bereavement and grief.pptx by makerere students

health

1. Bereavement and grief Grief – describes an individual’s personal response to separation, bereavement or loss Bereavement – refers to the period after loss during which mourning and grief occur. It is a form of depression which resolves over time

2. Stages of grief Denial; refusal to accept death will occur Anger; person starts questioning, annoyed Bargaining; attempt to delay death Depression; reaction to existing situation Acceptance; ready for any result

3. Types of grief NORMAL- Feeling of anger, numbness, disbelief, depression and despair, overwhelming fatigue, insomnia, impaired concentration. This shouldn’t exceed 2 weeks ABNORMAL -(Complicated) grief, prolonged normal grief for more than 2 weeks leading to mental problems; for example; Delayed; occurs long period of time after the loss not immediately after loss, postponed even until years later Inhibited; first suppressed but is re triggered by any other small loss even after some time Prolonged; g rieves for a long time, person doesn’t want to let it go Disenfranchised; when your griefing doesn’t fit in the societies attitude about the loss or death

4. Factors that make grief more challenging Circumstances were difficult, sudden death, ‘bad death’, unable to be with the person. Relationship with deceased was difficult or very dependent If person had a history of depression or unresolved losses Lack of support Personality type Problems after the death

5. How to manage grief Offering bereavement visits Sending a card or letter of condolence and consolation Referral to social worker or counsellor Continuity between pre-bereavement and post bereavement care support

6. Bereavement It is the state of having lost someone or something dear such as ; A toy Money Good health Part of the body Loss of a person through migration or death

7. assesment Take history i.e social, medical, surgical , marital Find out his relationship with the deceased and how close they were Find out how friendly or supportive those around her are Assess her mental state as well as her selfcare state Ask her about what she thinks of her future Ask her about her eating habits Find out what she is thinking about Ask her about what life means to her

8. How to help a bereaved person Being there for them Listening without judging Encourage them to talk about the deceased Allow them to express emotion Provide information about the illness and death of loved one if needed Explain some of the feelings that they may experience Be aware of your own feelings about loss and grief.

9. Principles of bereavement counselling Develop a warm friendly relationship with the clients Express a feeling of permissiveness within the relationship so that the clients feel free to express their emotions Maintain a deep respect for the client’s ability to solve his/her own problem, given the opportunity to do so. Do not hurry the counselling session and this should be done consistently for some time Utilize the client’s emotional support systems to create hope such as religious belief. The ultimate goal of counselling is to help the patient and family accept that death is final

10. Principles cont …. Never block the client from talking about matters concerning death Allow the clients to express what they want to be fulfilled Help the clients remember , talk about achievements, good times spent in the past Help the family members to identify people or organization that can provide support e.g friends, relatives, health workers, or church