Grief And Loss Week 2

Front 1

Stages of grief

Back 1

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Front 2

Definations
Dominant model of grief

Back 2

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Front 3

Introduction to Grief
-What is grief
-Why do we grieve
-What does grief look like
-Supporting people in grief
-What about complicated grief reactions

Back 3

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Front 4

Grief Definition

Back 4

a psychological state characteristic by mental anguish that comes about as a reaction to loss

Front 5

Bereavement Definition

Back 5

is the state of deprivation caused by a loss

Front 6

Bowbly: Four phases of mourning - Attachment Theory
1) Numbing/Disbelief
2)Yearning and searching for the lost figure
3)Disorganisation and despair
4)Reorganisation

Back 6

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Front 7

Wordens manifestations of normal grief:
-feelings
-physical sensations
-cognitions
-behaviours

Back 7

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Front 8

Confronting reality requires talking about death, not avoiding the word helps re establish reality.

Important to acknowledge feelings (eg guilt, anger)

Bereaved should not be expected to relinquish all ties to those who have dies

Is mourning ever finished?

Back 8

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Front 9

Wordens four tasks of mourning
1) accept the reality of the loss
2) work through to the pain of grief
3) adjust to an environment in which the deceased is missing
4) emotionally relocate the deceased and move on with life

Back 9

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Front 10

What did Worden state were the 4 major tasks to be accomplished by the individual?

Back 10

1: Accept the reality of the loss
2: Work through the pain of grief
3: Adjust to an environment in which the deceased is missing
4: Emotionally relocate the deceased and get on with life.

Front 11

What are some manifestations of grief?

Back 11

Feelings:
* sadness, hopelessness, guilt, numbness or shock
Physical sensations:
Fatigue, emptiness in the pit of the stomach, nausea, tightness in the chest or throat, insomnia, loss of appetite.
Cognition or thought process:
Preoccupation with the deceased, visual and or auditory hallucinations, disbelief, confusion.
Behaviours: Crying, dreaming, avoidance of places, events or people that may remind the bereaved of the deceased.

Front 12

What are Kubler-Ross stages of dying?

Back 12

1: Denial
2: Anger
3: Bargaining
4: Depression
5: acceptance

Front 13

What are the phases of John Bowlby's attachment theory?

Back 13

Phase 1: Disbelief- emotional numbing: a form of self protection
Phase 2: Yearning and searching- preoccupation with the missing person
Phase 3: Disorganisation and dispair- sadness, withdawal and isolation
Phase 4: Reorganisation- renewal of interests in previous activities and relationships.

Front 14

What is anticipatory Grief?

Back 14

Where the grieving process begins prior to the loss.

Front 15

What is disenfranchised grief?

Back 15

Where the loss is not recognised as an actual loss or is not socially or culturally accepted or sanctioned.

The loss may only be perceived as a loss by the individual. ie miscarriage.

Front 16

What is the role of the nurse when assisting the patient through the grieving process?

Back 16

C= connect with your patient and their family show the intent to care.
A= appreciate the patients situation and that of thefamily and friends. Acknowledge their point of view and express concern.
R= respond to the actual and perceived needs and priorities of the client and their family.
E= empower the patient and their family to problem solve with you- involve them in the decision making and care options.