1. Loss, Grief, and Bereavement
Chapter 16
Loss, Grief, and Bereavement
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

2. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
Key Terms
anticipatory grief
bereavement
condolence
culture
eulogy
funeral
grief
legacy
mourning
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

3. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
The Concept Of Loss
Loss is a natural part of life
Often painful and requires difficult adjustments
Loss occurs at almost every stage of life
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

4. Normal Losses During The Life Cycle
Newborn’s loss of security of the womb
Toddler’s loss of being exclusive focus when a sibling arrives
Puberty involves the loss of perceived body image of adulthood
Teen’s loss of security when leaves for college
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

5. Abnormal Or Atypical Losses
Pearl Harbor bombed
World Trade Center and Pentagon attack
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

6. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
Responses To Loss
Must learn how to cope with disappointments
Attitude toward loss often determines the quality of life that is maintained
Response to normal losses determines how losses are perceived and managed in old age
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

7. Tasks Associated With Death
Hospice movement has enabled the terminally ill to experience the task of dying with dignity
Legacy may give the person a felling of immortality
Spiritual connection
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

8. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
Grief
Grief Process
Culture, Religion, and Death
Normal Grief Responses
Dysfunctional Grieving
See Tables 16-1,16-2,16-3 and Boxes 16-1 and 16-2.
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

9. Role of the Health-Care Worker
Focus of care is on the patient and the family unit
Cultural competence is the key to successful communication and support
See Table 16-4.
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

10. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
Tasks of the Family
Preparing for a funeral
Eulogy
Reorganization of roles
Respond to needs of young children
Assess resources
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

11. Grief Early In The Life Cycle
Pregnant Women
Infants
Children
Adolescents
Young Adults
See Figure 16-2 and Box 16-3.
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

12. Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.
The Healing Process
Reintegration and Adjustment
Mastering Tasks Leading Toward Grief Healing
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.

13. Helping Grieving Survivors
Condolence
Grief experience is life changing
Goal is to move successfully into a new life that includes many changes
Copyright © 2013, 2004 by Saunders, an imprint of Elsevier Inc.