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Loss And Grief
 

Loss And Grief

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    Loss And Grief Loss And Grief Presentation Transcript

    • Grief and Loss pinoynursing.webkotoh.com
    • GRIEF AND LOSS
      • Loss is a universal experience that occurs throughout life span
      • Grief is a form of sorrow involving feelings, thoughts, and behaviors caused by bereavement
    • GRIEF AND LOSS
      • Responses to loss are strongly influenced by one’s cultural background
      • The grief process involves a sequence of affective, cognitive, and psychological states as a person responds to, and finally accepts a loss.
    • Loss and grieving
      • LOSS= something valuable is gone
      • GRIEF= total response to emotional experience related to loss
      • BEREAVEMENT= Subjective response by loved-ones
      • MOURNING= behavioral response
    • GRIEF AND LOSS
      • Stages of Grieving (Kubbler-Ross)
      • Denial- refuses to believe that the loss has occurred
      • Anger- the individual resists the loss and may “act out” feelings.
      • Bargaining- the individual attempts to make a deal in an attempt to postpone the reality of loss.
      • Depression- overwhelming feeling of loneliness and withdrawal from others
      • Acceptance- the individual comes to terms with loss, or impending loss, psychological reactions to loss to the loss cease, and the interaction to other people resumed .
    • Loss and grieving
      • Stages of Grieving by Kubbler-Ross
      • DABDA
      • DENIAL= refusal to believe
      • ANGER= hostility
      • BARGAINING= feeling of guilt, fear of punishment
      • DEPRESSION= withdrawn behavior
      • ACCEPTANCE= comes to terms with loss
    • Loss and grieving Begins to plan like wills, prosthesis A Laments over what has happened D Feelings of guilt, punishment for sins B Retaliation A Refuses to believe that loss is happening D Behaviors Stages
    • Death and Dying (Kozier) Death as multiple meanings 65 and above Experiences peak of death anxiety 45-65 years Attitude is influenced by religion 18-45 Fears a lingering Death 12-18 years Death is INEVITABLE Understands own mortality 9-12 years Understands DEATH is FINAL but can be AVOIDED 5 to 9 years NO clear concept of Death It is Reversible , temporary sleep Infancy to 5 years old Beliefs AGE
    • Nursing responsibilities In Death and dying
      • Nurses need to take time to analyze their own feelings about death before they can effectively help others with terminal illness
    • Nursing responsibilities In Death and dying
      • The major goals for the dying clients are:
      • To maintain PHYSIOLOGIC and PSYCHOLOGIC support
      • To Achieve a dignified and peaceful death
      • To maintain personal control
    • Loss and Death RESPONSIBILITIES
      • Provide Relief from loneliness, fear and depression
      • Help clients maintain sense of security
      • Help clients accept losses
      • Provide physical comfort
    • LOSS ,GRIEVING AND DEATH
      • DEATH CONCEPTS
        • 1-5 – IMMOBILITY AND INACTIVITY Wishes and unrelated action responsible for action
        • 5-10 – final but can be avoided
        • 9-12 – understands own mortality and fears death
        • 12 – 18 – fears and fantasizes avoidance
        • 18-45 – increased attitude awareness
        • 45-65 – accepts mortality
        • Above 65 – multiple meanings, encounters and fears
    • Interventions
      • D – SUPPORTIVE
      • A- PROVIDE STRUCTURE AND CONTINUITY
      • B – LISTEN AND ENCOURAGE
      • D- ALLOW EXPRESSION AND PROVIDE FOR SAFETY
      • A- ENCOURAGE PARTICIPATION
    • End