PP - GRIEF Flashcards
Grief can be defined as
the feelings or reactions an individual has to a loss in one’s life
The loss that an individual endures is not necessarily related to a death, as grief can be experienced from
any loss or personal experiences
Types of Grief (4)
Normal
Anticipatory
Prolonged Grief Disorder
Disenfranchised
Normal:
Also known as uncomplicated grief
caused by loss of someone very close
through death or the ending of a relationship
Anticipatory:
Grief that is experienced before the expected loss of someone or something
Prolonged grief disorder (PGD)
Previously known as complicated grief
lasts >6 months
can be so significant - affects client’s ability to function
Disenfranchised:
Grief related to a relationship that does not coincide with what is considered by society to be a recognized or justified loss
what would nbe an example of this???
grief is a normal response to loss, every person has their own
unique / personal way of moving through grieving process.
One’s culture often provides the guidelines for
how people express their grief experience, and in turn, serves as foundation for their actions
Kubler-Ross Five Stages of Grief Model
Denial
Anger
Bargaining
Depression
Acceptance
Denial:
Client refuses to believe the truth and this helps to lessen the pain of the loss
Anger:
Client is trying to adjust to the loss and is feeling severe emotional distress, often asking “why me?” and suggesting “it’s not fair”
Bargaining:
Usually involves bargaining with a higher power by making a promise to do something in exchange for a different, better outcome
Depression:
Reality sets in, and the loss of the loved one or thing is deeply felt
Acceptance:
Client still feels the pain of the loss but realizes they will be all right
The Dual Process Model of Grief
Suggests process of grieving oscillates between two types of stressors
loss-oriented and restoration grief
During loss-oriented stressors,
grief is conveyed through intense thoughts and feelings
restoration grief process involves
coping w/
AKA (secondary losses) and rebuilding one’s life w/out loved one.
Secondary losses
other losses that come w/ death of a loved one
Worden’s Four Tasks of Mourning
Accept the reality of the loss
Experience the pain of grief
Adjust to an environment w/out the deceased
Create an enduring connection to deceased loved one, while embarking on a new life
Common Grief Reactions (9)
Shock
Anger
Anxiety
Numbness
Denial
Guilt
Sadness
Relief (if death is expected)
Depression
When might relief be felt when a loved one dies
When the death is expected
The age of the person experiencing the grief will influence what
the grief response
Religious-Spiritual rituals can help a person who is grieving to
deal with death and the grieving process
The NURSE Technique
Name
Understand
Respect
Support
Explore
The nurse Technique - Name
Identify what client just stated, or emotion expressed by client
The nurse Technique - Understand
Demonstrate understanding by recognizing client’s feelings
providing an opportunity for client to discuss their feelings
The nurse Technique - Respect
Voice your respect for client under these circumstances
The nurse Technique - Support
Inform client that you are available to him / her
The nurse Technique - Explore
Ask open-ended questions to
extend conversation
provide more detailed expression of client’s feelings / beliefs
What may nurses experience after a clients death
grief
Reactions differ among nurses in expressing grief and is affected by
clinical circumstances of client’s death
personal factors specific to the nurse.
Because reactions to grief differ, each nurse needs to be aware of and
manage their grief
