Loss, Grief and Death_10

Loss, Grief and Death_10 - Kimberly Glenn MN, RN, CPN...

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Unformatted text preview: Kimberly Glenn MN, RN, CPN Clinical Associate Professor N312 Foundations Fall09 Types: situational, maturational, necessary  Actual vs perceived Actual: can no longer hear, feel or know a person or object (can be person, limb, favorite animal) Perceived: only the person feeling the loss can explain  Ultimate loss: DEATH Culture  Spirituality  Personal beliefs and values: includes culture  Previous experience with death  Degree of support: family or other  These factors affect all aspects of loss, grief, & death  Also the nature of the loss: sudden or over time; public or private Complex response to loss  Important to find out when the loss occurred  Research pointed to a loose time line in how one moves thru the stages of grief to acceptance: usually progresses over a 2 year time frame.  yearning: peaks around 2 months after loss (most common negative feeling)  anger/depression: peaked around 4 months Anticipatory grief: period of disengaging or letting go. Occurs over a period of time, go thru the stages and the intense response to the death occurs before the actual death.  Disenfranchised grief: person grieving has not had the opportunity to grieve openly-possibly due to societal views Kbler-Rosss Stages of Dying Denial: nothing has happened Anger: against God, people, situation Bargaining: to cushion or postpone the inevitable Depression: full impact hits Acceptance: incorporates the loss & moves on  No time line, not just a forward progression-can go back & forth between stages for long period Grieving Hopelessness Caregiver Role Strain Listen to the client: be culturally competent  Dont take anything they say or do personally  Establish a trusting, open relationship  Assess for symptoms of normal grief (Box 30- 5, pg 469). Ascertain if they occurred before the loss, are they interrelated Cognitive: i.e. confusion, inability to make decisions or concentrate Physical: i.e. HA, insomnia, lack of energy, muscle weakness Behavior: i.e. crying, absentmindedness, keeping room intact after person dies...
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This note was uploaded on 02/16/2011 for the course NURS 312 taught by Professor Glenn during the Fall '10 term at South Carolina.

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Loss, Grief and Death_10 - Kimberly Glenn MN, RN, CPN...

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