1. Chapter 30 Care for the Dying and for Those Who Grieve
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2. Bereavement Phenomena
Somatic Distress
Preoccupation with the deceased
Guilt
Anger
Change in behavior
Reorganization B
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3. Common Grief Experiences
Emotional expression: immediate coping
Outcry of emotions
Warding off/denial
Re-experience/intrusion
Working through
Completion B
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4. Grief: Helping Behaviors
Facilitate grieving
Give full presence
Allow silence
Inform re: normal phenomena
Encourage support of family/friends
Offer spiritual support/referrals
Be empathetic, accepting B
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5. Psychoeducation: Dealing with Loss
Take time to grieve
Express feelings
Keep to a routine
Respond only to questions you wish to answer
Take care of self
Expect the unexpected
Give yourself time
Make use of rituals
Contact doctor prn B
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6. Nurse Self-Care Client’s life drama, not ours
Explore own strong emotions
Protect private lives
State limits: what we can/can’t do
Expect the unexpected
Practice humility
Do our own mourning
Release stress
Healthy, balanced life B
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7. Anticipatory Grief Feeling lost/empty/numb/fatigued
Unreality/disbelief
Weeping/raging
Wish to run away
Protectiveness
Fear of future/unknown
Anger at client/staff
Clinging to client/others
Fear of going crazy B
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8. Dysfunctional Grief Severe symptoms lasting >3 months
Limited response to support
Hopelessness
Withdrawal or fear of being alone
Inability to work, feel emotion
Maladaptive behaviors
Recurrent nightmares, reenactments
Exhaustion due to insomnia, hyperarousal
Prolonged depression, panic attacks
Self neglect B
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