Bereavement Role, Disenfranchised Grief, and Mourning
Laurel Ellzey
Denver School of Nursing
Abstract
Death is a part of life and eventually everyone on this earth will experience it. Nurses play an important role in death. Mourning the death of a loved one is something that almost everyone will experience in this lifetime because it is a natural response to death. Bereavement, grief and mourning are all effected by one’s culture, religion, the relationship with the deceased, personality, and how the person died.
Bereavement Role
Nurses have a difficult yet unique role when it comes to bereavement. Nurses spend the most time with patients, so they are most often the ones that patients choose to share their concerns, fears, and grief with. According to Corr & Coolican, (2010), bereavement is the term used when someone significant is lost through death. According to Read (2002), nurses can help the bereaved by acknowledging the death, using active listening, helping them to express their emotions and ensuring that they are involved in the dying process. I am currently doing my senior capstone clinical rotation at a jail and even though I haven’t had to deal with any patient deaths so far, the patients that I deal with are essentially experiencing a loss. To some of the inmates, being imprisoned is like losing a loved one because they are cut off from the world and feel like their life is over. Even
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
In 2015-2016, on average, 80 million American households owned one or more pets (Pets by the Numbers, n.d.). The loss of a beloved family companion can be a significant event in an individual’s or family’s life. The emotions a family member experiences after the loss of the family companion is real and can be intense. The individual experiencing the grief may minimize or mask their emotions at risk of receiving disapproval or being stigmatized by others would do not fully understand the expression of grief over the loss of a pet. “Bereaved pet owners experiencing strong grief reactions are prone to minimize or mask the depth and intensity of their grief. These clients would benefit from assistance in exploring the role of disenfranchised grief
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
Watching someone die is a situation I will never get used to. I know it is part of life and part of nursing as well. I feel nurses help guide their patient’s in healing and even the end of life stages. Nurses are advocates the patients and offer a hand to help in comforting. Death can be uplifting knowing the patient is able to let go and they are no longer in pain. As someone passes, they look peaceful, relieved and happy which is a beautiful and heartbreaking all at the same time.
Losing a loved one can be very painful, emotional and overwhelming. The difficult part after losing a loved one is learning how to cope with the loss. In order for nurses to help individuals cope with a loss of a loved one it is important for them to understand the grief process. This paper will define and explain the bereavement role, disenfranchised grief, four tasks of mourning and how nurses can help bereaved individuals with these processes.
Death is a universally experienced phenomenon. In the United States alone, over 2.6 million people die each year (Center for Disease Control and Prevention [CDC], 2015). For practitioners, it is of utmost importance to better understand the process of grief to develop better interventions for bereaved individuals.
I interviewed Tracy, who is a registered nurse with Shands Homecare, before working there she worked at North Florida Hospital. She has been a nurse for about ten years. Along with the above questions I asked Tracy a few of my own, one of the questions I asked was if there was a significant experience dealing with death in her profession that impacted her more than others, and there was. She mentioned that she went to a patient's home one day, who had been her patient for quite some time, and she found them deceased. She said that part if that experience that really impacted her was that at the time she found the patient, the patient's son was getting home from school. Tracy said that is was a very tragic experience for her. I also asked Tracy
“Disenfranchised Grief. People experience disenfranchised grief, also know as marginal or unsupported grief, when their relationship to the deceased person is not socially sanctioned, cannot be openly shared or seems of lesser significance. The person’s loss and grief do not meet the norms of grief acknowledged
One of the hardest situations someone can endure is death. The death of a loved one, friend, and even an acquaintance can be tough for most. Healthcare professionals are told from day one not to “Not get too close and attached.” however, that is easier said than done. I currently work as a CNA in the memory care unit at an assisted living facility. In this home, we assist with any and ass activities of daily living, such as bathing, feeding, and dressing our residents. Working so close with these residents, it is difficult not to get to know and adore them, anyone in this particular field will tell you that I myself have a few of them. One resident in particular really held a special place in my heart. I would start my shift and head straight
Working as Certified Nurse Assistant at North Caroline Veteran Home, was my first experience working with the dynamics of aging, disability, death and dying and loss and grieving beside the textbook knowledge. I have seen people I assist daily passed as well as comforting their family. It was not an easy experience or thing to get use to! Especially when one of the client passed during my shift and I must clean his body and make him look “presentable”. I never thought I would do a job of a coroner, from a fear of cleaning emotionless body. However, the expience assisting people who know could passed ay an hour made me appreciate life much more. Anyhow, what I have learned is that there is no right or wrong way to grieve. Grief does not always
After reading the Rashotte (2005) article it really made me think about how much of an impact we will have on peoples lives as nurses. As nurses we will see happiness and heartbreak in hundreds of people’s eyes over our careers. Dealing with loosing a patient I believe would be a struggle as well. We form a bond with each of our patients so to see them pass away is like loosing a friend. Death is never easy to deal with or talk about, but it is a part of being a nurse. I am sure later on in nursing school we will learn more about grieving and death. Hopefully at that point in time we will learn about good coping mechanisms and what to say to family and friends if their loved one does pass away in our care. It is hard to think about, but death
visual flashback memories of the violence may dominate the person's mind. They may be taken up
Abstract: Nurses usually face many stressful factors and burnout conditions while caring for patients. Some of these issues include concerns for patients, their families, time factors and levels of professionalism. Communication and corporation also lead to stress among nurses caring for dying patients. Lack of enough nurses to effectively attend to the treatment needs of a larger population of dying patients is another stressful factor in the nursing profession. These issues should be addressed to make the work of nurses effective.
As a nurse practitioner, I understand that dying is part of life and most importantly, should be treated with respect and dignity to the very end of life. Losing parents and transitioning to the next chapter in life can be daunting. My parent’s last days were very memorable for me. The dignity my mother and father held until their last breathe was undeniably a memory that will be in my heart forever. Witnessing their passing had such a profound effect on my siblings and myself. Dying comfortably and with dignity is a right for every human being. My wish is to share that experience and help others in coming to terms with the emotions of saying goodbye to a loved one.
The stages if grieving are denial, anger, bargaining, depression, and acceptance. As nurses we know what entails in each stage, but it takes a lot for a patient to get from denial to acceptance and they sometimes need our help with getting them there. To help lessen the burden of the grieving process the nurse can involve the family if the patient is okay with it, but it is important to keep in mind that they are going through the grieving process as well. Watch for cues that the patient maybe displaying such as; peacefulness, saying good bye to loved ones, new fears, helplessness, withdrawal, anxiety, and vision alterations. These cues should be addressed to the patient in a soft manner to see if the patient would like to talk about their feelings on leaving this earth.