PRESENTATION ON GRIEF

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 painful psychological and physiological responses to loss.

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

John Bowlbys Theory

Stage 1: Numbness and Protest

Stage 2:Dis equilibrium Stage 3 :Dis organization Stage 4:Re organization

George Engel

Stage 1: Shock and dis belief Stage 2: Developing Awareness

Stage 3: Restitution
Stage 4: Resolution of the loss Stage 5: Recovery

J. William Wordens 4 tasks of mourning

Task 1:Accepting the reality Task 2:Working through the pain of grief Task 3:Adjusting to an environment that has

changed because of loss

Task 4: Emotionally relocating that which has

been lost

LENGTH OF GRIEF PROCESS

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

Absence or unhelpful family Ambivalent and dependent attachment. Insecure attachment.

COMPARISION BETWEEN NORMAL GRIEF AND DEPRESSION

Normal grief Self esteem is intact Depression Self esteem is disturbed.

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

PSYCHOTHERAPY DIVERSIONAL THERAPY

WORK THERAPY
MILEU THERAPY Nursing Management