A Brief Note On The Record Of Service

Society and culture have created scripts (i.e., social norms) that dictate the ways in which we are to grieve. These scripts also prescribe the unique ways in which men and women are expected to respond to grief. Specifically, men’s grief scripts suggest that men will resolve to grieve in solitude as a demonstration of their self-reliance. Men may also have muted emotional response and expressed emotions are typically in the form of anger or guilt (Martin & Doka, 2011). Comparatively, women’s grief scripts suggest that women are more emotive and seek support from others to help cope with loss (Martin & Doka, 2011).

The Joe family was introduced to counseling prior to the death of Mama Joe whose death resulted in conflict within the family. Prior to the death of Mama Joe, there were a rise in emotional stressors in the family such as financial stability, Family conflict, and coping skills. The initial problem presented in this family is the death of Mama Joe and individual conflicts within the family. Many of the problems seen in this family can be traced back to the death of Mama Joe, without her acting as the families functioning unit, there is a shift in the Joe family dynamic. Terri expresses financial strain from maintaining the family’s bills, there is also a noticeable conflict between Maxine and Terri, as well as infidelity between Cousin faith and Terri’s husband. After doing an initial assessment the best treatment in this family is first helping the family cope with the death of Big Mama. The impact of death within the family system is something that is not discussed, and inadequate attention has been given on the long-term effects of death within the surviving members. Froma Walsh assists professionals in understanding the complex issues that arises when families are faced with death in her book Living beyond Loss: Death in the family. Walsh breaks down family adaption into 4 major tasks which she uses to help strengthen the functioning unit. One task that can help the joe family is what Walsh describes as Shared acknowledgement of the reality of death This task states that, “Every family member must confront the reality of a death in the family. Acknowledgment of the loss is facilitated by clear information and open communication about the facts and circumstances of the death. Inability to accept the reality of death can lead family members to avoid contact with the rest of the family or to become angry with others who are moving forward in the grief process. Long-standing sibling conflicts and cutoffs can Often be traced back to the bedside of a dying parent or to the graveside.”{pg. 28} This accurately depicts the Joe family whose family dynamic shifted after the death of Mama Joe. Because of this shift the family lacked the ability to cope, which lead to isolation amongst family members, sibling

I chose the GriefShare support group because as nurses we will need to help our patients and their families with the grief process when a loved one passes away. On March 29, 2014, I met Claudette St. John, the group leader, at 6:45pm at Northwest Christian Church in Acworth, GA. Rick Baldwin also attended the meeting. The group meets from 7-8:30pm. Claudette shared that she has been doing grief support classes for the past 20 years and the past 3 years she has been doing GriefShare at Northwest Christian. She lost her teenage daughter in a car accident 20 years ago. She expressed that there really are not any rules, other than just respecting each individual. She tasks herself with keeping the meetings on track and has a democratic leadership style. GriefShare is a Christian based program consisting of 13 weekly session. Participants do not need to attend all 13 sessions, the sessions can also be done individually. A workbook is given to those that are participating in the program. GriefShare’s goal is to help those experiencing grief, work through the process and recognize the different aspects of grief that they may encounter.

I chose the group as an alternative to an addiction group that had a general idea similar to AA. When the group was canceled for the evening, I was offered to observe the 12Stone Care grief group as a second choice, held at the same time on November 16th. The 12Stone Care grief group provided valuable support to members and non-members of the church alike, and the sole requirement was to have lost a loved one. L.H., the widowed leader of the group, lost her husband to cancer ten years ago and started the semester-long grief group in 2013 in order to encourage others who are or have been in the grieving process (L.H., personal communication, November 16, 2015). Her goal in 12Stone Care is a “prayer is that [one] will find freedom from [their] struggles and healing in Christ” (12Stone Church,

In addition, the therapeutic value of working with grief in diverse groups is of particular interest to me based on the existential challenges in dealing with death, loss of relationships, career, or anyone or anything deemed to be of significance to individuals. Likewise, our society is frankly abysmal in recognizing and supporting those in need of support, therapy and long-term assistance in dealing with grief and loss. Additionally, group work can be a highly effective way to help grieving individuals expand their network of relationships thus helping them move forward in a health way (Corey el al.,

“What has changed is our way of coping and dealing with death and dying and our dying patients.”(Kubler-Ross 109) In “On the Fear of Death” by Elisabeth Kubler-Ross, she discusses the changes that have happened over the past few decades. The author believes that these changes are responsible for the increased fear of death, the rising number of emotional problems, and the greater need for understanding of and coping with the problems of death and dying. The author says, “The fact that the children are allowed to stay at home where a fatality has stricken and are in included in the talk, discussion, and fears give them the feeling that hey are not alone in the grief and give them the comfort of shared responsibility and shared mourning.” (Kubler-Ross 110) She believes that allowing the children to stay and be involved in the grieving stage prepares them gradually and

The writer transport the consumer from Common Ground to her home in Brownstown. The consumer did not want to stay at Common Ground because she want to save her marriage. The consumer report that her sister was recently diagnosis with cancer and died about three week ago and she took her sister death really hard. The consumer admit to drinking and doing a lot of yelling at her husband. The consumer states that she was really close to her sister and her death came as a surprise to the family. The consumer states that she lost her mom and dad a few years ago and her sister the only real family she had left. The writer did advise the consumer to follow up with her outpatient provider to see if they offer grief and loss therapy groups. The consumer

Though Doka originally designated four elements, in depicting disenfranchised grief in nurses, Mortell (2015) labeled five features. Individuals are prone to experiencing this type of grief when a relationship is not acknowledged, the loss is unrecognized, there is exclusion from grieving rituals, the particular circumstances under which death occurs, and how the individual expresses his or her grief (Mortell, 2015). One must realize that society is governed by norms across all levels and these standards extend to delineating acceptable, meaningful relationships, thus when one endures a loss of a relationship outside of those deemed

The Cokesbury United Methodist Church grief support group follows a thirteen-week curriculum from GriefShare, however, new members can join in at any time as each week has a “self-contained” lesson. The topic for the week I attendee focused on the “why” of losing a loved one. Through following this curriculum, the group seeks to equip members with “essentials to recover from the hurt of grief and loss.” (GriefShare, n.d.) The group focuses on helping members rebuild their lives after they experience tremendous loss and grief through facing the challenge together. (GriefShare, n.d.)

“Ordinary people” everywhere are faced day after day with the ever so common tragedy of losing a loved one. As we all know death is inevitable. We live with this harsh reality in the back of our mind’s eye. Only when we are shoved in the depths of despair can we truly understand the multitude of emotions brought forth. Although people may try to be empathetic, no one can truly grasp the rawness felt inside of a shattered heart until death has knocked at their door. We live in an environment where death is invisible and denied, yet we have become desensitized to it. These inconsistencies appear in the extent to which families are personally affected by death—whether they

I have wanted to go into the military since i was very young. Most children say that they want to be a firefighter or a doctor, but i said that i wanted to be in the military. I remeber looking at pictures and learning about military officers and i felt called to be one of those men. My decision and dreams never changed, as most childrens do when they realize the work required. But for reasons beyond my comprehension, my desire of a miltary life never wavered. Both of my parents' fathers served in the military, one n the Air Force and one in the Army. They told me stories of their days in the military, bragging of their different branhes and I took what they said and choose a school that woud lead to a career in neither of their branches.

The loss of a loved one is a very crucial time where an individual can experience depression, somatic symptoms, grief, and sadness. What will be discussed throughout this paper is what the bereavement role is and its duration, as well as the definition of disenfranchised grief and who experiences this type of grief. I will also touch upon the four tasks of mourning and how each bereaved individual must accomplish all four tasks before mourning can be finalized. Lastly, with each of these topics, nursing implications will be outlined on how to care for bereaved individuals and their families.

In his article Dr. Doka addresses the reasons that persons with ID need counseling, and how to better support them during times of grieving. He explains there are several reasons for improved bonding in the disabled community. These include a longer lifespan, and better community activities in group homes. He points out that everyone experiences loss, but an ID person may also be subjected to secondary losses to include a change in residence, friends, and neighbors. The author next delves into grief reactions in disabled individuals. He states that each grief reaction is unique based on the intellectual level of the individual along with the type of relationship said person has with the person lost. These reactions include physical, mental, behavioral, and religious aspects. Explaining that this population may often have their grief “disenfranchised” he goes on to give several examples. One of these examples explains that many feel that disabled individuals are unable to recognize attachment, or have an understanding of grief. In the next section of his article Dr. Doka addresses how to counsel people with intellectual disabilities. He stresses that early intervention, group support, and equal opportunity for involvement are important components of this process. The article wraps up

In the future, sibling loss groups and other, more generalized grief groups will be established. Groups will be run primarily at GCC's planned counseling office, with an eye toward future expansion into public schools, health care centers, and senior citizen organizations. Groups in these community settings will be part of GCC's outreach program, and will be provided at no charge.

The type of group approach I would propose for this population is a support group. Support groups are an important part of the approach used in helping the bereaved suffering from grief and loss. An important goal of the support group is to use mutual aid to help participants understand and accept themselves as they are (Raby,R 2010). . Mutual aid is sometimes used in a support group to help participants share resources for mutual benefit. Understanding and acceptance are the first steps towards self-help in a group.