Case Study: Applicable Nursing Theory

R/s Christopher age (7) is an insulin-dependent diabetic. R/s Christopher medical needs are not being met. R/s special insulin is required for Christopher when he eats but sometimes he doesn’t get the insulin. R/s paternal grandparents Janet and James Hariis have custody of Christopher. R/s bio dad Timothy is incarcerated and bio mom Amanda had court on yesterday for previous drug charges. R/s Christopher condition is severe and the matter of him getting his medicine correctly is life and death. R/s there is a concern if Janet is physically able to care for the child due to Janet having Pancreatitis and Cirrhosis of the liver.

According to Pond (2012), the grief process in young people is dependent on both emotional and cognitive developmental levels of each child, as well as the environmental changes that might occur due to this loss. Pond (2013) explains that Freud was among the first to acknowledge the need for processing grief, which he saw as the path to regaining emotional equilibrium being possible only through disconnecting emotionally from the dead loved one. Upon further research, Bowlby changed this line of thinking; and with children, attachment with the dead loved one was adapted to change the type of relationship the child experiences with a consideration of the past, present, and future being different due to the death. Based on these findings, treatment protocols have been developed to assist children who are experiencing trouble processing grief.

The Two-Track Model of Bereavement is a model that states loss is conceptualized along two axes. Track I pertains to the biopsychosocial functioning in the event of a loss and Track II pertains to the bereaved’s continued emotional attachment and relationship to whoever is deceased. The effect of Track I is seen through the bereaved’s functioning, including their anxiety, their self-esteem and self-worth, and their depressive affect and cognitions. Noting the ability of one to invest in life tasks after experiencing a loss indicates how they are responding to the loss of the deceased. This Track is seen as an expression similar to one of trauma, or crisis. Track II holds that the bereaved has difficulty physically separating from the deceased. This can be seen in emotional, interpersonal, or cognitive ways. It is shown through imagery and memories that the bereaved experiences surrounding the deceased, whether positive or negative, as well as the emotional distance from them. These pictures in the bereaved’s head explain both the cognitive and emotional view of the person who has died (Rubin, 1999).

Bereavement and loss - The loss of a loved one such as a parent, sibling, grandparent or friend can turn a child’s world upside down. Grief can bring all sorts of emotions, upset, sadness, hurt and anger because they are gone and, fear because the child may be afraid of other loved ones dying too. A child can be affected by grief for a long period of time, and this may impact on their emotional and physical

D1/D2/A1 For most people bereavement will be the most troubling experience they will ever face. Grief is what we feel when somebody that is close to us has died everyone experiences grief in different way there is no correct way for someone to grief. For many children and young people the death of a parent or sibling is an experience they are faced with early in life. Children and young people need to be given the opportunity to grieve ignoring the child’s grief is not protective and can be damaging. Children and young people regardless of their age need to be encouraged to talk about how they are feeling and supported to understand their emotions. During their development children do not understand that death in irreversible this can be shown as children do not understand the term death

Grief and loss are one of the most universal human experiences, though painful, and understandably causes distress. However, approximately 15 % experience a more problematic grieving process with elevated symptoms of depression and/or posttraumatic stress symptoms (Bonanno and Kaltman, 1999).There is no well-established model of the timeline for resolution of grief and the variance of its expression is wide. Many persons cope with the emotional pain of bereavement without any formal intervention. However, individuals who have experienced traumatic bereavement, such as deaths that are sudden, violent, or due to human actions (Green 2000), may face particular challenges. Researchers have tried to define a model for the treatment of traumatic bereavement that fully supports not only the client, but also those working with the clients around their trauma

In this essay I will outline the main theoretical models relating to loss and grief.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

There are many appropriate therapeutic factors which could be utilized as the primary factory in helping Barbara deal with her depression and low sense of self. The therapeutic factor I would focus on as a primary is interpersonal learning. Within interpersonal learning, Yalom focuses on interpersonal relationships and interpersonal distortions. Interpersonal distortion is where I would focus and become my primary therapeutic factor. Interpersonal distortion "(that is, parataxic) distortions tend to be self-perpetuating.

This essay explores several models and theories that discuss the complexities of loss and grief. A discussion of the tasks, reactions and understanding of grief through the different stages from infants to the elderly, will also be attempted.

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.

Loss is a phenomenon that is experienced by all. Death is experienced by family members as a unique and elevated form of loss which is modulated by potent stages of grief. Inevitably, everyone will lose someone with whom they had a personal relationship and emotional connection and thus experience an aftermath that can generally be described as grief. Although bereavement, which is defined as a state of sorrow over the death or departure of a loved one, is a universal experience it varies widely across gender, age, and circumstance (definitions.net, 2015). Indeed the formalities and phases associated with bereavement have been recounted and theorized in literature for years. These philosophies are quite diverse but

The life transition of death and dying is inevitably one with which we will all be faced; we will all experience the death of people we hold close throughout our lifetime. This paper will explore the different processes of grief including the bereavement, mourning, and sorrow individuals go through after losing someone to death. Bereavement is a period of adaptation following a life changing loss. This period encompasses mourning, which includes behaviors and rituals following a death, and the wide range of emotions that go with it. Sorrow is the state of ongoing sadness not overcome in the grieving process; though not pathological, persistent

In “A Woman Mourned by Daughters,” by Adrienne Rich, one of the problems is that two daughters are mourning because their mother has died. However, they are not crying due to being “spent,” or tired of all the pressure their mother has put on them not only before, but after, her death. Moreover, the daughters are overwhelmed by the power she still has over them. The daughters are also upset at how their mother used to treat them. Additionally, the daughters have developed a level of hate towards their mother because of the unpleasant responsibilities and problems that she left them.

Worden, J. (2009). Grief Counseling and Grief Therapy A Handbook for the Mental Health Practitioner. 4th ed. New York: