hospice 101 phases of grief nov 3 2006
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- 1. HOSPICE 101 Midwest Palliative & Hospice CareCenter 2050 Claire Ct., Glenview, IL 60025 847-467-7423
- Midwest Palliative & Hospice CareCenter
- Families with Children Counselors
3. What is Hospice?
- A special way of caring for people with life limiting illness.
4. GOALS OF HOSPICE
- Comfort and quality of lifeas defined by the patient.
- Support for the family as the primary unit of care.
5. WHERE ARE PATIENTS CARED FOR ?
- At home
- Independent or Assisted Living facility
- Long Term Care or Skilled Care Facility
- Hospice Inpatient Unit
- Patients who desire to end curative phase of treatment
- Patients who want to be kept as physically, emotionally and spiritually comfortable as possible.
- Patients whose doctors certify that they have a prognosis of 6 months or less
7. THE HOSPICE TEAM
- Patients family
- Primary physician
- Hospice physician
- Social workers
- Nursing Assistants
- Others as needed by plan of care
8. COMMON QUESTIONS
- Can I change my mind?
- Nutrition, hydration, CPR
- Giving Up
- For cancer patients only
9. HOW DO I TALK ABOUT THIS? 10.
- ASK YOUR LOVED ONE WHAT S/HE THINKS IS HAPPENING.
- WHAT ARE YOUR LOVED ONES GOALS?
- WHAT IT IS S/HE REALLY WANTS?
- HELP THE PERSON IDENTIFY AND ASSESS THE BENEFITS AND BURDENS OF VARIOUS TREATMENTS.
- Telephone Contact
- Memorial Services
- Support Groups
- Individual Counseling
- National Palliative Care & Hospice Organization
15. Personal Loss Activity 16. Phases of Grief 17. Helping Children Cope with Grief
- Author:Alan Wolfelt, Ph.D
- 13 Dimensions
- Most intense 6-8 weeks after death
- Can resurface over time
19. Lack of Feelings
- Appear unaffected by death
- Continue with age appropriate activities to avoid intense emotions
20. Physiological Changes
- Grief may be expressed through physical symptoms
- Symptoms are usually temporary and normal
- Occurs when previously mastered tasks are no longer completed
- Can represent need for protection and security
- If ongoing, may need therapeutic intervention
22. Big Man/Big Woman Syndrome
- Opposite of regression
- Take on adult roles
- Can be an attempt to replace the deceased
23. Disorganization and Panic
- Feeling of being overwhelmed and anxious
- Inability to concentrate
- Routines are important
24. Explosive Emotions
- Directed at anyone or anything
- Enjoyable events lose their appeal
- Important to validate feelings of pain, frustration and hurt
25. Acting-Out Behavior
- Result of Explosive Emotions
- May be associated with feelings of abandonment
- Who will take care ofme?
- Fear of own death
- Fatalistic View
- Consistency is important
- Natural expression after witnessing prolonged illness
- Difficult to admit
- Associated with guilt
- Most difficult emotions
- May demonstrate physiological changes
29. Guilt and Self-Blame
- May assume responsibility of death
- If only I had done something differently
- Grief no longer overwhelms daily functioning
- Begin to feel hope and anticipation for the future