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Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
Loss And Grief
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Loss And Grief

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pinoynursing.webkotoh.com

pinoynursing.webkotoh.com

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  • 1. Grief and Loss pinoynursing.webkotoh.com
  • 2. GRIEF AND LOSS <ul><li>Loss is a universal experience that occurs throughout life span </li></ul><ul><li>Grief is a form of sorrow involving feelings, thoughts, and behaviors caused by bereavement </li></ul>
  • 3. GRIEF AND LOSS <ul><li>Responses to loss are strongly influenced by one’s cultural background </li></ul><ul><li>The grief process involves a sequence of affective, cognitive, and psychological states as a person responds to, and finally accepts a loss. </li></ul>
  • 4. Loss and grieving <ul><li>LOSS= something valuable is gone </li></ul><ul><li>GRIEF= total response to emotional experience related to loss </li></ul><ul><li>BEREAVEMENT= Subjective response by loved-ones </li></ul><ul><li>MOURNING= behavioral response </li></ul>
  • 5. GRIEF AND LOSS <ul><li>Stages of Grieving (Kubbler-Ross) </li></ul><ul><li>Denial- refuses to believe that the loss has occurred </li></ul><ul><li>Anger- the individual resists the loss and may “act out” feelings. </li></ul><ul><li>Bargaining- the individual attempts to make a deal in an attempt to postpone the reality of loss. </li></ul><ul><li>Depression- overwhelming feeling of loneliness and withdrawal from others </li></ul><ul><li>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 . </li></ul>
  • 6. Loss and grieving <ul><li>Stages of Grieving by Kubbler-Ross </li></ul><ul><li>DABDA </li></ul><ul><li>DENIAL= refusal to believe </li></ul><ul><li>ANGER= hostility </li></ul><ul><li>BARGAINING= feeling of guilt, fear of punishment </li></ul><ul><li>DEPRESSION= withdrawn behavior </li></ul><ul><li>ACCEPTANCE= comes to terms with loss </li></ul>
  • 7. 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
  • 8. 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
  • 9. Nursing responsibilities In Death and dying <ul><li>Nurses need to take time to analyze their own feelings about death before they can effectively help others with terminal illness </li></ul>
  • 10. Nursing responsibilities In Death and dying <ul><li>The major goals for the dying clients are: </li></ul><ul><li>To maintain PHYSIOLOGIC and PSYCHOLOGIC support </li></ul><ul><li>To Achieve a dignified and peaceful death </li></ul><ul><li>To maintain personal control </li></ul>
  • 11. Loss and Death RESPONSIBILITIES <ul><li>Provide Relief from loneliness, fear and depression </li></ul><ul><li>Help clients maintain sense of security </li></ul><ul><li>Help clients accept losses </li></ul><ul><li>Provide physical comfort </li></ul>
  • 12. LOSS ,GRIEVING AND DEATH <ul><li>DEATH CONCEPTS </li></ul><ul><ul><li>1-5 – IMMOBILITY AND INACTIVITY Wishes and unrelated action responsible for action </li></ul></ul><ul><ul><li>5-10 – final but can be avoided </li></ul></ul><ul><ul><li>9-12 – understands own mortality and fears death </li></ul></ul><ul><ul><li>12 – 18 – fears and fantasizes avoidance </li></ul></ul><ul><ul><li>18-45 – increased attitude awareness </li></ul></ul><ul><ul><li>45-65 – accepts mortality </li></ul></ul><ul><ul><li>Above 65 – multiple meanings, encounters and fears </li></ul></ul>
  • 13. Interventions <ul><li>D – SUPPORTIVE </li></ul><ul><li>A- PROVIDE STRUCTURE AND CONTINUITY </li></ul><ul><li>B – LISTEN AND ENCOURAGE </li></ul><ul><li>D- ALLOW EXPRESSION AND PROVIDE FOR SAFETY </li></ul><ul><li>A- ENCOURAGE PARTICIPATION </li></ul>
  • 14. End

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