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Presenting by, Tejaswini.B.H 2nd year MSc Nursing N.D.R.K College of Nsg Hassan
DEFINITION OF GRIEF
Grief is a normal, appropriate subjective state of emotional, physical and social responses to the experience of loss of valued entity.
Grief is the dynamic natural psychological and physiological responses to loss, which affects physical, cognitive, behavioral, emotional, social and spiritual aspects of individual life.
TYPES OF GRIEF
Anticipatory grief Acute grief Dysfunctional grief *Absent or inhibited grief *Distorted grief *Converted grief *Chronic grief 4.Chronic sorrow
STAGES OF GRIEF
Avoidance Confrontation
Re-establishment
Theories Of Grief
Elisabeth Kubler-Ross Theory Stage 1: Denial Stage 2: Anger Stage 3: Bargaining Stage 4: Depression Stage 5: Acceptance
George Engel
Stage 3: Restitution
Stage 4: Resolution of the loss Stage 5: Recovery
been lost
It lasts for about 6 months to 1 year . But in some person it may persist much longer than 1 to 2 years.
RISK FACTORS
Death of loved one Sudden, unexpected untimely death Multiple deaths Suicide or Murder
Vulnerable Personality
Low self esteem Mistrust over others Previous psychiatric disorders previous suicide threats or attempts
May openly express anger Usually does not directly express anger. Experiences a mixture of good and bad days. Persistent state of dysphoria. Accept comfort and support from others Able to experience moments of pleasure. Does not respond to social interaction and support from others. Anhedonia is prevalent
Normal Grief Maintains feeling of hope. May express guilt feeling over some aspect of loss. Relates feelings of depression to specific loss experienced. May experience transient physical symptoms.
Depression Feelings of hopelessness prevails. Has generalized feelings of guilt. Does not relate feelings to a particular experience. Express chronic physical complaints.
SYMPTOMS OF GRIEF
Physical symptoms Cognitive symptoms Behavioral symptoms Affective Manifestation Spiritual Response
MANAGEMENT
WORK THERAPY
MILEU THERAPY Nursing Management