GRIEF-PROCESS in Accepting Loss and Demise.pptx

Grief Process

1. GRIEF PROCESS JULIE T. MAESTRADO EdD , RGC MILDRED T. LADERA PhD, RGC

2. gRIEF Is a process not a state It takes time to work through Is a natural response to a significant loss

3. Causes of grief Death of Loved ones Annulment/separation abortion/miscarriage Loss of job Change of lifestyle Lost of properties

4. death Is the most significant loss, maybe because of the finality Death confronts one’s own mortality or finiteness

5. Factors of grief Degree of attachment to the person lost Degree to which persons enriched your life Quality and length of relationships Nature of death

6. Understanding the process of grief (CM parkers) Numbness : emotions are frozen Pining : desire to bring back the lost or a feeling of deep longing Depression : preoccupation with the loss Recovery: development of renewed identity

7. Grief and loss curve Shock Denial Bargaining/ Guilt Anger Depression Acceptance Planning New Beginnings

8. Common response to grief

9. EMOTIONAL RESPONSE Shock disbelief at what happened feeling numb, as if things are unreal

10. EMOTIONAL RESPONSE Fear • of one’s own mortality • for the safety of oneself or one’s family • apparently unrelated fears

11. EMOTIONAL RESPONSE Anger • at the injustice and senselessness of it all • generalized anger and irritability • how this could happen to such a good person

12. EMOTIONAL RESPONSE Sadness • about the loss both personally and professionally • flash backs or triggers to previous grief and loss • about the loss of feeling safe and secure • feeling depressed or “flat” for no reason

13. Common response to grief Guilt • for having appeared helpless or emotional • for not behaving as you would have liked • for unresolved issues or conflict with the person • for not doing upon reflection what you feel might have made a different

14. PHYSICAL RESPONSE

15. Sleep Problem difficulty getting off to sleep because of intrusive thoughts restless and disturbed sleep feeling tired and fatigued

16. Physical Problem general agitation and muscle tension headaches or general aches and pains feeling generally unwell other physical signs and symptoms

17. THINKING RESPONSE

18. Memories frequent thoughts or images of the person flashbacks or feelings of “reliving” past grief and loss experiences attempts to shut-out the painful memories real or imagined pictures of what happened “jumping” into your head

19. Dreams dreams and nightmares about what happened unpleasant dreams of other frightening thoughts

20. Confusion difficulty making simple decisions inability to concentrate and memory problems not being able to express yourself fluently verbally feeling confused generally

21. BEHAVIORAL RESPONSE

22. Social withdrawal from others and a need to be alone easily irritated by other people feelings of detachment from others loss of interest in normal activities and hobbies

23. Work not wanting to go to work, poor motivation poor concentration and attention sense of lost purpose in your work

24. Habits increased use of alcohol, cigarettes or other drugs loss of appetite or increased eating loss of interest in enjoyable activities

25. Moving forward to grief process To feel SUPPORT To face REALITY To express FEELINGS To move towards the RE-ESTABLISHMENT OF SELF

26. DO’S AND DON’TS DO Listen and hear what is being said Acknowledge that each person’s experience of grief and loss will be unique Remember that nobody has to justify their feelings to you Realize the person has suffered a loss, even if you don’t perceive it as much

27. DO Allow the person to grieve Encourage the griever to express emotion and to work through the grief Remember that many who give support immediately after a death may be delayed in working through their own grief

28. DO recognize the intensity of grief that will be experienced at certain significant times Encourage those who have a common grief to support one another if they can

29. Don’t prevent the person from expressing their guilt or anger if they need to Don’t stifle the person’s desire to talk about the deceased Don’t personalize knock-backs to your efforts to assist Don’t give trite answers to the “Why” question

30. In conclusion Be Aware – remember that working through grief is a normal and necessary process. Be There – learn to be with the person, not to solve the problem Be Sensitive – allow the distress and do not try to take it easy

31. Be Human – allow expression of feelings (guilt, anger, sorrow, depression, without judgment) Be Ready - to listen when the story is told over and over again Be Patient – remember that the process of the mourning takes time

32. If the following persist for 6 weeks to 4 months, they deserve careful scrutiny and refferal . major deterioration in personal hygiene habits difficulty in simple decision making expressions and manifestations of fear, anger or guilt hyperactivity or compulsive talking

33. sustained memory problems and confusion hallucinations (seeing or hearing things that are not actually present) major disturbance of self-esteem, preoccupation with worthlessness, and self-condemnation

34. significant impairment in social functioning initiating or increasing alcohol or drug abuse physical symptoms: failure to eat, continued weight loss, extreme sleep problems

35. In Bohol pls contact: Tawag Paglaum : 0939 936 5433 0939 937 5433 0935 560 3902 Amoma (PHO) : 09282869333 Dr. Joy A. Bueno – Psychiatrist - 09555017613