ROLE OF THE NURSE IN GRIEF & LOSS
-You should encourage the patient and family to speak in what two ways?
Openly and honestly
ROLE OF THE NURSE IN GRIEF & LOSS
-You should utilize what type of skills?
-What should you provide? Example?
-active listening skills
-a nonjudgemental environment
–> if a child died by drowning, DO NOT ask who was watching the child
ROLE OF THE NURSE IN GRIEF & LOSS
-What should you provide?
Resources
ROLE OF THE NURSE IN GRIEF & LOSS
-What type of approach should be applied?
-You should do this based on what two things?
-Lifespan approach
-Age and needs of the individual
