Loss, Death, and GrievingLoss, Death, and Grieving

Birth, loss, and death are universal Birth, loss, and death are universal and individually unique events of and individually unique events of

human experience. human experience. Life is a series of losses and gains.Life is a series of losses and gains.

LossLoss

A person experiences loss in A person experiences loss in the absence of an object, the absence of an object,

person, body part or function person, body part or function of emotion that was formerly of emotion that was formerly

present.present.

Categories of LossCategories of Loss Loss of external objects. Loss of external objects. e.g. possession that is worn out, misplaced, stolen or ruined by e.g. possession that is worn out, misplaced, stolen or ruined by

disaster. disaster. Loss of known environment. Loss of known environment. e.g. separation from a known environment includes leaving a familiar e.g. separation from a known environment includes leaving a familiar

setting.setting. Loss of a significant others. Loss of a significant others. e.g. include parents, spouses, children, siblings ...etc.e.g. include parents, spouses, children, siblings ...etc. Loss of an aspect of self. Loss of an aspect of self. e.g. body part, physiological function, psychological function.... etc.e.g. body part, physiological function, psychological function.... etc. Loss of life: Person who face death live, feel, think and respond to Loss of life: Person who face death live, feel, think and respond to

events and people around them until the moment of death.events and people around them until the moment of death.

Grief, Mourning and BereavementGrief, Mourning and Bereavement Bereavement: is the state of thought, feeling, and activity Bereavement: is the state of thought, feeling, and activity

that follows loss. It includes Grief and mourning.that follows loss. It includes Grief and mourning. Grief: A form of sorrow that follows the perception or Grief: A form of sorrow that follows the perception or

anticipation of a loss of one or more valued or significant anticipation of a loss of one or more valued or significant object, these responses often includes helplessness. object, these responses often includes helplessness. Loneliness, hopelessness, sadness, guilt, and anger.Loneliness, hopelessness, sadness, guilt, and anger.

Mourning: The process that follows a loss and includes Mourning: The process that follows a loss and includes working through grief.working through grief.

N.B: "The processes of grief and mourning are intense, N.B: "The processes of grief and mourning are intense, internal, and painful".internal, and painful".

Care of Dying Clients and their familyCare of Dying Clients and their family Promotion of comfort.Promotion of comfort. Maintenance of independence by participation in Maintenance of independence by participation in

decision making.decision making. Prevention of loneliness and isolation.Prevention of loneliness and isolation. Promotion of spiritual comfort.Promotion of spiritual comfort. Support for the grieving family.Support for the grieving family. Hospice care: Care to help the terminally ill client be Hospice care: Care to help the terminally ill client be

comfortable and maintain satisfaction in lifestyle comfortable and maintain satisfaction in lifestyle through the process of dying, and emphasizes palliative through the process of dying, and emphasizes palliative treatment treatment

N.BN.B: Tissues & Organs used for : Tissues & Organs used for TransplantTransplant

Non Vital TissuesNon Vital TissuesVital OrgansVital Organs

Corneas Corneas Heart Heart

Skin Skin Liver Liver

long bone long bone Lungs Lungs

Middle ear bones Middle ear bones Kidneys Kidneys

PancreasPancreas

The dying Peron’s Bill of RightsThe dying Peron’s Bill of Rights

I have the right to be treated as a living human I have the right to be treated as a living human being until I die.being until I die.

I have the right to maintain a sense of I have the right to maintain a sense of hopefulness however changing its focus may be.hopefulness however changing its focus may be.

I have the right to be cared for by those who can I have the right to be cared for by those who can maintain a sense of hopefulness, however maintain a sense of hopefulness, however changing this might be.changing this might be.

I have the right to express my feeling and I have the right to express my feeling and emotions about my approaching death in my emotions about my approaching death in my own way.own way.

I have the right to participate in decisions I have the right to participate in decisions concerning my care.concerning my care.

The dying Peron’s Bill of Rights…contThe dying Peron’s Bill of Rights…cont

I have the right to expect continuing I have the right to expect continuing medical and nursing attention even though medical and nursing attention even though “cure” goals must be changed to “comfort” “cure” goals must be changed to “comfort” goals.goals.

I have the right not to die alone.I have the right not to die alone. I have the right to be free from pain I have the right to be free from pain I have the right to have my questions I have the right to have my questions

answered honestly. answered honestly. I have the right not to be deceivedI have the right not to be deceived. .

The dying Peron’s Bill of Rights…contThe dying Peron’s Bill of Rights…cont I have the right to have help from others and for my I have the right to have help from others and for my

family in accepting my death.family in accepting my death. I have the right to die in peace and dignity.I have the right to die in peace and dignity. I have a right to retain my individuality and not be I have a right to retain my individuality and not be

judged for my decisions which may be contrary to judged for my decisions which may be contrary to beliefs of others.beliefs of others.

I have the right to expect that the sanctity of the human I have the right to expect that the sanctity of the human body will be respected after death.body will be respected after death.

I have the right to be cared for by caring; sensitive, I have the right to be cared for by caring; sensitive, knowledgeable people who will attempt to understand knowledgeable people who will attempt to understand my needs and will be able to gain some satisfaction in my needs and will be able to gain some satisfaction in helping me face my death.helping me face my death.

Thank You AllThank You All

Any Question ??????Any Question ??????