GRIEF AND COPING ENHANCEMENT.pptx ARCHANA

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Community mental health nursing is a specialized field of nursing that focuses on providing mental health care to individuals, families, and groups within the community setting. It involves promoting mental health, preventing mental illness, and providing treatment and support for those with mental health disorders. Community mental health nurses work outside of hospital environments, offering care in places such as patients' homes, community clinics, schools, and other community-based

1. GRIEF AND COPING ENHANCEMENT ARCHANA JAYAKUMAR

2. GRIEF Grief is a reaction of an individual to a significant loss. Shock, disbelief, anger, resentment and depression are the common features affected in individuals. Grief is an emotional response of coping with loss 2

3. Types of grief Anticipatory grief, acute grief, normal grief, disenfranchised grief, complicated grief.

4. Anticipatory grief Acute Grief This is a feeling of grief that occurs before the loss Eg : experienced by the person facing death of their loved ones It is the short term initial response to bereavement and is often intense and disruptive.it is characterized by emotional or somatic distress. 4

5. Disenfranchised grief Complicated grief Refers to any grief that goes unacknowledged or unvalidated by social norms Eg : death of pet It is also known as prolonged grief disorder, is a mental disorder that can occur after the death of loved one. It is characterized by intense and prolonged grief that can make it difficult to recover from the loss and resume life. 5

6. Stages of grief according to Kubler ross-1969

7. D ENIAL A NGER B ARGAINING D EPRESSION A CCEPTANCE This is a stage of shock and disblelief.it is a protective mechanism that allows the individual to cope within an immediate time frame while organizing more effective mechanisms. Why me? Anger may be directed at self or displaced on loved ones, caregivers, and even god. There may be preoccupation with an idealized image of the lost entity. During this stage which is generally not visible or evident to others. A bargain is made with god in an attempt to reverse or postpone the loss During this stage the full impact of the loss is experienced. This is a time of quiet desperation and disengagement from all associations with the lost entity. Focus is on reality of the loss that has occurred and its meaning for the individuals affected by it.

8. COPING

9. coping is the way one adapts to a stressor physiologically, physically and behaviourally. coping with stress is the attempt to manage or deal with stress. coping does not necessarily result in success, successful coping includes becoming aware of incidents and situations that one perceives as being stressful, and recognizing stressors means being aware of how your body responds to stress. dealing successfully with stress might require using different types of techniques. coping mechanism mainly includes problem focussed coping and emotion focussed coping. problem-focused coping seeks to solve problems or change the source of stress. on the other hand, emotion-focused coping aims to reduce or manage the emotional distress associated with the situation.

10. DEFINITION COPING IS EXPENDING CONSCIOUS EFFORTS TO SOLVE PERSONAL AND INTERPERSONAL PROBLEMS AND SEEKING TO MASTER, MINIMIZE AND TOLERATE CONFLICTS.

11. 11 1. Problem-Focused Coping Description : Focuses on addressing and solving the problem causing the stress. Examples : Creating an action plan Seeking advice or assistance Time management and organization Learning new skills to tackle the issue 2. Emotion-Focused Coping Description : Focuses on managing or regulating emotional responses to stress rather than addressing the problem itself. Examples : Meditation or mindfulness Journaling or expressing feelings Practicing relaxation techniques (deep breathing, yoga) Talking to friends or family

12. 3. Avoidance Coping Description : Involves ignoring, avoiding, or distancing oneself from the problem or emotional discomfort. Examples : Procrastination Staying busy with unrelated activities Avoiding situations or people associated with stress Denial

13. PROBLEM FOCUSSED COPING ENHANCEMENT 1. Time management Time management is very important in problem focussed coping. An individual should understand the value of time for him to succeed in all aspects of life and to manage the stress. 2. Change your behaviour : It is very important to identify our own maladaptive behaviours which tends to cause the stress and change it. 3. Create a plan : planning is very essential for avoiding the stressful situation. A blue print or a master plan should be created by an individual before any particular task.

14. 4 )Ask support from a trusted person : catharsis and seeking help from a trusted person is another coping strategy to get rid of particular stress. 5 )Create to do list : everyone should preplan the things in prior regarding what is to be done. This will help to reduce the rush and maintain a time boundary. 6 )Establish healthy boundaries : Establish a healthy boundary with the other people.

15. 6)walk away : it is the method of escaping from a stressful situation. Leave the area as possible if it tends to create stress. 7)Decision making: Decision making is another problem-solving skill. A person to take an appropriate decision on a particular situation. 8)Expert advice : it’s better to take the opinions from the experts to solve the problem. This enables to reduce the stress of an individual.

16. EMOTION FOCUSSED 1. Meditation and Mindfulness Involves focusing on the present moment to calm the mind and reduce stress. These practices help individuals become more aware of their emotions and reduce emotional reactivity. 2. Journaling Writing down thoughts and feelings can help process emotions and provide clarity. Journaling allows for self-reflection and emotional release. 3. Seeking Emotional Support Talking to friends, family, or a therapist about your feelings helps relieve emotional burdens and provides validation and understanding.

17. 4. Cognitive Reframing Changing the way you think about a situation to view it in a more positive or manageable light. This can help reduce the emotional impact of stress. 5. Humor : Finding humor in difficult situations can provide emotional relief and shift perspective, making challenges feel less overwhelming. 6. Distraction Engaging in activities that take your mind off the stressful situation temporarily to help reduce emotional intensity, such as hobbies, watching TV, or reading. 7. Relaxation Techniques Practices like deep breathing, progressive muscle relaxation, or guided imagery help calm the body and mind, reducing emotional stress.

18. 8. Acceptance Acknowledging that certain situations or stressors cannot be changed and choosing to accept them helps reduce emotional resistance and stress. 9. Self-Compassion Treating yourself with kindness and understanding during difficult times, rather than being overly critical, can help soothe emotional distress. 10. Exercise Physical activity can help reduce stress by releasing endorphins and improving mood, which aids in managing emotional responses.