Presentation on theme: "Loss Physical (loss of something tangible)"— Presentation transcript:
1Loss Physical (loss of something tangible) Psychosocial: (loss of something symbolic or intangible)Two general categories of loss exist. Examples of physical loss: stolen car, house burns down, amputation. Examples of psychosocial loss: divorce, retirement, development of chronic illness.
2Change: always constitutes loss Developmental changeNormal change and growthCompetency-based lossAny change necessarily involves loss. At the very least loss of the status quo. Developmental: occurs as we age (eyesight, muscular strength, skin turgor). Normal change and growth: having a baby, moving from dependency on parents). Competency: child leaving home, graduation, attainment of a desired goal).
3Secondary lossA loss that coincides with or develops as a consequence of the initial loss.(examples: loss of income when spouse dies, loss of concept of self as healthy when serious illness occurs)Each of these secondary losses must be mourned as well as the initial loss.
4Grief & MourningGrief: the process of experiencing the psychological, behavioral, social, and physical reactions to the perception of loss.Mourning: the work of adapting and changing as a result of the loss
5GriefExperienced in four major ways: psychologically, behaviorally, socially, physicallyA continuing developmentA natural reactionExpected with all types of lossDependent upon the individual’s perception of the loss
6Mourning Reacting to separation from the deceased Modification of roles, skills, identityLearning to live in a healthy way without the deceased
7Myths & Misconceptions Grief declines steadily over timeThe mourner must put the loss out of mindIntensity and length of mourning are a testimony to loveGrief involves only the loss of the personMourning is complete in a yearTime is a healer
8Danger: don’t rigidly apply grief theory Commonalities existIdiosyncratic variations occurIt’s not a static state, but rather a process of many changes over time
10Why think about death? To give meaning to human existence To encourage productivity & enjoyment of lifeTo prepare for ultimate acceptance of death
11Ways to prepare:Be close to someone who is facing death with inner peacePlan financiallyDevelop solid supportIncorporate religious beliefs into life
12How can we help??? Denial: support without reinforcing Stay physically presentOffer regressive care (food, drink, safety)
13How can we help??? Anger Provide anticipatory guidance Don’t take it personallyMeet needs that precipitate anger
14How can we help??? Bargaining Provide information for decision-making Offer resources and referrals
15How can we help??? Despair Supportive listening Touch Avoid cliches Assess risk of harm to self
16How can we help??? Acceptance Assist in planning Utilize cultural practicesAllow expression of feelingsAccept changes in feelingsSupport groups for patient & families
17Hospice Care A philosophy of caring for the dying Curing vs. Caring Criteria for moving to hospice care
18Helpful hints:Don’t ask whether I’m ‘over it’. I’ll never be ‘over it’.Don’t tell me he’s in a better place. He isn’t here.Don’t say “At least he isn’t suffering”. I wonder why he had to suffer at all.Don’t tell me you know how I feel unless you have had the same experience.Don’t tell me ‘God doesn’t make mistakes’; you mean God did this on purpose???Don’t tell me ‘God doesn’t give more than we can handle’. I don’t feel like I am “handling” it.
19Please just say: That you are sorry. That you miss him too, if you do. That you will listen.
20As we learn to help:“Birds make great sky circles of their freedom. But how do they learn it? They learn by falling, and by falling they’re given wings.