This paper explores the roles that nurses play in bereavement care and how people react differently to the loss of a loved one during the bereavement process such as uncomplicated grief reactions versus complicated grief. The nurse’s role in disenfranchised grief is also explored in detail as to how the nurse can recognize grief from disenfranchised grief. The different types of disenfranchised grief are explained in detail and how a person may experience the different types. The four tasks of mourning are also identified and explained as to how a person must move through these stages so that they may be able to establish a new social life after the loss of a loved one. It is explained in this paper how a nurse can better care for their …show more content…
This intense, persistent grief is known variously as ‘complicated grief’ or ‘prolonged grief disorder’ (Waller et al., 2016). Nurses also play a large role in caring for patients and families with disenfranchised grief. The role that nurses play can be critical in determining the emotional aftermath of life-altering experiences (Aloi, 2009). There are four different types of disenfranchised grief that can be experienced by the griever. The nurse should be able to recognize and educate the patient, and the patient’s loved ones about the type of disenfranchised grief that they may be experiencing.).
There are also four tasks of mourning that the nurse will recognize the bereaved experience during their care. It is important for the nursing staff to be more sensitive and receptive to family grieving and be better equipped to provide proper grief care (Hsiao, 2010). These four task of mourning are considered necessary for the bereaved person to accomplish before they are able to engage in new relationships.
Bereavement Care: A Role for Nurses
Bereavement is defined as the state or the fact of being bereaved or deprived of someone or something. During the bereavement process people may experience a period of intense grief, which can negatively impact their physical and psychosocial wellbeing (Waller et al., 2016). This may be known as complicated grief and be accompanied by symptoms of loneliness,
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
Death is a universally experienced phenomenon. In the United States alone, over 2.6 million people die each year (Center for Disease Control and Prevention [CDC], 2015). For practitioners, it is of utmost importance to better understand the process of grief to develop better interventions for bereaved individuals.
This paper explores the emotional differences that people in the health care profession experience when it comes to the death of a patient. It defines the bereavement role, the four tasks of mourning, disenfranchised grief, compassion fatigue and how ambiguity and a lack of social acceptance can lead to decreased quality of patient care. In conclusion, the author offers an opinion of how to better manage the grieving and mourning process of care providers from an industry-wide standpoint.
Death is a part of life and eventually everyone on this earth will experience it. Nurses play an important role in death. Mourning the death of a loved one is something that almost everyone will experience in this lifetime because it is a natural response to death. Bereavement, grief and mourning are all effected by one’s culture, religion, the relationship with the deceased, personality, and how the person died.
Grief and loss are one of the most universal human experiences, though painful, and understandably causes distress. However, approximately 15 % experience a more problematic grieving process with elevated symptoms of depression and/or posttraumatic stress symptoms (Bonanno and Kaltman, 1999).There is no well-established model of the timeline for resolution of grief and the variance of its expression is wide. Many persons cope with the emotional pain of bereavement without any formal intervention. However, individuals who have experienced traumatic bereavement, such as deaths that are sudden, violent, or due to human actions (Green 2000), may face particular challenges. Researchers have tried to define a model for the treatment of traumatic bereavement that fully supports not only the client, but also those working with the clients around their trauma
Normal grief is when an individual’s physical, cognitive, emotional, spiritual, and behavioral responses based on his or her relationship with the person who passed on, would manifest within a certain period of time and allow a degree of closure (Carrington & Bogetz, 2004). Examples of physical symptoms are shortness of breath, increased blood pressure, weakness, and dry mouth; behavioral symptoms – crying, insomnia, restlessness, and social withdrawal; cognitive symptoms – confusion, absent-mindedness, and poor
Grief is the act following the loss of a loved one. While grief and bereavement are normal occurrences, the grief process is a social construct of how someone should behave. The acceptable ways that people grieve change because of this construct. For a time it was not acceptable to grieve; today, however, it is seen as a necessary way to move on from death (Scheid, 2011).The grief process has been described as a multistage event, with each stage lasting for a suggested amount of time to be considered “normal” and reach resolution. The beginning stage of grief is the immediate shock, disbelief, and denial lasting from hours to weeks (Wambach, 1985). The middle stage is the acute mourning phase that can include somatic and emotional turmoil. This stage includes acknowledging the event and processing it on various levels, both mentally and physically. The final stage is a period of
In relation to the purpose of this study, the driving force behind the research are three questions. What are nurses experience following patient’s death? What are their actions and coping strategies following patient death? Would better learning opportunities and supportive practice environments be provided once there is an understanding of nurses’ grief and coping process, if yes, was it beneficial. The researchers proceeded with a broad question which allowed the focus to be sharpened and delineated later in the
There are several distinct meanings of anticipatory grief based on the four resources from non-nursing disciplines in the following explication.
Working with loss, death and bereavement: a guide for social workers, Sage, London. Wimpen. & Costello, J. 2012. Grief, loss and bereavement: evidence and practice for health and social care practitioners, Routledge,
This essay explores several models and theories that discuss the complexities of loss and grief. A discussion of the tasks, reactions and understanding of grief through the different stages from infants to the elderly, will also be attempted.
The bereavement role is defined as temporary in duration and allows the bereaved to be excused from daily responsibilities, to be dependent on others , and adjust to life after the death of a loved one (Leming & Dickinson, 2016, p. 492). The bereavement role can also be seen, for example, when individuals play into the “sick role” (Leming & Dickinson, 2016, p.492). When individuals are sick, they are excused from certain responsibilities for a brief period of time. This can be the same outlook for the bereavement role. Other studies suggest the definition of the bereavement role as a “state of suffering or loss” (Hashim, Eng, Tohit & Wahab, 2013). When an individual is placed in this role due to the death of a loved one, the bereaved individual turns to others for emotional support and gives up their control of responsibilities to others (Leming & Dickinson, 2016,
Cumulative grief is known as a caregiver’s emotional response to many episodes of grief (Shorter & Stayt). The multiple encounters with death give a nurse no opportunity to grieve adequately or completely for each individual patient that has died (Shorter & Stay, 2010). The unresolved grief accumulates and can lead to emotional and physicals problems which can then effect a nurse professionally and personally (Shorter & Stayt, 2010). The effects of cumulative grief include denial, feelings of decreased personal competency, overwhelming grief, low self-esteem, and pre-occupation with death (Shorter & Stayt,
Loss is a phenomenon that is experienced by all. Death is experienced by family members as a unique and elevated form of loss which is modulated by potent stages of grief. Inevitably, everyone will lose someone with whom they had a personal relationship and emotional connection and thus experience an aftermath that can generally be described as grief. Although bereavement, which is defined as a state of sorrow over the death or departure of a loved one, is a universal experience it varies widely across gender, age, and circumstance (definitions.net, 2015). Indeed the formalities and phases associated with bereavement have been recounted and theorized in literature for years. These philosophies are quite diverse but
While bereavement is an external process by which one externally or publicly grieves, mourning is the grieving that happens internally. “Stroebe defined bereavement as a state of loss, triggering a reaction that manifests in a set of behaviors known as mourning,” (Buglass, 2010, 44). There are stages that one goes through when grieving, this is how they emotionally heal after their loss.