Jacky Lyn Doronila BSN 3A February 22, 2012 that are dying: Verbal cues of patients

o Self-comparison o Hopeless words o Acceptance and farewells

Nonverbal cues of patients that are dying:

o Crying o Tapping of fingers o Nodding of head

Nature of loss, grieve and bereavement:

Bereavement is understood to refer to the objective situation of having loss someone significant. Grief is the reaction to bereavement, defined as primarily emotional reaction to the loss of a loved one through death. Grief tends to refer to what is felt, while mourning refers to what is done. It is important for nurses and others working with bereaved people to realize that they should not infer the depth or intensity of grief from the overt behaviors displayed. Much of patients and families experience of advancing illness can be understood as coming terms with a series of losses. These losses may be related to all aspects of a persons life, including their functional abilities to work unaided, to talk and to be continent. Moreover with open communication about the probable outcome of disease and greater awareness of prognosis, people in these circumstances may start to anticipate a series of losses that they have yet experience. Family members with dying patient may start to withdraw from the ill person before their death. Others may describe social death as a loss of personhood and the dying person being treated as if they were already dead. Most bereaved people manage the experience of loss by drawing upon their personal resources, in terms of their personality and coping styles, and by mobilizing their social resources. These resources include family and friendship relationships in which grief can be acknowledged and shared, faith groups and wider social structures that provide opportunities to express grief and perform mourning rituals.