Loss, Grief, & Dying Chapter 43.

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Presentation transcript:

Loss, Grief, & Dying Chapter 43

Types and sources of loss Actual Perceived Anticipatory Developmental

Aspect of self External objects Familiar environment Loved ones Sources of Loss Aspect of self External objects Familiar environment Loved ones

What is Grief Responses to a loss Bereavement Mourning Physical Psychological Spiritual Bereavement Mourning Behaviors associated with grief

Types of Grief responses Normal Abbreviated Anticipatory Disenfranchised Complicated

Kübler-Ross Stages of Grieving (Tab. 43-1 pg. 1101) Denial Anger Bargaining Depression Acceptance

Manifestations of Grief Signs and symptoms of stress reaction Normal manifestations Complicated grieving

Factors Affecting Grief Age Significance Spiritual/cultural Gender

Factors Affecting Grief (cont) Socioeconomic status Support Cause

Both Ms. Smith and Ms. Jones have dogs. Ms Both Ms. Smith and Ms. Jones have dogs. Ms. Smith’s son left his dog at home with Ms. Smith when he went to college last year. Her dog died yesterday of old age. Ms. Jones’s dog has been with her for 10 years and has been her only companion since her husband died 5 years ago. Her dog was killed yesterday when it was hit by a car during a morning walk. Which woman do you think will grieve her loss more? How did you determine that?

Personal coping resources Physical assessment Nursing history Personal coping resources Physical assessment

Nursing Process Nursing Diagnoses Goals Adjust to changed ability and redirect energy into rehabilitation Remember them without feeling intense pain and to redirect energy to adjusting to the loss

QUESTIONS????