Loss, Death, and Grieving

1. Loss, Death, and Grieving

2. Birth, loss, and death are universal and individually unique events of human experience. Life is a series of losses and gains.

3. Loss A person experiences loss in the absence of an object, person, body part or function of emotion that was formerly present.

4. Categories of Loss • Loss of external objects. e.g. possession that is worn out, misplaced, stolen or ruined by disaster. • Loss of known environment. e.g. separation from a known environment includes leaving a familiar setting. • Loss of a significant others. e.g. include parents, spouses, children, siblings ...etc. • Loss of an aspect of self. e.g. body part, physiological function, psychological function.... etc. • Loss of life: Person who face death live, feel, think and respond to events and people around them until the moment of death.

5. Grief, Mourning and Bereavement • Bereavement: is the state of thought, feeling, and activity that follows loss. It includes Grief and mourning. • Grief: A form of sorrow that follows the perception or anticipation of a loss of one or more valued or significant object, these responses often includes helplessness. Loneliness, hopelessness, sadness, guilt, and anger. • Mourning: The process that follows a loss and includes working through grief. N.B: "The processes of grief and mourning are intense, internal, and painful".

6. Care of Dying Clients and their family • Promotion of comfort. • Maintenance of independence by participation in decision making. • Prevention of loneliness and isolation. • Promotion of spiritual comfort. • Support for the grieving family. • Hospice care: Care to help the terminally ill client be comfortable and maintain satisfaction in lifestyle through the process of dying, and emphasizes palliative treatment

7. N.B: Tissues & Organs used for Transplant

8. The dying Peron’s Bill of Rights

9. I have the right to be treated as a living human being until I die. • I have the right to maintain a sense of hopefulness however changing its focus may be. • I have the right to be cared for by those who can maintain a sense of hopefulness, however changing this might be. • I have the right to express my feeling and emotions about my approaching death in my own way. • I have the right to participate in decisions concerning my care.

10. The dying Peron’s Bill of Rights…cont • I have the right to expect continuing medical and nursing attention even though “cure” goals must be changed to “comfort” goals. • I have the right not to die alone. • I have the right to be free from pain • I have the right to have my questions answered honestly. • I have the right not to be deceived.

11. The dying Peron’s Bill of Rights…cont • I have the right to have help from others and for my family in accepting my death. • I have the right to die in peace and dignity. • I have a right to retain my individuality and not be judged for my decisions which may be contrary to beliefs of others. • I have the right to expect that the sanctity of the human body will be respected after death. • I have the right to be cared for by caring; sensitive, knowledgeable people who will attempt to understand my needs and will be able to gain some satisfaction in helping me face my death.

12. Thank You All Any Question ??????