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Grief ~ Loss ~ Change …and other tales from the quarantine Julia Ellifritt, LISW-S Cornerstone of Hope Bereavement Center

Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

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Page 1: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Grief ~ Loss ~ Change…and other tales from the quarantine

Julia Ellifritt, LISW-SCornerstone of Hope Bereavement Center

Page 2: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Objectives

Grief

COVID-19

Self-care

Page 3: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 4: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

If a tree falls in a forest….

Page 5: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

If no one’s there to smell the pretty candles at TJ Maxx, are

they still fragrant?

Page 6: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

If I wasn’t able to have a funeral for my loved one, will they still be

remembered?

Page 7: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

If people are unaware of my daily sacrifices as a healthcare

professional, is my work still important?

Page 8: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Types of Losses

Developmental

Marerial possessions

Some aspect of self

Death

Page 9: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Variables in GriefNature of the loss

Coping skills

Internal External Processing

Culture

Sudden vs expected

Page 10: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Anticipatory griefConcurrent stressesPerceived support systemDisenfranchised grief

Page 11: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Goals of Grief Care

Accept the reality of the loss / change

Finding the new normal

Survival

Page 12: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Will it get better?

Page 13: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 14: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 15: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Coping

There’s no one right way to grieve

Page 16: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 17: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 18: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

COVID-19

Little known on the pandemic’s impact on mental health

Psychological stress not limited by geography

CWRU study – 94% reported symptoms of grief

Page 19: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

What are we Grieving for?

Life as we knew it / normalcy

Job / Income

Fellowship (unknwn toll of social isolation)

Security

Page 20: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

First Responders

Caseloads

Work hours

Depression

Suicide rate

Page 21: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Cumulative LossMultiple deaths at the same time or in serial fashion

Often occurs in a hospital or hospice facility, and may lead to bereavement overload, or what has been called cumulative grief

Cumulative grief is the caregivers response when there is no time or opportunity to completely or adequately grieve for each person who has died

Page 22: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Cumulative loss is bouncing back and forth between the

stages of grief without resolution

Page 23: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Traumatic Loss

Cumulative Trauma

Vicarious Trauma

Trauma is a perception

Can lead to cynicism

Page 24: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
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Page 25: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Re

lief

LIBERATION FROM PAIN

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwjE46ftu4HQAhUjqFQKHWVgCCgQjRwIBw&url=http://www.lfslessonsasia.com/pcblindmenandelephant.html&psig=AFQjCNFGqIo_h7ueLzHSFi_S777r5CVbZQ&ust=1477880136185349
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Page 26: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

When stress rises, self-care tends to fall.

Page 27: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Quarantine Reality

Page 28: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 29: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

How Does Caregiving During a Pandemic Affect Your Life?

Decision fatigueFind your tribeWork/Life balanceMedia consumptionYour addictions

Page 30: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

DessertsStressed

Page 31: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,
Page 32: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Questions?

Page 33: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Cornerstone of HopeSupport Groups

In-person and Telehealth Counseing

Memorial Events

216-524-HOPE

www.cornerstoneofhope.org

Page 34: Grief ~ Loss ~ Change...Cumulative Loss Multiple deaths at the same time or in serial fashion Often occurs in a hospital or hospice facility, and may lead to bereavement overload,

Thanks for Participating!


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