Integrative Nursing Management of Grief

2018 ◽  
pp. 334-349
Author(s):  
Susan O’Conner-Von

Everyone has experienced grief as a response to a significant loss or change. This chapter presents an integrative nursing approach to grief. Types of grief are described, including anticipatory grief, uncomplicated grief, and complicated grief. These different types of grief are explained and differentiated from normal grief. Assessment of grief using assessment tools such as the Inventory of Complicated Grief, Brief Grief Questionnaire Marwit-Meuser Caregiver Grief Inventory, Marwit-Meuser Caregiver Grief—short form, Hogan Grief Reaction Checklist, and Texas Revised Inventory of Grief are discussed, and selected integrative therapy approaches are described. A patient exemplar is offered that illustrates the use of integrative therapies and whole-person care.

Crisis ◽  
2004 ◽  
Vol 25 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Ann M. Mitchell ◽  
Yookyung Kim ◽  
Holly G. Prigerson ◽  
MaryKay Mortimer-Stephens

Summary: Complicated grief is a newly defined and distinctive psychiatric disorder that occurs in response to a significant loss through death. New findings suggest that survivors who were close to the deceased are at heightened risk for complicated grief. Little is known about whether close kinship (spouses, parents, children, siblings, vs. in-laws, aunts/uncles, nieces/nephews, friends, or coworkers) to a suicide victim also represents a heightened risk for complicated grief. Assessing for complicated grief is important, especially with survivors of suicide, because of the potential for associated health risks. This report contains preliminary data from an exploratory, descriptive pilot study examining complicated grief in adult survivors of suicide. Sixty bereaved subjects, within one month after the suicide of a family member or significant other, were assessed for complicated grief symptoms. Statistically significant differences, as measured with the Inventory of Complicated Grief, were noted between closely related and distantly related survivors of the suicide victim. These preliminary results indicate that health care professional's assessments and interventions for complicated grief should take into consideration the bereaved's familial and/or social relationship to the deceased. The closely related survivors of suicide had higher levels of complicated grief and could be at risk of developing physical and/or mental health problems, including suicidal ideation, in the future.


Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Brian A Haskins ◽  
Ziad Nehme ◽  
Emily Andrew ◽  
Stephen Bernard ◽  
Peter Cameron ◽  
...  

Introduction: To assess the long-term functional recovery and health related quality-of-life (HRQoL) outcomes for out-of-hospital cardiac arrest (OHCA) survivors stratified by shock provider. Methods: We included adult OHCA in initial shockable rhythms between 2010-2019. Those surviving to 12 months post arrest were invited to participate in telephone interviews to identify functional recovery and HRQoL outcomes, using the following assessment tools, Glasgow Outcome Scale-Extended (GOS-E), EuroQol-5D (EQ-5D), and 12-Item Short Form (SF-12). Results: Of the 1,581 patients surviving to 12 months, 1,325 (85.5%) responded to the interviews, of these, 227 (17.1%) and 144 (10.9%) were initially shocked by bystanders and first responders, respectively. A higher proportion of patients shocked by bystanders were located in public (p<0.001), received bystander CPR (p<0.001) and received initial defibrillation faster from time of collapse (P<0.001). Survivors receiving bystander defibrillation reported higher rates of living at home without care (p=0.004), upper good recovery (GOS-E) (p=0.008) and EQ-5D index score of 1 (perfect health) (p=0.023). After adjustment, bystander defibrillation was associated with a 64% increase in the odds of an EQ-5D current Visual Analogue Scale ≥ 80 (AOR 1.64, 95%CI: 1.17-2.31; p=0.004) and a 45% increase in the odds of a good functional recovery (GOS-E ≥ 7) (AOR 1.45, 95% CI: 1.02-2.06; p=0.037), than those initially shocked by paramedics. No improvement in adjusted outcomes were observed for survivors initially defibrillated by first responders. Conclusion: Patients receiving bystander defibrillation reported better functional recovery and HRQol outcomes at 12 months compared to those defibrillated by first responders and paramedics.


2021 ◽  
pp. 773-784
Author(s):  
David W. Kissane

The phenomena and trajectory of mourning as a normal adaptive process are differentiated from clinical depression, avoidant and complicated grief, post-traumatic distress disorder, and other forms of pathological grief. Anticipatory grief can be a particular challenge during palliative care. The family is recognized as the major source of social support and the environment in which grief is shared with others. Key risk factors for pathological bereavement outcomes can be identified on admission to palliative care, permitting preventive models of psychological care to be used through palliative care into bereavement. Models of therapy include supportive-expressive, interpersonal, cognitive behavioural, family focused, and specific therapy for complicated grief. Pharmacotherapy can judiciously accompany psychotherapy. Life-cycle issues include bereaved children, siblings, parents, and grief for the very elderly. Grief can be stigmatized and ambiguous in special circumstances, yet positive growth is a desirable outcome from any loss.


2014 ◽  
pp. 257-270 ◽  
Author(s):  
Merrie J. Kaas ◽  
Gisli Kristofersson ◽  
Sue Towey

Integrative mental health nursing is founded on the principles of whole person, relationship-based care provided within the personal, lived context, and the use of the best range of evidence-informed interventions to support the individual’s mental health and healing. Using a case study, this chapter describes the integrative mental health nursing approach for the holistic assessment of mood and the collaborative approaches developed by the psychiatric/mental health nurse practitioner and client to reduce her mood symptoms and promote mental health.


2019 ◽  
Vol 31 (12) ◽  
pp. 1791-1800 ◽  
Author(s):  
M. Klietz ◽  
L. Rippena ◽  
F. Lange ◽  
A. Tulke ◽  
L. Paracka ◽  
...  

ABSTRACTBackground:Advanced Parkinson’s disease (PD) may place a high burden on patients and their caregivers. Understanding the determinants of caregiver burden is of critical importance. This understanding requires the availability of adequate assessment tools. Recently, the Parkinson’s disease caregiver burden questionnaire (PDCB) has been developed as a PD-specific measure of caregiver burden. However, the PDCB has only been evaluated in a sample of Australian caregivers of patients at a less advanced stage of the disease.Objective:We tested whether a German translation of the PDCB qualifies as an adequate measure of caregiver burden in a German sample of caregivers of advanced patients with PD.Methods:We collected PDCB data from 65 caregivers of advanced patients with PD. Reliability of the scale was assessed and compared against the original version. To validate the German version of the PDCB, we examined the correlations with the caregiver burden inventory (CBI), the short form 36 health survey (SF-36), the Parkinson’s disease quality of life questionnaire 39 (PDQ-39), disease duration, and the amount of caregiving time.Results:The total PDCB score proved to be reliable and to be significantly related to CBI and SF-36 scores. PDCB scores also increased with increasing amounts of caregiving time.Conclusions:The German version of the PDCB appears to be an adequate measure of caregiver burden in caregivers of advanced PD patients.


2019 ◽  
Vol 54 (4-5) ◽  
pp. 290-295 ◽  
Author(s):  
Laci L Zawilinski ◽  
Heather Kirkpatrick ◽  
Barbara Pawlaczyk ◽  
Himabindu Yarlagadda

Health literacy has repeatedly been shown to be associated with a multitude of negative health outcomes. Previous research has shown that patient health literacy levels are hard to predict by physicians and that assessment tools used to measure health literacy may be outdated or lacking. The purpose of this study is to replicate and extend the findings of previous research by examining residents’ ability to predict health literacy levels in patients and to use a newer validated measure of health literacy. A total of 38 patient encounters were included in this study. Patients were administered the Health Literacy Skills Instrument-Short Form to assess health literacy levels. Twenty resident physicians conducted visits with study participants and were asked to predict the health literacy of their patients. Results indicated that, consistent with previous research, residents’ predictions of patient health literacy were not consistent with patient health literacy levels as measured by the Health Literacy Skills Instrument-Short Form. Implications of these findings and future directions are discussed.


Assessment ◽  
2019 ◽  
Vol 27 (8) ◽  
pp. 1914-1927
Author(s):  
Bao Sheng Loe

Planning is an essential cognitive process of executive functions and is considered as one of the most important brain functions. Planning has been extensively studied in the field of neuropsychology, but there is a lack of computerized assessment tools of planning ability that are easily accessible to researchers and clinicians. The present study aims to validate a newly developed online spatial network test that is designed for both clinical and nonclinical populations. Exploratory factor analysis revealed a unidimensional factorial structure with moderate to high internal consistency in the test. Two-parameter logistic item response theory analysis showed acceptable item and model fit and no violation of the local independence assumption. The overall success rate exhibited a positive correlation with the performance of planning before attempting to solve the items. After correcting for attenuation, moderate to high correlations were found between the spatial network test and the International Cognitive Ability Resource 16 short form cognitive ability test and the automated perceptual maze test, respectively, demonstrating convergent, discriminant, and criterion validity. Future directions and potential applications of the spatial network test as an assessment tool to measure planning for researchers and clinicians are discussed in the end.


1992 ◽  
Vol 8 (2) ◽  
pp. 72-78
Author(s):  
Teresita Naval-Severino

This study represents the first phase of research being undertaken in the Philippines on gifted disadvantaged children. The subject of this paper focuses on the assessment tools and procedures employed for the screening and identification of intellectually able or “fast learners” among preschool Filipino children from disadvantaged urban communities. Preliminary screening involved nominations made by daycare teachers using checklists for giftedness. Parent ratings on giftedness were also obtained as a secondary data source for the final selection of fast learners. Children nominated by teachers were subjected to individual testing and evaluation. Results showed that over the two-year period of screening, three to four percent of the entire population of daycare children qualified as fast learners on the basis of teacher nominations and performance on two standardized tests of intelligence. Data also indicated that a greater percentage of children passed the Raven's Colored Progressive Matrices (RCPM) percentile ranking of 75 and above compared to the Wechsler Intelligence Scale for Children (WISC) Short Form IQ of 110. Findings further suggest the potential usefulness of the RCPM as an identification tool for fast learners among this population of children.


Author(s):  
Fatemeh Heidari ◽  
Mansoureh Adel Ghahraman ◽  
Elham Tavanai ◽  
Shohreh Jalaie ◽  
Farzaneh Zamiri Abdollahi

Background and Aim: Presbycusis is a prevalent chronic condition in the elderly which may have potential adverse effects on social and emotional aspects of their life. There is no one to one relationship between audiogram and the perceived handicap in elderly. A good way to measure hearing handicap are self-assessment tools. This study was aimed to translate, adapt and establish face validity of Short form of Hearing Handicap Inventory for the Elderly (HHIE-S) and the correlation with pure-tone and speech audiometry results as well as score of the other self-assessmnet tool (Self-Assessment of Communication: SAC) in the Iranian elderly. Methods: HHIE-S was translated into Persian and face validity was established. It was administered in 80 elderly participants. Correlation of their scores with their pure tone averages of 3 and 4 frequencies (PTA0.5-1-2 and PTA0.5-1-2-4), word recognition score (WRS) in quiet, and SAC scores was determined. Results: The experts mean scores to PHHIE-S was 99.63%. There were significant correlations between PHHIE-S with SAC (r = 0.89; p < 0.001), PTA0.5-1-2 (r = 0.4; p < 0.001), PTA0.5-1-2- 4 (r = 0.6; p <0.001) and WRS (r = -0.4; p < 0.001). There was no significant gender effect on any of the measures (p > 0.05). Conclusion: Simply evaluation of the hearing levels is not adequate in elderly. Self-assessment tools can shed light on the specific disability induced by hearing loss. PHHIE-S appears to be an easy and fast tool that may helpful to distinguish patients who might need rehabilitative services. Keywords: Elderly; presbycusis; selfassessment; handicap


2013 ◽  
Vol 7 (2) ◽  
pp. 103-109
Author(s):  
Jakub Holický ◽  
Martin Musálek

Evaluation development of motor skills in the context of the assessment evaluation tools is very complicated issue. The aim of this study was analysis and comparison of three assessment diagnostic tools with BOT-2. The OTDP, TGMD-2 and MABC-2 are the most widespread tools for exploring of psychomotor development of children and adults with the standard norms for Czech population. Bruininks-Oseretzky Test of Motor Proficiency-Second Edition (BOT-2) batteries for Czech conditions has not been standardized yet. The Bruininks-Oseretzky Test of Motor Proficiency-Second Edition (BOT-2) showed the best design in the test’s structure in comparison to three diagnostic tools. The BOT-2 has in the psychomotor test the widest age range of probands. Besides BOT-2 achieves a high validity and reliability (0,90 to 0,97). Other advantage, which was realized, is using the short form of the test battery, called Short Form. Because of this reasons we believe the Bruininks-Oseretzky Test of Motor Proficiency-Second Edition (BOT2) should be a part of standardized assessment tools, which evaluate the psychomotor development in the Czech environment.


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