Accepting the reality of the loss
Finding new ways to transition to a lifestyle of mourning
Experiencing the pain of grief
Adjusting to an environment that no longer includes the lost person, object, or aspect of self
Removing emotional energy into new relationships
Individuals who have experienced a loss sometimes have a nonthreatening comforting perception that the deceased is present.
Varies from general feelings of deceased's presence to having actual sensory experiences
It is considered an abnormal form of mental and personality disorder
Sometimes they manifest as dreams or conversations; sometimes they involve senses and include vision, hallucinations or the perception of voices, smells or touch.
A sense of presence is though to be a form of searching behavior, a means of consiously or unconsciously denying the reality of a loss.
Involuntary and unexpected appearance of emotions and behaviors associated with grief
Occurs in response to routine events and sometimes results in emotional outbursts
Sometimes, it is triggered by the experiences shared with the deceased such as music or places
Sometimes, it is an unrelated event such as a death that took place in a movie.
Grief attacks are consistent with the normal growth pattern of an individual
45 to 65 years
65 + years
18 to 45 years
12 to 18 years
It is the same as "unresolved grief"
It is also called "dysfunctional grieving"
It is a delayed or exaggerated response to a perceived, actual, or potential loss
It is the direct opposite of simple grief
When an individual gets stuck in the grief process and becomes depressed
When a person is unable to express feelings
When a person provides the reassurance or support to trust the grief process and believes that all losses can be worked through
When the patient cannot find anyone in his or her daily life who acts as a needed listener.
When an individual suffers a loss that stirs up other, unresolved losses and causes him or her to explore long-standing feelings or emotional concerns.
When loss is experienced and cannot openly acknowledge it
When loss is not socially accepted or publicly shared
Death of a spouse from cancer
Loss of a partner from HIV/AIDS
Death of a friend from death addiction
Complicated grieving related to weight loss as evidenced by an inability to eat as caused by anorexia
Disenfranchised grief, related to incessant mourning, as evidenced by the sudden death of daughter, chronic fatigue and weight loss
Complicated grieving, related to bereavement overload, secondary to death of daughter and husband as evidenced by refusal for self-care, abstaining from participation in church activities, and the inability to discuss the deceased without crying, alterations in eating habits, and interference with performance of ADL's
Delayed grief,related to bereavement overload secondary to complicated grieving, as evidenced by incessant crying, lack of appetite and social isolation
Increase self esteem through cosmetic improvements
Promotion of sleep and rest
Participate in planning care for patients based on patient needs
Review patient's plan of care and recommend revisions as needed
Review and follow defined prioritizations for patient care
Use clinical pathways, care maps or care plans to guide and review patient care
Participate with patient's religious and cultural practices to build rapport
In the Western tradition, the grieving process is usually personal and private with emotional restraint
Grief is expressed in a basic and universal expression across cultures and traditions
The Northern tradition of people belonging to the upper hemisphere of the globe is related to climate changes
In Eastern nations, respect for the dead is shown by loud wailing, and physical demonstration of grief for a specified period
Grieving related to potential loss of physiopsychosocial well being
Complicated grieving related to loss of significant other
Despair related to cultural discrepancies and dysfunctions
Hopelessness related to failing or deteriorating physiologic condition
Interrupted family process related to situational transition or crisis
When possible, allow parents to see, touch and hold the infant, so that they can face the reality of the situaion and resolve their grief
Be aware of how children view or understand death, both of their own and that of others.
During a still birth, it is not recommended to show the dead child to prevent complicated grieving
Refer to the baby as "your baby", "your son", or "your daughter" or use the given name to reinforce that the baby was indeed a unique individual who was loved and will be missed
Allow young children to visit a dying parent or grandparent if all parties agree.
Respect the family's wishes in how and what to tell children about serious illness, dying and death
Treat the family and child as a unit.
Parents should be encouraged to leave the dying child alone to rest
Understand that decisions to end treatment can be more difficult when children are involved
Do not resuscitate
Withhold other care
May be indicated in patient's living will
Power of attorney
Durable powers of attorney