Grief and Bereavement





Grief:
       Grief is a normal response to ANY loss (a broken relationship, a change of social or employment status, the loss of someone dear).  The process of grief is based on the individual's perception of loss.  That is, what one feels, is what's felt.  Grieving is extremely hard work, taking both physical and emotional energy to cope with the inevitable changes that accompany the loss.  Grief can also be very painful, difficult to deal bear, and at times impossible to resolve.  But with time the pain (hopefully) passes and peace comes.

Loss and grief are sources of stress for the individual experiencing the loss, for the family, and also for the supportive caregivers.  Unresolved grief can lead to serious physical, emotional, and psychological problems that can seriously affect the individual's quality of life. Some people need help to deal with loss.  In effect, they need help to grieve.

While it is important to be able to identify behaviours associated with grief, it is also necessary for individuals to understand their own manner of grieving before any offer of assistance can be extended.
 

Mourning:
           Mourning is the process by which the grieving individual undoes his/her connection with what he/she has lost.  it is an introspective process that helps the person deal with grief on both a conscious and subconscious level.  Just as perceptions and reactions to grief are unique to each individual, there is no one style of mourning.  The rituals of mourning (i.e., funerals and burial rites) are an extension of one's social and cultural background.
 

Bereavement:
                    Bereavement is the state of suffering a loss and involves the emotional and physical responses to grief.  Individuals use the tasks of mourning to cope with their grief and loss.  Bereaved people are those who having recently experienced a loss, are coping with their grief and are going through the process of mourning.
 



 
 

Mourning is not forgetting... it is an undoing.  Every minute tie has to be untied and something permanent and valuable recovered and assimilated from the knot.  The end is gain, of course.  Blessed are they that mourn, for they shall be made strong, in fact.  But the process is like all other human births, painful and long and dangerous.






 
 

Signs and Symptoms of Normal Grief
 

Physical

Tightness in the throat
Shortness of breath
Disturbed sleep patterns
Loss of energy
change of appetite
Palpitations/chest pain
drug/alcohol abuse
sexual dysfunction
 

Emotional

Numbness
Sadness
Anger
Fear
Depression
Anxiety
Hopelessness
Guilt
Disorientation
 

Behavioural

Crying/Sighing
Withdrawal or independence
Loss of interest/indifference
Restlessness
Hostile outbursts
Wanting to die



 
 

Stages of Grief

Denial: " It can't be true"!

Anger: "Why me?"  "Why us?"

Bargaining:  "Maybe I can bargain with God."

Depression:  accompanies grief and mourning as death approaches

Acceptance:  of the inevitable by the client and family.
 



 


Types of Grief

Complicated Grief is experienced when the work of grief is too difficult to bear.  If any of the following symptoms is present, the individual is as risk and is in need of INTENSIVE COUNSELING.
 


Anticipatory Grief refers to grieving before the actual loss has occurred.  This is usually seen with family members, friends. and caregivers, but people who are dying can also experience anticipatory grief.  this process allows individuals the time to absorb the reality of loss in a gradual fashion.  it provides time for completion of "unfinished business".  Some signs of anticipatory grief may include:
 
 




 
 

The Four Tasks of Mourning

As previously stated, mourning is the process that helps people cope with grief.  While the stages of grief do not progress in any set order, there are four tasks related to mourning which do follow in sequence.

TASK ONE:     Acceptance of the reality of the Loss by talking about the dead person and the circumstances surrounding the death to help soothe and dispel feelings of shock and denial.

TASK TWO:    Experiencing the Pain of Grief, while difficult to bear, allows the grieving person to understand that this suffering will pass.

TASK THREE:   Adjustment to Living Without the Loved One comes when understanding the relationship with the deceased and the part he/she played in the life of the survivor.

TASK FOUR:   Letting go.  This is perhaps the most difficult task to accomplish.  People may fear that they are not honouring the memory of their loved ones by moving on with their life and new relationships.
 



 


Finding Direction in Grief

Remember
Reviewing the deceased's life and my relationship with him/her

Realize
Coming to terms with the reality of death and the unmitigated pain of grief

Release
Saying good bye to the relationship and moving into a future without the deceased

Reaffirm
Discovering the spiritual values that provide an 'anchor' in the loss
 







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DEATH & DYING
TERMINAL
YOUR DASH
THIS TOO SHALL PASS
MY LIFE TO LIVE OVER
MY WISH FOR YOU
IN LOVING MEMORY
ATTITUDE
APPLE OF MY EYE
BILL OF RIGHTS
CAREGIVER STRESS
HEALTHY WAYS OF COPING
WAYS TO COPE WITH YOUR GRIEF
DO'S & DON'T


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