Name: BALASUELA, Jozel Via P.

Topic: CHAPTER 37 (THE EXPERIENCE OF LOSS, DEATH, AND GRIEF)

Life offers a person several opportunities to grieve for loss or change. Often the adjustment is
welcome (divorce, loss of a job, death). Loss can include tangible objects, such as a body part or
purpose, a friendship, or a possession. They can also be intangible, such as a lack of self-esteem, faith, or
a dream.

Grief is a normal but perplexing cluster of ordinary human emotions that arise in response to a
significant loss, aggravated and complicated by a relationship with a lost person or object. Grief cannot
be stopped from doing so. It's very, very personal. No two people suffer the same loss in the same
manner, nor do they ride the same way through sorrow. Grief's work is very hard and requires
enormous amounts of energy from the grieve. It's rarely orderly and predictable. Because objects,
memories, and anniversaries can cause a surge in feelings of loss, the work of grief is never fully
completed. However, grief may decrease, and healing may occur when the pain of loss is less severe.

Awareness about mourning theory and natural approaches to death and bereavement lets you
better understand these complicated events and how to help you better understand these complex
experiences and how to help a grieving individual. Grief theorists identify bodily, psychological, and
social loss responses. Note that individuals who depart from predicted grievance standards or
theoretical definitions are not uncommon. The diversity of hypotheses underpins the ambiguity and
individuality of grievance responses. While several of the grief theories explain how people deal with
death, they also help to clarify the reactions to other major losses.

Multiple factors influence the way a person perceives and responds to loss. They include
developmental factors, personal relationships, the nature of the loss, coping strategies, socioeconomic
status, and cultural and spiritual influences and beliefs.

To give effective and compassionate treatment to the mourning patient and families, use
analytical thinking skills to pool clinical expertise from nursing and non-nursing backgrounds, ethical
principles, evidence-based practice, patient evaluations, prior care-giving experience, and self-
knowledge. Critical thought advises all phases of the nursing process.

In the process of the evaluation, consider all the elements that build into the building in order to
render an effective nursing diagnosis. To consider the patient's subjective view of loss, ask questions of
judgment based on the scientific and clinical understanding of sorrow and loss, but also listen closely to
the patient's experiences. A culturally aware nurse frequently uses a culture-specific interpretation of
sadness to examine the sense of a patient's death.
Name: BALASUELA, Jozel Via P.

Topic: CHAPTER 36 (SPIRITUAL HEALTH)

The connection between faith and healing is not well known. However, an individual's inner
spirit appears to be an important healing factor. Healing often takes place because of the belief.
Research shows that spirituality has a positive impact on and enhances physical and psychosocial health,
quality of life, health promotion and disease prevention activities.

A number of concepts describing spiritual health are part of professional nursing practice. In
order to provide meaningful and supportive spiritual care, it is important to understand the concepts of
spirituality, spiritual well-being, faith, religion and hope. Each concept offers a direction in
understanding the views that individuals have of life and its value.

When illness, loss of grief, or a major change in life occurs, people either use spiritual resources
to help them cope, or develop spiritual needs and concerns. Spiritual distress is a state of suffering
associated with impaired ability to experience meaning in life through relationships with oneself, others,
the world, or a higher being. It causes people to question their identity and feel doubts, a loss of faith
and a sense of being alone or abandoned. Individuals often question their spiritual values, raise
questions about their way of life, their purpose for life, and their source of meaning. Spiritual distress
also occurs when there is a conflict between a person's beliefs and the prescribed health regiments.

Understanding the spirituality of a patient, and then properly identifying the level of support
and resources needed, requires a broad perspective and an open mind. As a nurse, you are committed
to meeting the spiritual needs of your patients; therefore, it is essential to respect the personal beliefs
of each patient. People are experiencing the world and finding meaning in life differently. The
implementation of the nursing method from the point of view of a patient's spiritual need is not easy. It
goes beyond judging his or her religious activity. Caring about your patient's spiritual needs requires you
to be respectful and eradicate any emotional prejudice or misconceptions. Be able to communicate and
learn their sense and intent in life, sickness, and health. Identify shared values and respect unique
responsibilities and values for your patients by holding quiet conversations, listening actively, and
engaging by presence and touch.