The Grief Wheel
The Grief Wheel https://urgentcarenearmetx.com/wp-content/themes/corpus/images/empty/thumbnail.jpg 150 150 Tony Guo Tony Guo https://secure.gravatar.com/avatar/aa9bbdf8f1e6bbf534778ecea7c0c925?s=96&d=mm&r=g- Tony Guo
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The Grief Wheel
Shock
Numbness, denial, disbelief, hysteria, inability to think straight
Protest
Strong, powerful feelings of anger, guilt, sadness, fear, yearning, and searching
Disorganization
Overwhelming bleakness, despair, apathy, anxiety, and confusion
Reorganization
Gradual return to normal functioning, but feelings are different
Grief Support
Bereavement programs assist survivors transition to life without the deceased person
Should be integrated into the plan of care before as well as after the death
Spiritual Needs
At the end of life, many patients question their beliefs about a higher power, their own journey through life, religion, and an afterlife
Spirituality is associated with decreased despair at EOL
Spiritual distress may occur
Many turn to religion because it may provide order to the world even in the presence of physical decline, social losses, suffering, and impending death.
Religion may offer an existential meaning that offers a sense of peace and recognition of one’s place in the broader cosmic context
Culturally Competent Care: End of Life
Cultural beliefs affect
Understanding of and reaction to death or loss
Treatment decisions
Cultural differences in relation to death and dying varies
Rituals associated with dying are part of all cultures
Ensure adequate information for those who don’t speak English
Pay attention to nonverbal cues
Make nursing assessment of beliefs and preferences on an individual basis
Use open-ended questions to guide planning and evaluation of care
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