Intro to Palliative Handout Notes

Question 1

What are the Six “R’s” process of mourning?

Answer 1

1. Recognize the loss.
2. React to the separation.
3. Recollect and re-experience the deceased and the relationship.
4. Relinquish the old attachments to the deceased and the old assumptive world.
5. Readjust to move adaptively into the new world without forgetting the old.
6. Reinvest.

Question 2

What action is part of the first “R” in the six “R’s” process of mourning, “Recognize the loss”?

Answer 2

Acknowledge and understand the loss.

Question 3

What actions are part of the second “R” in the six “R’s” process of mourning, “React to the separation”?

Answer 3

Experience the pain.
Feel, identify, accept and give some form of expression to all psychological reactions to the loss.
Identify and mourn secondary losses.

Question 4

What actions are part of the third “R” in the six “R’s” process of mourning, “Recollect and re-experience the deceased and the relationship”?

Answer 4

Review and remember realistically

Revive and re-experience the feelings.

Question 5

What actions are part of the fifth “R” in the six “R’s” process of mourning, “Readjust to move adaptively into the new world without forgetting the old”?

Answer 5

Revise the assumptive world.
Develop a new relationship with the deceased.
Adopt new ways of being in the world.
Form a new identity.