Kathy Briglia MSWLCSW Clinical Social Worker Intensive care Nursery Duke university medical center GRIEF Types of Grief Delayed Disenfranchised Ambiguous Inconclusive Complicated Average Response ID: 687790
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Grief and pregnancy: understanding and supporting grief and loss across the pregnancy continuumKathy Briglia, MSW,LCSWClinical Social WorkerIntensive care NurseryDuke university medical centerSlide2
GRIEFSlide3
Types of Grief:
Delayed
Disenfranchised
Ambiguous
Inconclusive
Complicated
Average Response
ResilientSlide4Slide5
Common grieving emotions-Numbness & Shock-Denial & Yearning-Guilt/Resenting others -Depression/Disorganization/Despair
-Resolution
**these emotions/stages/steps are NOT linear, they do not go in a particular order**Slide6
resolutionSlide7Slide8
Difference in griefMen and WomanChildren and griefSlide9Slide10
Prenatal palliative careSlide11Slide12Slide13Slide14Slide15
Grief/loss issues experienced in the intensive care nurserySlide16
EMPATHYYou never really understand a person until you consider things from his point of view
Atticus Finch-
To Kill a Mockingbird
COMPASSION
“Compassion asks us to go where it hurts, to enter into the places of pain, to share in brokenness, fear, confusion, and anguish. Compassion challenges us to cry out with those in misery, to mourn with those who are lonely, to weep with those in tears. Compassion requires us to be weak with the weak, vulnerable with the vulnerable, and powerless with the powerless. Compassion means full immersion in the condition of being human.”
defined by Henri
NouwenSlide17
Empathy: The Human Connection to Patient Care - YouTubeSlide18
W Expectations
Reality
versus
.Slide19
Gerber vs. SickAnticipated/Expected
Nursery is ready early in on pregnancy
Established birth plan
Anticipation of a typical delivery
Immediate bonding/breast feeding
Home in 2-3 days
Maternity leave with your baby at home
Critically Ill Infant
Parents are in shock/in crisis
Don’t retain information
Scared to touch their child
Only able to visit for a few minutes
Overwhelmed, scared
At times, Mother is not able to see her baby for some time
Complete opposite of birth plan
Unknown length of hospitalization,
ie
separation from one’s baby
Parents feel completely out of controlSlide20
The Impact of HistoryEveryone has a Story
Unplanned with initial ambivalence about the pregnancy
History of one or more full term births
Planned pregnancy with detailed birth plan
3
rd
round of in vitro fertilization, first successful pregnancy
Being told “you can’t get pregnant”
History of a stillbirth of neonatal deathSlide21Slide22Slide23Slide24