Introduction
Grief defines the situation of a person after losing something which is very important to him or her. Grieving is a healthy response to loss. There are many kinds of losses. While grieving, you may bounce back and forth between feelings of shock, denial, anger, guilt, sadness, and acceptance.(Piper,2001)
Grief has much importance in the field of nursing because when one does not know that what kind of pain or can be said mental pain a patient is having how can someone treat his/her patient. It usually occurs due to some mishap or misfortune it can vary,
1. Nonappearance of a protest, individual, body part, feeling, thought or capacity that was esteemed
2. Genuine Misfortune is recognized and checked by others.
3. Others can’t check seen Misfortune.
4. Maturational Misfortune happens in ordinary advancement.
5. Situational Misfortune happens without desires.
6. Extreme Misfortune or Passing outcomes in a loss for a diminishing individual and additionally for those left behind can be seen as a period of development for all who experienced it.
Each year, between 5% and 9% of the population loses a close family member.
Grief is a natural response to death or loss. The grieving process is an opportunity to mourn a loss and then heal appropriately. The process is helped when you acknowledge grief, find support, and allow time for grief to work. So after acknowledging the situation of his/her patient they can go further for treatment.(Rotter,2000)
Literature review:
There are many problems which occur during the process of grief, and there are many ways which can cause grief, one’s parent death, student death, sibling death can be the cause of grief. To understand this one needs to have some serious intentions towards the victim of grief and only then this can be lowered.
Grief does not take after a direct example. It is more similar to a crazy ride, two stages forward and one stage back. Eventually, individuals figure out how to coordinate the experience to the point of having another life emerging from the old. The misfortune remains and is never forgotten, however, the force is never again handicapping or disorganizing.
In the state of grievance, a person needs to communicate his situation, and the nurse usually acts a medium to help them recover.
A lot of lamenting is tied in with communicating feeling – some might be new, and inadmissible to self or others, e.g., outrage, blame, regret. Misconceptions can emerge when individuals encounter diverse reactions to a mutual misfortune. Outer backings may then turn into an imperative factor in comprehension and communicating your melancholy. Know that you can survive the experience and that the new life that in the end comes to fruition may have extremely beneficial outcomes notwithstanding the trouble of landing now. Many studies have shown that grief can be dangerous for a whole society not just for the personal self who is in the condition of grief. Sometimes when someone is in a situation of grief and suddenly, a thought comes to his mind that death of someone loved or any other big loss was because of the society or that fixed area people. So then there is a big chance that there can be many deaths and many people will be caught by the ghost of grief as one is comforting himself and putting others in grief. Grief has many effects ranging from mind to physical to social to spiritual.(Henrick,2017)
Physical impacts: Physical impacts of Grief include: shortness of breath; loss of longing for; crying; fatigue and rest issues. It is basic to diminish the physical impact of torment by keeping up a sound eating regimen and having acceptable rest.
Mental Effects: Emotional effects of anguish include: deadness; dejection and void; outrage and disdain; perplexity; profound and continuous bitterness; and lost enthusiasm for things that used to bring joy.
Social impacts: Social effects of anguish include: withdrawal; disconnection; strife because of individuals having diverse lamenting styles; improbable desires of others. Here and there carers pull back from others to adapt to their despondency or to dodge negative judgment.(Kathleen,2013)
Spiritual effects: Spiritual effects of distress include: loss of significance and a look for new importance; scrutinizing your profound convictions; fortifying your otherworldly convictions.
‘Confused’ grief occurs when a man has been lamenting for an expanded timeframe, or the anguish is knowledgeable about an unforeseen way.
A few cases of muddled anguish include:
Chronic distress response – “this thing isn’t finishing for me.”
Delayed pain response – “my life is coming apart. I thought I was over this”
Exaggerated misery response – “I have been discouraged until the end of time.”
Masked misery response – “My emotions have nothing to do with the dysfunctional behavior.”
Sadness additionally impacts your profession in an exceptionally different manner.
It can be counseled by nurses of help to cure it
Say that misery is a typical reaction to misfortune and that individuals work through the misfortune with the adoring help of family and companions. Be that as it may, for an assortment of reasons it might be important to look for proficient help through guiding. Advising may at first escalate excruciating sentiments as the outside diversions are evacuated, and the customer can center around their encounters and investigate them completely. Individuals who are lamenting may need to discuss their story again and again and are regularly worried about the ‘destroy’ factor on family and companions, particularly if points of interest are extremely upsetting. Similarly, they may find that others have unreasonable desires of their recuperation or encounters. Where individuals need to proceed in parts as guardians, laborers or carers, directing may give an important time-out to their own need to lament and get bolster. A steady, protected and tolerating condition and time put aside consistently can have an extraordinary effect. It might give solace and expectation during a period of extraordinary perplexity and emergency.(Lobb,2010)
Nurses have to exercise different sorts of strategies to help the depressed souls. Nurses try to pay full attention to the deprived individual while making sure that he is understood properly. Some nurses show their patients old photos or snapshots to help the individuals reflect upon the past. One of the most important things a nurse must do is to be non-judgmental and tolerate most things. Nurses must also be down to earth and passionate towards their profession. Some nurses support the patients by helping them to cry, as shedding tears helps a person to recover faster. Negative speech and opinions must not be discussed in front of an ill person. It could be very problematic later. Also, by acknowledging commemorations and dates of hugeness for the dispossessed individual, we can make him stronger.
Grief has five steps that a person who goes through it is bound to face all of them which are: denial, anger, bargaining, depression, and acceptance. These stages likewise apply to the phases of passing on, the grief related to one’s particular demise. She depicted the phase of foreswearing as the deprived experiencing issues accepting what has happened, the outrage stage as the survivor scrutinizing the decency of the misfortune, the haggling stage as wishing to make an arrangement with destiny to acquire time with the person who was or will be lost, the gloom organize as the period when the dispossessed individual connects with how exceptionally tragic they are tied in with losing their cherished one, and acknowledgment as feeling some determination to their melancholy and greater capacity to go ahead with their own life.
Attributes:
There are many attributes of grief. A person may forget even the simplest of tasks, like forgetting files, keys or birthdays. This takes a person to fall into disarray and become disorganized. When a person is short tempered or may have low tolerance levels, he may become more furious. Later on, a person may start to complain about petty but serious matters like fatigue, excessive sweating, skin rashes, throat tightness, and dizziness. Breathlessness and sighing also become a habit which weakens the mechanics of the body. Similarly, a person may also feel a certain lack of energy levels. Low energy leads to unpredictable and erratic behavior like the constant fear of going crazy. Mood swings also become common. Mood swings lead to more uncontrollable crying. A person may also become restless and may face an urge of staying awake. Some people claim not to be able to concentrate on anything. They lose their sense of focusing and become daft. In some cases, people lose their memories and get used to short attention span. Concentration becomes almost impossible as there remains something in their minds at all times. This leads to bad decision making and impaired senses. People become more emotional. They also adopt a habit of not accepting anything and become victim to denial. Stimuli systems also become unpredictable as they react to things completely differently. As mentioned before, denial becomes part of who they are, and it never leaves them. Most people spend an entire lifetime denying all truths. They also tend to forget the people they once loved or cared for as they have memory loss on a major scale. Accepting reality becomes a mission to Mars which has a low chance of actually being helpful. Panic attacks and greater fear levels become a part of their lives, and they live a spineless life. They become unable to control their emotions as they burst with hostility and anger at really unthinkable times. They feel powerless and believe that they are unable to do anything and that they are forced to go with the flow. Some people lose control of their bodies and become a storm of emotions. They cry and laugh at the same time which makes them question their mental stability and with that a greater sense of fear kicks in.(Kornell,2017)
Consequences:
In spite of the fact that Grief is a characteristic procedure and reaction to misfortune, it can grow into a significantly more damaging course if not managed fittingly or steadily. Seeing how sadness may influence the diverse parts of your life may urge you to get the assistance you require and merit. The nurses usually look up at the level of grief a patient is in to start their healing from a certain point and for that nurse have to be prior trained for it. Nurses are like a guiding hand in the patient’s time of distress as the provider and show them a way forward.
There are some consequences of grief.(Ekren,2013)
People become suicidal and try to end their own lives. The physical damage their beings on purpose. Also, a prolonged time of extreme pain can be burdening on the body, particularly finished long stretches of time. These are some physical impacts that might be experienced which include a certain disinterest in individual cleanliness or appearance, loss of weight with the absence of hunger. Suicidal ideations become more and more feasible and easier. People may also face strange cases of hyperactivity and outbursts of energy at irregular times. The patients also become more addictive to medications and liquor to ease the pain. With drugs administered into their bodies, they face an inability to think. Fatigue also kicks in along with aggressive behavior and conduct. Some cases report a growth in nightmares which leads to insomnia, the ability to stay awake and losing sleep. People weaken their bodies by thinking too much. Mental strain can leave the body vulnerable to attacks from diseases, for example, sore throats, colds, and fevers. Distress will also tremendously affect their emotional well-being, especially if a person who is lamenting is missing sufficient help or expert help. Apart from these, some mental impacts might be experienced, these include a certain lack of confidence, increased sentiments of despondency or tension, feeling of blame and disgrace over an accomplished misfortune. People may also experience a certain form of depression like anxiety, panic attacks, suicidal ideations, and hallucinations, an outburst of rage, mood swings and regression.
In the end, despondency can have negative results on your social life. Social impacts of pain include a decrease in execution at work or school, withdrawal from friends and family, lack of pleasure inside interests or exercises once delighted in and avoidance of social circumstances.
And there can be effects on one’s social life. In which there can be lack of enjoyment in the things which usually one had to have great interest and showed love. A person gets away from your relatives, and there is a great decrease in the performance of offices and any working places.
Construction Cases:
Case 1.
One day, a man named Tome met a young girl by the name of Beth. They met at a concert in the year 1947. As described by Tome, it was love at first sight. He was drowned in love. When Beth died, Tom feels into despair and grief. He wrote in an article that he still hasn’t gotten over the death of his beloved, even after three years. He stated that he was restless and feared that he would be alone forever. He was unable to sleep, and he couldn’t even explain his feelings. He completely shut himself from the real world. He was in a state of denial. He even said that there were times where he wanted to end his life and commit suicide. There was no point in living anymore. Grief can make a man He would do all the things he used to do with Beth, but still, wasn’t able to relax. He would cry long and hard and believed he was dead inside. The fact that there were significant changes in the subject experiencing grief which is excessive crying, facing major changes in the physical body and keeping to an isolated area. This shows how much a person has been affected keeping in mind the concepts of grief.
Case 2.
By evaluating another case, we can see that people are affected differently by losing loved ones. These may not be restricted to family members only. Linda, at the age of 16, had been sexually abused by nonother then her stepfather. Her stepfather was involved in a horrific car crash and was killed. Linda went into a state of trauma not from grief but shock. She did not cry rather did she felt relief. She only showed expressions of blankness and then she continued her normal life. The attributes of grief which were observed were not seen here. There were no signs of crying in despair or any restlessness or any change in physical health or appearance. This shows that not always the concepts are reliable and complete.
Case 3.
Another case describes that people may also be left in a state between total grief and happiness. A man named Robinson filed a divorce at a local court against his wife, McKenna. Both he and his wife didn’t want a divorce, but at the same time, they believed that their marriage wasn’t working. So they got their divorces. Afterward, they felt a little bit of joy, but a lot of grief as they were close to one another and they considered themselves to be best friends. Both of them experienced life without someone to hold their hand in their time of need and support them when it mattered. Yes, it is worth mentioning that they had phases where they would sulk and regret their decision. But still did not sink in solitude or lose weight or remain restless. This shows that their relationship was on a certain borderline.
Empirical Referents:
For a grieving patient, nursing is compulsory as one to one attention may provide the person with some consolidation.
Since it’s not a physical quality, Grief isn’t surveyed the way you’d measure, say, your tallness, with a measuring stick. Rather, scientists utilize composed appraisals that are rounded out by the individual being surveyed. An inquiry on one of these may ask how frequently the individual feels misery or longing. Answers may be “dependable” and “frequently” and “seldom” and “never.”
Each answer, by and large, gets a numerical score, normally in the vicinity of 0 and 4. On most appraisals, the estimations of the considerable number of answers are consolidated added to touch base at an aggregate score. The aggregate score is utilized to evaluate the level of grief. By and large, there is a cut-off score. If you score over that level, it might demonstrate you are encountering muddled or drawn out misery and should need to consider talking about it with an expert.
Subjective self-reports are not viewed as the ideal approach to quantify anything, but rather it’s difficult to gauge mental characteristics some other way. There have been a couple of endeavors to utilize more target estimations of things like cerebrum action and outward appearances. These haven’t turned out to be broadly utilized, be that as it may, so subjective self-reports are what we have.
In the realm of grief appraisals, the Grief Intensity Scale is about as speedy and simple as it gets. In very little additional time than it would take you to stroll to the washroom and venture on the scale, you could finish this evaluation and get a thought of what your melancholy level is today.
Not at all like a ton of these evaluations, the Grief Intensity Scale is particularly intended to be utilized by laypeople.
This Grief Intensity Scale surveys normal considerations, sentiments, and practices of individuals who have lost somebody essential to them. The scale is intended to catch the lamenting respondent’s power of his or her response to the misfortune.
This demonstrative apparatus evaluates a man’s danger of developing the prolonged melancholy disorder (PGD) following the demise of a friend or family member. There are specific manifestations that must be lifted at a half year to meet criteria. If a respondent meets criteria, he or she should search out a more exhaustive assessment of psychological wellness proficient. We have this scale accessible in an assortment of dialects.
At times, major depression can create alongside the ordinary sentiments of misfortune or trouble connected with distress. While ordinary trouble as a major aspect of a distress response may die down after a few months, major depression is a therapeutic issue that is unique about typical despondency, can happen whenever (even in the quick repercussions of the passing of misfortune), and expects treatment to be settled.
Conclusion:
If nurses are just told that how they should give care to quiet amid the terminal stage is insufficient. The way of caring the patient needs a lot of experience in the field of nursing. The nurses better consider the most qualified and effective educational ways to nurture the skills for treating a patient in this kind of treatment rather waiting for themselves to have experienced life. Usage of melancholy treatment is an open door for getting input on the care attendants gives. The Grief mind gives inspiration and support to nursing and keeps up psychological well-being. This is where the role of a nurse or a helper is necessary to ensure that the patient facing any grievance may be able to overcome it, and each successful case also encouraged the nurse, and they can understand and reason out situations much more effectively.
References:
- Rotter, J. C. (2000). Family Grief and Mourning. The Family Journal, 8(3), 275-277. doi:10.1177/1066480700083010
- Dryden-Edwards, Roxanne. (2017). Grief: Loss of a Loved Ones. Page 1-5.
- Carers Queensland Carer Advisory Service. (2016). Grief Issues for Carers, mhr4c. Page 1-1.
- Piper, W. E., McCallum, M., Joyce, A. S., Rosie, J. S., Ogrodniczuk, J. S. (2001). Patient personality and time-limited group psychotherapy for complicated grief. International Journal of Group Psychotherapy, 51, 525-552.
- Henricks, M. (2017). Yes, You Can Measure Grief And Here’s How to Grieve Well. Page 2-2.
- Cornell, W. (2017). Grief Intensity Scale, Weill Cornell Medicine. Page 1-2.
- Lobb EA, Kristjanson LJ, Aoun SM, Monterosso L, Halkett GK, Davies A. Predictors of complicated grief: a systematic review of empirical studies. Death Stud. 2010;34(8):673–98.
- Ekren, J. (2013). Grief Causes, Statistics, Signs, Symptoms & Side Effects, Addiction.
- Kathleen, D. (2013). Grief and its Manifestations. Vol. 18, Page 45-51.
- Zinner E, Ball J, Stutts M, Mikulka P. (1991). Modification and Factor Analysis of the Grief Experience Inventory in Non-Death Loss/Bereavement Situations. Vol. 23, Page 129-151.
