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Coping with loss death grief
- 1. COPING WITH LOSS DEATH AND GRIEF PRESENTED BY Mrs. SOUMYA SUBRAMANI, M.Sc.(N) LECTURER, MSN DEPARTMENT CON- SRIPMS, COIMBATORE.
- 7. LOSS OF AN EXTERNAL OBJECT LOSS OF FAMILIAR ENVIRONMENT LOSS OF ASPECT OF SELF LOSS OF SIGNIFICANT OTHERS LOSS AS CRISIS
- 8. Death is present if an individual has sustained (1) irreversible cessation of circulatory & respiratory functions (2) irreversible cessation of all functions of entire brain including the brain stem.
- 10. Physical manifestations when approaching death Sensory system Hearing Touch vision Smell Cardiovascular system Respiratory system usually the last sense to disappear Decreased sensation. Decreased perception of pain & touch. blurring of vision Sinking & glazing of eyes Blink reflex absent decreased increased HR, pulse, compromises peripheral circulation, cyanosis Irregular rhythm Decreased BP. Decreased cardiac output increased RR, cheyne – stroke respiration Inability to cough or clear secretions resulting in grunting, gurgling or noisy congested breathing. Irregular breathing gradually going down to terminal gasps.
- 11. CNS Urinary system GI system Musculoskeletal system Integumentary system With hypoxia, brain is less sensitive to accumulating levels of CO2 thus client may experience periods of apnea. Pain perception is decreased. Sensory function impaired. gradual decrease in urine output Incontinence of urine. slowing or cessation of GI function Accumulation of gas. Distention & nausea Loss of sphincter control Bowel movement before imminent death or at time of death. gradual loss of a ability to move Difficulty in speaking & swallowing Loss of gag reflex. loss of sphincture control Mottling hands, feet arms & legs cold & Clammy skin. Loss of skin turgor
- 17. “I just want to see my grandchild’s birth, then I will be ready….”
- 18. “I just don’t know how my kids are going to get along after I’m gone.”
- 19. “I have lived a good life and I have no regrets”
- 20. HOSPICE CARE
- 21. END OF LIFE CARE
- 23. Outward social expression of loss
- 25. Physical reactions Psychological reactions Cognitive reactions Behavioral reactions Loss of appetite Weight loss Insomnia Fatigue Decreased libido Decreased immune function Multiple somatic complaints Profound sadness Helplessness Hopelessness Denial Anger Hostility Guilt Nightmares Loneliness Inability to concentrate Forgetfulness Impaired judgment Decreased problem solving ability Social withdrawal Distancing SYMPTOMS COMMONLY EXPERIENCED DURING GRIEF:
- 27. CHRONIC GRIEF EXAGGERATED/ HYPERTROPHIC GREIF DELAYED GRIEF
- 28. Symptoms of complicated grief include: Intense longing and yearning for the deceased Intrusive thoughts or images of your loved one Denial of the death or sense of disbelief Imagining that your loved one is alive Searching for you deceased loved one in familiar places Avoiding things that remind you of your loved one Extreme anger or bitterness over the loss Feeling that life is empty or meaningless
- 30. HUMAN DEVELOPMENT PSYCHOLOGICAL PERSPECTIVE OF LOSS AND GRIEF SOCIO- ECONOMIC STATUS PERSONAL RELATIONSHIP NATURE OF LOSS CULTURE AND ETHININCITY SPIRITUAL BELIEFS
- 32. Coping is the cognitive and behavioural efforts to manage specific external and or internal demands that are appraised as taxing or exceeding the resources of the person. -Folk man and Lazarus
- 33. ADJUSTMENT DISORDERS ACUTE STRESS DISORDER DISSOCIATIVE DISORDERS DISSOCIATIVE AMNESIA DISSOCIATIVE FUGE DISSOCIATIVE IDENTITY DISORDER DEPERSONALIZATION
- 39. SPIRITUAL BELIEF SUPPORT FROM OTHERS MATERIAL ASSET KNOWLEDGE AND INTELLIGENCE
- 40. Often, a counsellor's job in grief therapy is just to stop the client getting stuck.
- 41. Help your clients escape the prison of self- limiting beliefs and negative self-attributions with Conversational Reframing
- 42. Accepting the loss and talking about it. Identifying and expressing feelings related to the loss (anger, guilty, anxiety, helpless& sadness) Living without the deceased and making decisions alone. Separating emotionally and forming new relationships. The provision of support.
- 43. 3 TECHNIQUES FOR GOOD GRIEF COUNSELLING 1. Let them talk about the deceased 2. Distinguish grief from depression 3. Deal with guilt and help them organize the grief