Grief is the psychobiological response to bereavement (Shear, Ghesquiere, & Glickman, 2013). Grief reactions can range from yearning to longing, intense sorrow and pain, preoccupation of thoughts and memories of the deceased, and disturbance of self-concept and stage of self (Keyes et al., 2014). There are three stages to grief. Acute grief is the beginning and can be intense and disruptive. Integrated is the next response when the adaptation to the loss has occurred and satisfaction in ongoing life is renewed (Shear et al., 2013). Grief, however, can resemble major depression and post-traumatic stress disorder (Keyes et al., 2014). It can also turn into complicated grief. Complicated grief is an extended period of acute grief that can impede the healing process and is a distinct mental disorder. It can also be associated with health and mental consequences (Shear et al., …show more content…
In the past, bereavement was a private matter and families lived closer to one another making the process easier. The family was close with close friends and a local community. Today, families are more spread out making them isolated and with less support. Britain uses primary care physicians and district nurses to help with the process. Either the physician or nurse will make a home visit, telephone consultation, or a condolence letter. Primary care physician helped patients to express condolences, encouraged them to talk and express feelings, explore spiritual concerns, and also prescribe hypnotics. The district nurses would help with discussions of arrangements to be made and local services available. Even despite the physicians and nurses finding these methods helpful, it is hard to develop a study to see the full benefits. Most patients found it helpful even though they do not feel like they need it. However, this is type of care is frequently overlooked in clinical practice and largely ignored in the primary care community (Burkley et al.,