Anticipatory Grieving Case

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Topics: Renal failure, Liver
Anticipatory Grieving Anticipatory Grieving

A. 1. Describe the problem.
A 66-year old Mexican-American man came to the ER on 4-6-2014, for shortness of breath and respiratory distress. Patient also has a history of alcohol abuse, cirrhosis, kidney and gallbladder stones, and renal failure. Patient had family coming to visit and was 10 minutes from the hospital. They were informed the moment they walked into the hospital that the patient was not doing very well. Doctors had to take drastic measures to maintain his heart rate. The patient’s family members were not expecting this.
2. What data did you collect to verify a problem exists?
Vitals signs for that afternoon were B/P 106/49, HR 101 bpm, RR 25, Temp 92.6* F, SpO2 94%,
…show more content…
The family was not excepting this outcome when their family member went into the hospital last night. Anticipatory grieving is knowing in advance that a loved one who is seriously ill is dying. This is common and generally induces psychological and/or physical distress. There is a wide range of feelings and symptoms that are common during grieving. There are feelings of shock, numbness, sadness, anger, guilt, anxiety, or fear. At times, there may also moments of relief, peace, or happiness that can be found. Anticipatory grieving is not merely sadness, "the blues," or depression, becoming depressed or overly anxious during the grieving process is a possibility. The stress of grief and grieving can take a physical toll on the body (Chief of Navy Chaplains Public Affairs). The goal is to prevent unpleasant psychological symptoms of anxiety, depression, and PTSD (Davidson, …show more content…
The family members play an important role and helping care for the patient helps them with the grieving process while providing a supportive environment to express their grief while coping with their feelings (Davidson, 2010). The second intervention would to have been to take a moment to request a chaplain or ask some one to request one for the family to talk to them about what is happening and how they are coping with this situation and if there is a need for spiritual counseling for them or the patient. This gives the family members a chance to express the desire to have any rituals performed for the patient. Also, to help them cope more effectively with the psychological and emotional stain of their family member’s illness and the dying process (Davidson, 2010). Last, the third intervention would be getting the family a list of some activities that the family members can do that will help facilitate with the anticipatory grieving and dealing with the feelings of grief. Being active gives the family members a purpose and helps them to make sense of what is happening. This helps with reshaping their lives and find new meaning in life without their family member (Davidson,

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