Chapter 30 Care for the Dying and for Those Who Grieve Menu F
Bereavement Phenomena Somatic Distress Preoccupation with the deceased Guilt Anger Change in behavior Reorganization B Menu F
Common Grief Experiences Emotional expression: immediate coping Outcry of emotions Warding off/denial Re-experience/intrusion Working through Completion B Menu F
Grief: Helping Behaviors Facilitate grieving Give full presence Allow silence Inform re: normal phenomena Encourage support of family/friends Offer spiritual support/referrals Be empathetic, accepting B Menu F
Psychoeducation: Dealing with Loss Take time to grieve Express feelings Keep to a routine Respond only to questions you wish to answer Take care of self Expect the unexpected Give yourself time Make use of rituals Contact doctor prn B Menu F
Nurse Self-Care Client’s life drama, not ours Explore own strong emotions Protect private lives State limits: what we can/can’t do Expect the unexpected Practice humility Do our own mourning Release stress Healthy, balanced life B Menu F
Anticipatory Grief Feeling lost/empty/numb/fatigued Unreality/disbelief Weeping/raging Wish to run away Protectiveness Fear of future/unknown Anger at client/staff Clinging to client/others Fear of going crazy B Menu F
Dysfunctional Grief Severe symptoms lasting >3 months Limited response to support Hopelessness Withdrawal or fear of being alone Inability to work, feel emotion Maladaptive behaviors Recurrent nightmares, reenactments Exhaustion due to insomnia, hyperarousal Prolonged depression, panic attacks Self neglect B Menu