DEATH AND DYING
LOSS AND GRIEVING
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Affects client, family and significant others
Loss (life, body part, organ, funtion
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actual
perceived
LOSS HAS AN EMOTIONAL AS WELL AS AN INTELLECTUAL/COGNITIVE COMPONENT
HEARING IS THE LAST SENSE TO GO !!!
GRIEVING
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SERVES A PURPOSE
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Helps individual/family come to terms with the loss
Promotes physical and mental health/well-being
GRIEVING
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IS SOCIALLY ACCEPTABLE
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CAN BE FUNCTIONAL (OR DYSFUNCTIONAL)
THEORIES OF THE GRIEVING PROCESS
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Engel
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Kubler-Ross
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Martocchio
Phases of Grief and Nursing Implications
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Shock & Disbelief
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Anger/Protest
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Despair, Depression
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Acceptance/Reorganization
Client/Family Assessment
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Social support system
Spiritual beliefs/faith
Cultural beliefs
Availability of options/resources
Hope
Nursing Diagnoses
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Hopelessness
Ineffective family coping
Altered family processes
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Social isolation
Spiritual distress
Sleep pattern disturbance
Altered nutrition
Dysfunctional grieving
Planning for the client dealing with loss
The client will maintain:
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comfort
spiritual comfort
hope
independence
personal interaction
DEALING WITH DEATH & DYING
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THERE ARE NO PERFECT WORDS
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WE CAN’T MAKE IT BETTER
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THE ONLY WRONG THING TO DO IS TO LEAVE
FOR THE CLIENT
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Client Needs Sense of Control
Touch
Listen & Respond
Positive Body Language
Stop In
Deal with Client’s Fears
Encourage Hope
For The Family
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Encourage Communication
Respect Individuality
Include Family
Encourage Family Members to Say Goodbye
Trust Intuition
For Yourself
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Take as good care of yourself as of your clients
Know that there are times we can no longer do any more about a situation
Establish a philosophy of life
Educate yourself
Be real
PLANNING
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ORGAN DONATION
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ADVANCED MEDICAL DIRECTIVES/ LIVING WILLS
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HOSPICE
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FUNERAL/MEMORIAL SERVICES