c.karen covey moore 8/2/2010 - dhssc.karen covey moore 8/2/2010 several generations since we...
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8/2/2010C.Karen Covey Moore
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All CHANGE produces LOSSAll CHANGE produces LOSS
All LOSS produces GRIEFAll LOSS produces GRIEF
GRIEF is painfulGRIEF is painful
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Most commonly associated with Most commonly associated with deathdeath
Fast paced culture > Fast paced culture > ““So get over it already!So get over it already!””
Little social guidanceLittle social guidance
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Several generations since we Several generations since we experienced death routinelyexperienced death routinelyDeath separated from the mainstream Death separated from the mainstream of lifeof lifeDeath InstitutionsDeath Institutions
Hospitals, Hospitals, Nursing HomesNursing HomesFuneral HomesFuneral Homes
Sensationalized and less real contactSensationalized and less real contact
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Among family and friendsAmong family and friends
At workAt work
Within faith communitiesWithin faith communities
In the general cultureIn the general culture8/2/2010C.Karen Covey Moore
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Emotions / FeelingsEmotions / Feelings
ThoughtsThoughts
Physical SensationsPhysical Sensations
BehaviorsBehaviors
Spiritual Well BeingSpiritual Well Being8/2/2010C.Karen Covey Moore
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DisbeliefDisbeliefConfusionConfusionInability to concentrateInability to concentratePreoccupation with thoughts of Preoccupation with thoughts of the lossthe lossLoss of control Loss of control –– ““II’’m going m going crazy!crazy!””DreamsDreamsExtraExtra--ordinary experiencesordinary experiences
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Gastrointestinal DisturbancesGastrointestinal DisturbancesHeart palpationsHeart palpationsTightness in chestTightness in chestBreathlessnessBreathlessnessWeakness and or tension in Weakness and or tension in musclesmusclesDry mouthDry mouthLoss of sexual desireLoss of sexual desire
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Sleep DisturbancesSleep DisturbancesAppetite DisturbancesAppetite DisturbancesCryingCryingSighingSighingAbsentAbsent--minded Behaviorminded BehaviorRestless Over ActivityRestless Over ActivityVisiting or Avoiding places that remind one of Visiting or Avoiding places that remind one of the lossthe lossSocial withdrawalSocial withdrawalInability to initiate & maintain routine Inability to initiate & maintain routine activitiesactivitiesTaking on mannerisms or behaviors of Taking on mannerisms or behaviors of deceaseddeceased
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Values and expectations Values and expectations underminedundermined
Assumptions about life Assumptions about life challengedchallenged
Doubts about goodness Doubts about goodness and presence of Godand presence of God
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AvoidanceAvoidance
AssimilationAssimilation
AccommodationAccommodation
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It is safe to talk about the pain, cry, ask It is safe to talk about the pain, cry, ask questions, be angryquestions, be angryThey are not going crazyThey are not going crazySurvival and healing are possibleSurvival and healing are possibleThey are not aloneThey are not aloneIt is OK to heal.It is OK to heal.It will take a life time because everything It will take a life time because everything has changedhas changedHelp is availableHelp is available
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••ReRe--FocusFocus
••ReRe--MemberMember
••ReRe--FrameFrame
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••Working through and releasing Working through and releasing feelingsfeelings
••Affirming the reality of Affirming the reality of lossloss
••Opening to the painOpening to the pain
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•• Acknowledge and explore oneAcknowledge and explore one’’s pain, s pain, guilt and failureguilt and failure
•• Honestly express feelings of despair Honestly express feelings of despair and even suicidalityand even suicidality
•• Recognize personal strengths that Recognize personal strengths that have helpedhave helped
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Recognizing the relationship Recognizing the relationship continues in new and different wayscontinues in new and different ways
Say the name of the loved oneSay the name of the loved one
Recalling strengths and Recalling strengths and accomplishmentsaccomplishments
Remembering funny stories Remembering funny stories and favorite activitiesand favorite activities
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Help is availableHelp is available
It does get betterIt does get better
Forget the big Forget the big picturepicture
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Finding the Finding the ““New NormalNew Normal””
Finding MeaningFinding Meaning
Reaching OutReaching Out
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C. Karen Covey MooreC. Karen Covey Moore71 Harbor Drive, Apt. 871 Harbor Drive, Apt. 8
Claymont, DE 19703Claymont, DE 19703
302.798302.798--14781478-- HomeHome302302--478478--57075707-- OfficeOffice
302302--650650--07900790--CellCell
[email protected]@verizon.net
8/2/2010C.Karen Covey Moore