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Loss. Physical (loss of something tangible) Psychosocial: (loss of something symbolic or intangible). Change : always constitutes loss. Developmental change Normal change and growth Competency-based loss. Secondary loss.

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Presentation Transcript
slide1

Loss

Physical (loss of something tangible)

Psychosocial: (loss of something symbolic or intangible)

change always constitutes loss
Change: always constitutes loss
  • Developmental change
  • Normal change and growth
  • Competency-based loss
secondary loss
Secondary loss
  • A loss that coincides with or develops as a consequence of the initial loss.
  • (examples: loss of income when spouse dies, loss of concept of self as healthy when serious illness occurs)
grief mourning
Grief & Mourning
  • Grief: the process of experiencing the psychological, behavioral, social, and physical reactions to the perception of loss.
  • Mourning: the work of adapting andchanging as a result of the loss
grief
Grief
  • Experienced in four major ways: psychologically, behaviorally, socially, physically
  • A continuing development
  • A natural reaction
  • Expected with all types of loss
  • Dependent upon the individual’s perception of the loss
mourning
Mourning
  • Reacting to separation from the deceased
  • Modification of roles, skills, identity
  • Learning to live in a healthy way without the deceased
myths misconceptions
Myths & Misconceptions
  • Grief declines steadily over time
  • The mourner must put the loss out of mind
  • Intensity and length of mourning are a testimony to love
  • Grief involves only the loss of the person
  • Mourning is complete in a year
  • Time is a healer
danger don t rigidly apply grief theory
Danger: don’t rigidly apply grief theory
  • Commonalities exist
  • Idiosyncratic variations occur
  • It’s not a static state, but rather a process of many changes over time
kubler ross stages
Kubler-Ross’ Stages
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance
why think about death
Why think about death?
  • To give meaning to human existence
  • To encourage productivity & enjoyment of life
  • To prepare for ultimate acceptance of death
ways to prepare
Ways to prepare:
  • Be close to someone who is facing death with inner peace
  • Plan financially
  • Develop solid support
  • Incorporate religious beliefs into life
how can we help
How can we help???
  • Denial: support without reinforcing
    • Stay physically present
    • Offer regressive care (food, drink, safety)
how can we help1
How can we help???
  • Anger
    • Provide anticipatory guidance
    • Don’t take it personally
    • Meet needs that precipitate anger
how can we help2
How can we help???
  • Bargaining
    • Provide information for decision-making
    • Offer resources and referrals
how can we help3
How can we help???
  • Despair
    • Supportive listening
    • Touch
    • Avoid cliches
    • Assess risk of harm to self
how can we help4
How can we help???
  • Acceptance
    • Assist in planning
    • Utilize cultural practices
    • Allow expression of feelings
    • Accept changes in feelings
    • Support groups for patient & families
hospice care
Hospice Care
  • A philosophy of caring for the dying
  • Curing vs. Caring
  • Criteria for moving to hospice care
helpful hints
Helpful hints:
  • Don’t ask whether I’m ‘over it’. I’ll never be ‘over it’.
  • Don’t tell me he’s in a better place. He isn’t here.
  • Don’t say “At least he isn’t suffering”. I wonder why he had to suffer at all.
  • Don’t tell me you know how I feel unless you have had the same experience.
  • Don’t tell me ‘God doesn’t make mistakes’; you mean God did this on purpose???
  • Don’t tell me ‘God doesn’t give more than we can handle’. I don’t feel like I am “handling” it.
please just say
Please just say:
  • That you are sorry.
  • That you miss him too, if you do.
  • That you will listen.
as we learn to help
As we learn to help:
  • “Birds make great sky circles of their freedom. But how do they learn it? They learn by falling, and by falling they’re given wings.
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