Palliative Care Education for FrontLine Workers in First Nations Communities Grief is a total human experience impacts the following aspects of life social physical cognitive emotional ID: 1006557
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1. Grief and Bereavementcerah.lakeheadu.caPalliative Care Educationfor Front-Line Workersin First NationsCommunities
2. Grief is a total human experience impacts the following aspects of life: social physical cognitive emotional spiritual part of a normal healing process
3. DefinitionGrief is the complex set of responses to those losses which create the emotional and spiritual transitions of our livesGrief is most commonly thought of as a natural emotional reaction to loss
4. Four dimensions of griefFeelingsPhysical sensationsCognitionsBehaviours Worden 1991Two other dimensionsSpiritual or philosophicalInterpersonal Gilbert 2001
5. Grief Sometimes there is so much pain associated with grief people believe that grief is something that needs to be “fixed” or “overcome.” People often think that there is a “right” and “wrong” way to grieve.
6. Grief as a series of tasksFour tasks:Accept the reality of the lossWork through the pain of griefAdjust to the environment in which the person who has passed is now missing Emotionally relocate the person who has passed and move on with life Lindeman, 1944, Worden, 1991
7. Grief as an active process of coping directed at remaking reality“Time in itself does not heal. It’s what you do with the time that makes it meaningful.”
8. GriefGrief may be viewed as a spiritual journeyGrief is a uniquely personal experience
9. “…to lose someone you love is not like losing your car keys. It’s like the laws of gravity have been repealed. We need to reclaim the law of gravity to survive…” - Peter Marris
10. In palliative care we speak primarily of two forms of griefAnticipatory Grief - grieving not only for what one has lost but for what one is about to loseBereavement Grief - a healthy adaptive process in response to a death and its accompanying losses
11. Two perspectives of anticipatory griefThe perspective of the individual who is passing.The perspective of others who care about the individual who is passing.
12. Anticipatory grief mourns for:Past – the past that was shared and can never be regainedPresent – the losses that occur and are experienced as a diminution, or end, of capabilities; the ongoing experience of erosionFuture – the losses of the anticipated death and such related losses as loneliness and events that will not be shared
13. A 3rd type of grief Disenfranchised grief – the grief that people experience from a loss that is not, or cannot be, openly acknowledged, publicly mourned, or socially supportedDoka, 1989
14. Some suggestions for living with grief (1 of 3)Proceed gently; don’t rush too much; the body needs energy to repairKeep decision-making to a minimum; if possible, don’t assume new responsibilities right away.Accept help and support when offeredAsk for helpSearch for support from others; consider meeting new people
15. Some suggestions for living with grief (2 of 3)Be patient; healing takes timeLean into the pain; it cannot be ignored, it must run its courseCrying does helpTry to find (or schedule) comforting activities during the holiday timesLook for help from a spiritual advisor or counsellor.
16. Some suggestions for living with grief (3 of 3)Get enough restTry to eat balanced meals; good nutrition is important in the healing processKeep a journal ReadModerate exercise helps “work off” frustration and promotes sleepDon’t feel guilty when enjoying good times with family and friends
17. Attitudes toward grief supportYour behaviour and attitude are more important than your wordsBe aware of your own feelings and how you deal with loss and passing.
18. Ways to offer support (1 of 3 )Be comfortable with expressions of emotion; remember emotions are NOT rational, they just areBe patient; your willingness to spend the time to listen is what counts mostSupport their pain; don’t overprotect or hurry peopleEncourage active participation in the care of the person who is very sick.
19. Ways to offer support (2 of 3)Accept and do not judge family members who cannot bring themselves to be presentHelp people find their own answers to problemsListen without judging, and allow family members to voice concerns or tell stories
20. Ways to offer support (3 of 3)Remember you are not responsible for making it betterBe clear on what you can offer; follow through on commitmentsBe aware that culture, religion and family background will affect people’s grief processLearn to recognize grieving difficulties
21. Grief only becomes a tolerable and creative experience when love enables it to be shared with someone who really understands Simon Stephens