*ANNOUNCI

NGGRI
EF;
THEPLACEOFSTRATEGI
C
COMMUNICATI
ON*

o Gri
ef is a pr oduct of i
ntense and painf
ul
emoti
ons,
repr
esenti
ng a moment of deep ment
al
angui
sh??

o Gr
iefmaycomei
n2way
sWhi
char
eDi
rectandI
ndi
rect

o GeddesseesGr i
efNassimult
aneouschangeswhi
ch
occur
sinvar
iet
ieswi
thvar
yingdegr
eeofi
ntensi
ty

o Thepartoftheway
sgri
efcanbeexper
iencedi
s:By
wit
nessi
ngandByCommuni
cat
ion

o Gri
efisalsot
hepr
oductofbadnewsorunf
avor
abl
e
exper
ience

o Gr
iefi
snotequi
val
entt
ober
eav
ement
.

 Ber
eav
ementi
sthest
ateofsenseofl
osswhi
l
egr
iefi
s
t
her
eact
iont
othatl
oss

o Whencommunicat
ionproducestheeffecti
ntendedon
the consumer of t he communication,
the
communi
cati
onissai
dtobeSt rat
egic

o There ar
e 11 princi
ples t
hatgov
ern orf
aci
l
itat
e
strat
egiccommuni
cati
on

o The pr
inci
plest
hatf
aci
l
itat
est
rat
egi
ccommuni
cat
ion
areasfoll
ows

 Knowi
ngonesel
fandone'
srol
eatt
hemoment

 Possi
blecount
erar
gument

 Knowi
ngt
hepl
aceofnegot
iat
ion

 Knowi
ngi
nter
act
antv
erywel
l

 Fami
l
iar
it
ywi
tht
heCul
tur
e

 Knowi
ngenv
ironmentoft
hecommuni
cat
iveev
ent
s

 Appr
eci
ati
ngt
hepl
aceofsi
l
ence

 Knowi
ngwhenandhowt
osav
ethei
nter
act
ant
'sf
ace

 Accept
ingone'
sweakness

 For
egr
oundi
ngcommuni
cat
ionwi
thmut
ual
bel
i
efs
o Ther
eareFive phasesofgri
ef,Theyare:Deni
al,
Anger,
Bar
gai
nig,Depr
essi
onandAccept
ancewi
ththe
codenameDABDA

o Therearethreemodel
sofdeal
i
ngwithgri
efwhichare:
Being geni
ue and congr
uent
,Of f
eri
ng Uncondit
ion
posit
ion Regar d , Communicat
ing Empat heti
c
Underst
anding

o Thendi
sci
pli
nesthathasr ecor
dedthemostr
ecur
rent
amountofgri
efi
st heFi
eldofmedici
ne

o Bail
eetal(2000)pr oposedtheSPIKESpr otocolwhi ch
i
nvolves :Setti
ng up i nt
erv
iews,Assessing patients
percept
ion, Obtaining pat i
ent
s inv i
tat
ion, Gi ving
knowledge and informati
on to pat
ients,Addr essing
pati
entsemotionswi thempathy,
Prov
idingstrategyand
Summar y
o The acr
onym 'BREAKS'means Backgr
ound,Rappor
t,
Expl
ori
ng,Announci
ng,Ki
ndl
i
ngandSummar ize

o Accordingtot he'BREAKS'model ,
thecar
e-gi
vermust
observesteadi
lythef ol
l
owi ngsteps:Knowingpat
ient
s
background, Establ
ishment of Good r apport wit
h
pati
entsandRev i
ewofpr oblemsfrom t
hestar
t

o PCC modelwas pref

erred tot he BREAKS model
becausei
tismor
eEf
fi
cientandEconomical

o The PCC Model Consist of t

he f
oll
owi
ng :
Preambl
e,
Cli
maxandCl
osur
e

o Withregardstobr eaki
ngt
henewsofgri
ef,
theover
all
object
iveoflanguageisToensur
emi
nimaldamageto
peace
o Thefoll
owi ngispar
toft hecausesofgrief:Deat
h,
Separ
ation,Acci
dent
,il
lti
medExperienceandHurtto
sel
fEsteem

o Ther
ear
etwocommuni
cat
ivet
ool
swhi
char
eVERBAL
ANDNON-VERBAL

o Ver
bal communicat
ivetool
si nvol
vestheuseofa
combinat
ionofsupportstr
ategiesli
keprov
erbs,
wise
sayi
ngse.t.
c?

o pr
eamblelevelal
lowstheannouncertoemploysuch
l
anguage as wil
lhelp hi
m to setthe t
one ofthe
i
mpendinginf
ormati
on

o Cl
i
maxi
nvol
vesannounci
ngGr
ief

o Closur
eistheporti
onthatcont
ainst
hemor
almessage
oftheannouncer
'si
nter
venti
on
o The foll
owi
ng f act
ors shoul
d be consider
ed in
choosingtheplaceofgri
efcommunicat
ion:Secur
it
y,
SecrecyandDangerousweaponfr
eeenvi
ronment