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Loss, Grief, & Dying Chapter 43.

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Presentation on theme: "Loss, Grief, & Dying Chapter 43."— Presentation transcript:

1 Loss, Grief, & Dying Chapter 43

2 Types and sources of loss
Actual Perceived Anticipatory Developmental

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

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

5 Types of Grief responses
Normal Abbreviated Anticipatory Disenfranchised Complicated

6 Kübler-Ross Stages of Grieving (Tab. 43-1 pg. 991)
Denial Anger Bargaining Depression Acceptance

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

8 Factors Affecting Grief
Age Significance Spiritual/cultural Gender

9 Factors Affecting Grief (cont)
Socioeconomic status Support Cause

10 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?

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

12 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

13 QUESTIONS????

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