2Give sorrow words: the grief that does not speak Whispers the o'er-fraught heart, and bids it breakMacbeth
3Models of BereavementFive Stage ModelDenialAngerBargainingDepressionAcceptance
4Models of BereavementTasks of MourningAccept reality of LossExperience pain of griefAdjust to changed environmentTo reinvest emotional energy
5Models of BereavementContinuing BondsTubingen Longitudinal Study of Bereavement (1991)Only a small minority wanted to change their lives or seek a new partner (17%),Many were seeking to integrate their loss into their life styles and carry on as before,Many still sensed their spouse’s presence and searched for them (even after two years),The deceased still had strong psychological influences over the way the bereaved organised and planned their lives, ‘consulting’ the deceased over major decisions,A report by Shuchter and Zisook (1993) found that many bereaved continued to cherish and nurture the relationship with the deceased.
6Meaning Reconstruction Models of BereavementMeaning ReconstructionRelearning the World: Making and Finding MeaningsBereavement as a difficult journey which begins by ‘suffering’:experiencing loss of wholeness;having the lines of connection with larger-life contexts broken;feeling helpless and powerless;missing the physical presence of the loved one;suffering ‘spirit’ and ‘soul’ pain.
7Meaning Reconstruction Models of BereavementMeaning ReconstructionRelearning the World: Making and Finding MeaningsRelearning takes place in each aspect of our world:-Physical surroundingsSocial surroundingsOur very selves, including our charactersOur own self-confidence and self-esteemOur relationships with those who died
8Models of BereavementMeaning ReconstructionRelearning the World: Making and Finding MeaningsGrieving is a journey of the heart that brings us to the fullness of life in the flesh and blood, here and now, and into the future with those who still share the earth with us’.Thomas Attig
9Loss versus restoration orientation Models of BereavementDual ProcessLoss versus restoration orientationLoss-orientation:Dealing with or processing some aspect of the loss experienceFocusing on the relationship, tie, or bond with the deceasedYearning for the deceased
10Models of BereavementRestoration orientation:Adjustment to substantial changesMastering the tasks the deceased used to do (finances, cooking)Arranging the reorganisation of lifeDevelopment of a new identity from ‘spouse’ to ‘widow(er)’ / ‘parent’ / ‘parent of deceased child’.
12Bereavement Services Palliative Care & End of Life Bereavement is an inevitable part of our lives.The process of grieving is a natural consequenceof loss
13Bereavement ServicesA service will be offered to family and friends of adults who have been, or currently are, under the care of the Cancer and Palliative Care Teams
14Bereavement ServicesTo offer appropriate and timely support to those who are about to be or are bereaved
15Bereavement Services Level 3 Specialist Support Level 2 Bereavement VolunteerLevel 1Family, Friends, Existing Social Networks, Information
16Bereavement ServicesCase Example One“You’re not like other blokes.”Case Example Two“This grief thing’s a funny old business.”
17Walsall Palliative Care Centre Bereavement ServicesContact Details:John Hayes (Bereavement Service Co-ordinator)Tel:Liza Burnell (Family Bereavement Support Worker)Tel:Walsall Palliative Care CentreGoscote LaneWalsall WS3 1SJ