Understanding Grief and Loss in End-of-Life Care

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Explore feelings, beliefs, and manifestations of grief in end-of-life care, including physical, behavioral, emotional, spiritual, and cognitive aspects. Reflect on personal values, experiences, and cherished objects that bring meaning and purpose. Engage in self-exploration to better understand attitudes towards death, dying, and loss.


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  1. MODULE 2 Communication at End-of-Life in Long-Term Care

  2. ACKNOWLEDGEMENT This training program is supported in part with funding from the Government of Ontario through the Ontario CLRI. The views expressed herein do not necessarily reflect the views of the Province. | CLRI-LTC.CA

  3. WHAT DO I THINK/FEEL ABOUT DEATH, DYING, AND LOSS? Identify feelings and beliefs related to hospice palliative/end of life care. Explore personal values about death and dying. Explore personal experiences of grief and loss. 3 | CLRI-LTC.CA

  4. Activity Time: LISTINGOFCHERISHED OBJECTS, VALUES, ANDPEOPLE CREATE A LIST OF OBJECTS, VALUES, AND/OR PEOPLE THAT YOU CHERISH IN YOUR LIFE AND THAT GIVE YOU MEANING AND PURPOSE FOR LIVING. 4 | CLRI-LTC.CA

  5. Webinar Series: A Ripple of Thoughtful Words for Communication at End-of-Life in LTC VIDEO: Mini Webinar: Grief, Death & COVID-19 GRIEF & DEATH PRESENTED BY: RUTH RICHARDSON, PALLIATIVE CARE NURSE EDUCATOR ALGONQUIN COLLEGE FRIDAY, MAY 29, 2020 Link To Video Link To Video

  6. MANIFESTATIONS OF GRIEF Physical Behavourial Emotional Spiritual Cognitive 6 | CLRI-LTC.CA

  7. PHYSICAL MANIFESTATION OF GRIEF Tightness in the throat Shortness of breath Disturbed sleep patterns Loss of energy Change in appetite Dry mouth Hollowness in the stomach Tightness in the chest 7 | CLRI-LTC.CA

  8. BEHAVIOURAL MANIFESTATIONS OF GRIEF Crying/sighing Withdrawal of independence Loss of interest Restlessness Hostile outbursts Treasuring objects that belong to the deceased Visiting places that remind the survivor of the deceased 8 | CLRI-LTC.CA

  9. EMOTIONAL MANIFESTATIONS OF GRIEF Sadness and pain Anger hostility Personal guilt or shame (e.g. remorse, regret) Anxiety Loneliness and Helplessness Mood swings Shock Relief 9 | CLRI-LTC.CA

  10. SPIRITUAL MANIFESTATIONS OF GRIEF Doubts about God/Higher Power/Creator Lack of belief or faith in a higher power Unable to pray, despair Guilt Dreams: seeing the deceased Hopelessness Decreased value of life Shame Regret Resentments 10 | CLRI-LTC.CA

  11. COGNITIVE MANIFESTATIONS OF GRIEF Disbelief Confusion Foggy mind Poor memory Forgetfulness, absent minded Inability to concentrate Poor judgment Poor reasoning Perception distortion Ability to learn is compromised 11 | CLRI-LTC.CA

  12. To Listen in Chinese (Traditional) Eyes Ears Undivided Attention Heart 12 | CLRI-LTC.CA

  13. VIDEO: The Grieving Process: Coping with Death Link To Video Link To Video 13 | CLRI-LTC.CA

  14. LOVE AND GRATITUDE Love and Gratitude The agony is so great And yet I will stand it. Had I not loved so very much I would not hurt so much. But goodness knows I would not want to diminish that previous love By one fraction of an ounce. I will hurt!! And I will be grateful to the hurt For it bears witness to The depth of our meanings, And for that I will be eternally grateful. | CLRI-LTC.CA 14

  15. DEATH ENDS A LIFE, BUT NOT A RELATIONSHIP There is a string that is invisible that connects us with the people we love. Image Source: theinvisiblestring.com 15 | CLRI-LTC.CA

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