L8 loss, grieving and death.pdf - HKU SPCAE COMMUNITY...

This preview shows page 1 - 14 out of 56 pages.

HKU SPCAE COMMUNITY COLLEGECCST 4076Basic Clinical Nursing
LOSS, GRIEVING & DEATH
Learning Outcomes1.Describe types and sources of losses.2.Discuss selected frameworks for identifying stages ofgrieving.3.Identify clinical symptoms of grief.4.Discuss factors affecting a grief response.5.Identify measures that facilitate the grieving process.
Learning Outcomes6.List clinical signs of impending and actual death.7.Describe the process of helping clients die with dignity.8.Describe the role of the nurse in working with familiesor caregivers of dying clients.9.Describe nursing measures for care of the body afterdeath.
LOSS & GRIEVING
Grieving is a normal response to a lossGrieving is a normal, complex process that includesemotional, physical, spiritual, social and intellectualresponses and behaviors by which individuals,families, and communities incorporate a loss intotheir daily livesNational North American Nursing DiagnosisAssociation International
Types of LossActualRecognized by othersPerceivedExperienced by one person but cannot be verified by othersAnticipatoryExperienced before loss occursCan be actual or perceived
Types of Loss (cont'd)Situationali.e., Loss of job, death of childDevelopmentali.e., Departure of children from home
Sources of LossAspect selfExternal objectsFamiliar environmentLoved ones
Kübler-Ross Stages of DyingDenialAngerBargainingDepressionAcceptanceNote: NOT HAPPENING IN SEQUENCE
Engel Stages of GrievingShock and disbeliefDeveloping awarenessRestitutionResolving the lossIdealizationOutcome
Coping with death and dyingCoping consists of the cognitive & behavioral efforts tomanage specific external and/or internal demands that areappraised as taxing or exceeding one’s resources. (Lazarus& Folkman, 1984)Four tasks of coping in death & dying: physical,psychosocial, emotional & spiritual (Corr, 2000)
Appropriate death by WeismanFour criteria for“anappropriatedeath”: theperson’sinternalconflictshouldbereducedtominimal;theindividual’spersonal sense of identity should be sustained;criticalrelationshipsshouldbepreservedorevenenhanced; and the person should be encouraged to set andattempt to reach meaningful goals (Weisman in DeSpelder& Strickland, 2003).

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 56 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
NoProfessor
Tags
The Land, Grief

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture