Health and care for the bereaved person

Health and care for the bereaved person

A case study analysis

Issues Impact of a negatively significant life event on an individual

personThe effect of it on his or her social lifeThe reaction of grieves, varying from incident to incidentThe distinguishing features of the bereavements in case of

different incidentsHow it results in anxiety or depression

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The case studyA person named George has gone through this stageHis mother had colon cancerShe had gone through the alleviative caring by his son


Palliative care-the role of care giver

In Alleviative care setting even the closest ones of the dying person has to gone through several challenges

There is a huge psychological pressure on the bereaved persons of the patients to go through this traumatic phase

The financial burden also causes huge pressure


Sufferings of the bereaved person

Positive effects Negative effects IT MAKE THEM

STRONGER TO TAKE RESPONSIBIITY IN A TOUGH STAGE OF A DYING PERSON WHO IS ALSO THE LOVING ONES

IT MAKES THEM SOCIOECONOMICALLY IMBALANCED DUE TO DEPRESSION, ANXIETY,FINANCIAL ISSUES


Kübler-Ross modelDegree of closeness, attachments as well as bonding with the

patientThe age and sex of the bereaved onesSpiritual beliefs matters a lotThe socioeconomic condition of the bereaved ones The burden on the palliative care giver Inability to accept the deathThe place of death


Comparison of the case with the model- findings

Denial: It is not acceptable here as the person have not denied his mother’s death

Anger: the guilty feeling of George can be considered as his anger to himself

George was getting involved to the self help group to divert his mind from his pain for loosing his mother


Comparison-Findings

Depression: George was heavily depressed for her mother. It was started after he got to know that his mother was suffering from cancer. It was continued up to his mother’s death

Acceptance: George though has suffered a lot loosing his mother, but ultimately accepted it


How do they differ from case to case

The bereaved persons are majorly encountered by the health care professionals

Both the professional and personal life get hamperedThe difference occurs due to the uniqueness that each

person has in his own lifeThe expression of grief and bereavement is different for

different individuals


Family response - The family members have to be calm and cool They have to console the bereaved person They have to make him or her not to feel guilty for whatever would

happen They have to be sympathetic They have to help him to be enough courageous to face the sorrow and

overcome it


The response of the surroundingsThe society should give him support just like as George, in

the case study, who had joined a self help group so that the other bereaved persons used to provide support

The consolation of those people surrounded of the bereaved one has a great role in case or recovering from the sorrow


Support from friendsA friend has a great role here. He or she may make the bereaved one engaged in such few

activities so that the bereaved person will be forgot the sorrow for few times.

Friends should have been great support to make them engage in some constructive activities.


Comparing with the case study It has been seen in case of our case study that

George’s mother was admitted in a local hospital in his home town

He was staying away from his family in the city during that time

Still he should have some friends in the city as it was his home town


Analysis of the Case studySituational: George knew the clinical report of his mother,

so her death was not all of a sudden, he knew that it would have happened in any time

Sex: Being a male, the extreme point of bereavement is lesser compared to a female


………………….…..continuedGeorge had no earlier experiences to lose a person among

close ones, so it was very tough for him to be getting used to this vacuum created in his life

He has been supported by those people who had this kind of experiences earlier


The role of a professional caregiver

It is their responsibility to behave the way it needed as par each of the bereaved ones as their symptoms as well as requirements varies over person to person

At the same situations circumstance may vary due to the intensity of sufferings which differs over individuals


Physical factors affecting the procedure

It becomes hard for the professional health personnel when the bereaved person is not supportive to the care those personnel would have taken

Administrative medications even become tougher for themBig challenge for the caregiver to solve the deadlock

situation


Different mental states of the health professionals

Emotional Thinkers Practical ThinkersSometimes the health

workers become so emotional, that they get attached to the bereaved people while supporting them to get out of the mental trauma

This kind of health professionals get sometimes angry with the people who are bereaved but non supportive to their medical treatment, psychological procedure


Caregivers of the patient who diedAs we have seen in case of George, it has been hard for the

nurses also to accept the death of Mrs. Garry, because they have spent the last few days with her

Though it was not a sudden death as they are quite used to with taking care of this kind of patients


Role of caregivers

The time being when Mrs. Garry was suffering

The timeframe when Mr. George was suffering

Here the caregiver had the role to take care of the patient

The patient was dying as she was suffering from colon cancer last stage

When the woman died, it was a great vacuum in his son’s life. Which he has to overcome

The caregiver then became the mental support system of George, the bereaved one


AssessmentThe delivery services should be seen full of patience with a

good timing senseProfessional health personnel are needed in the palliative

care team If the guidelines of End of Life care strategy, 2008 can be

considered, we can get similar cases like George


Essential requirements to serve the bereaved people The intense continuation of care To provide the information to the family members to the dying patients

that how to take care of him or her To make the close ones of the patients emotionally stronger so that they

can be able to face whatever happens


Training and Support It is not clear from the case study that whether the health professionals

were enough trained to provide the service to the bereaved person according to his requirements

But it has been clearly found that they were very much supportive to him to get out of the traumatic period


Screening

To provide optimum care and make the patients and the individuals extremely satisfied they need to screen the patient’s spiritual, cultural and ethnical views

In the given case study however there is no clear information about this views which had been needed to be identified


The duties of the societies – case study reveals The team of the palliatives were able to make George to meet the

students where his mother used to teach The people were very responsible The pupils were not making him more depressed by discussing the issues

repetitively Rather they used to make busy with other intellectual issues


The role of pupils of that schoolThey used to make him busy questioning him with

intelligence and full of logicThe parents of the students also interacted with him which

made him very happyAll these communication for George was very refreshing


Self reflection The effective role played by the palliative care giving team made all of

the communications to meet those pupil as a part of treatment to the bereaved person named George in our case study

They have made all the arrangements to feel good by sharing the grief felt by the person


The physical supports made by the professionalsPhysical supports refers to the every posture made

by the nurse and doctors like the physical touches made by them to the patients

It is the most important support needed to the old patients

It makes them trustworthy to the family members of the patients


Psychological supportFor the motivation purpose this kind of support is needed It provides moral support alsoEffective communication grows up with thisCounseling is a great method of treatment than any

medicated ones


Spiritual Support It is one of the most important thing has to be kept in mind

while discussing of the elderly patients as the cultural and spiritual beliefs matters a lot

In the last stage of life they become more believer of god as well as spiritualism


Financial Support In case of the elderly patients, it is a great issue of looking

after their assets by their most dependable as well as closest ones

As to safely maintain their lifelong belongings the legal as well as solicitor’s support is needed


The dissimilarities with the case studyThe case study here given is different from many cases

which actually occur in realityThe case mostly differs in case of children while suffering

from bereavementSo the suitability of the caring activities matters for the

patients


Screening and assessment

Suitability of external

care

Pre death screaning

Post death screening


The implications of different types of screening process varying over timePre death screening refers to recognizing the issue of risk

which is attached to the upcoming bereavementPost death screening refers to the probability of getting over

the trauma which happens for a sudden vacuum created in the life of bereavement.


Policy procedure and the documentation of the bereavement care unit

Training and support to the person suffering from bereavement as par his or her requirements

Educating the community as well as the society as a whole

The confidentiality of the mental state of the bereaved person suffering from confidence


……………………continuedProvides the special services to take care of his

or her mental stateRecognizing the issue in particular, whether he

or she is suffering from bereavement or notTo keep record of the processes followed in case

of critical bereavement Following a proper routine


……………………ContinuedA network of social support system is neededSome social rituals are needed in the

organization taking the responsibility to support the individuals suffering from bereavement

It may require specific instrumentsThey should provide personal care


FIRST AND FOREMOST GOAL OF THE HEALTH PROFESSIONAL TAKING CARE OF ANY BEREAVED INDIVIDUAL

To assess the condition, the patient are going through..


The steps to take care of bereavementNeed a proper planning firstAssigning the specific responsibilities to the

specialized staffsRegular monitoring of the whole systemTo maintain the record, so that it would be

easier to track the pace of progress of the individuals


Conclusion

It is a very challenging task for the people who are appointed as this kind of health care professionals as it affect them physically, mentally as well as emotionally and psychologically.

The findings of the study may be used to improve the facilities provided though the role of policy makers was absent in the case study. It needs more research and development.


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Health and care for the bereaved person