Grief and Loss in End-of-Life Care
MODULE 2
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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.
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
4
CREATE A LIST
OF
OBJECTS, VALUES,
AND/OR PEOPLE THAT
YOU CHERISH IN YOUR
LIFE AND THAT GIVE YOU
MEANING
AND
PURPOSE
FOR LIVING.
Activity Time:
Activity Time:
Listing of cherished
Listing of cherished
objects, values, and people
objects, values, and people
Webinar Series:
A Ripple of Thoughtful Words for
Communication at End-of-Life in LTC
GRIEF & DEATH
PRESENTED BY: RUTH RICHARDSON, PALLIATIVE CARE NURSE
EDUCATOR
ALGONQUIN COLLEGE
FRIDAY, MAY 29, 2020
VIDEO:
VIDEO:
Mini Webinar:
Grief, Death &
COVID-19
Link To Video
MANIFESTATIONS OF GRIEF
6
Physical
Behavourial
Emotional
Spiritual
Cognitive
PHYSICAL MANIFESTATION OF GRIEF
7
•
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
BEHAVIOURAL MANIFESTATIONS OF GRIEF
8
•
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
EMOTIONAL MANIFESTATIONS OF GRIEF
9
•
Sadness and pain
•
Anger hostility
•
Personal guilt or shame (e.g. remorse,
regret)
•
Anxiety
•
Loneliness and Helplessness
•
Mood swings
•
Shock
•
Relief
SPIRITUAL MANIFESTATIONS OF GRIEF
10
•
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
COGNITIVE MANIFESTATIONS OF GRIEF
11
•
Disbelief
•
Confusion
•
Foggy mind
•
Poor memory
•
Forgetfulness, absent minded
•
Inability to concentrate
•
Poor judgment
•
Poor reasoning
•
Perception distortion
•
Ability to learn is compromised
聽
12
VIDEO:
VIDEO:
The Grieving Process:
Coping with Death
Link To Video
13
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.
14
DEATH ENDS A LIFE, BUT NOT A RELATIONSHIP
15
Image Source: theinvisiblestring.com
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Overall ObjectiveS of Module 2:
- To have participants think about their own thoughts, feelings, and beliefs about death, dying, aging, and loss
- To explore how personal values and experiences can inform how we think about death and dying, and can also inform how we care for people who are ill and dying.
- To review varying models that have been created to talk about stages and tasks of grieving
Resources needed prior to delivering content:
Ensure that you have appropriate internet access and speakers for:
https://vimeo.com/476338136 (Slide 5) Mini Webinar: Grief, Death & COVID-19
youtube.com/watch?v=gsYL4PC0hyk (Slide 13) The Grieving Process
Sticky notes
Flip-chart paper
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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Presentation Transcript
MODULE 2 Communication at End-of-Life in Long-Term Care
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
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
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
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
MANIFESTATIONS OF GRIEF Physical Behavourial Emotional Spiritual Cognitive 6 | CLRI-LTC.CA
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
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
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
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
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
To Listen in Chinese (Traditional) Eyes Ears Undivided Attention Heart 12 | CLRI-LTC.CA
VIDEO: The Grieving Process: Coping with Death Link To Video Link To Video 13 | CLRI-LTC.CA
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
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
