●8. Help client identify resources within the community from 2. Client is able to make independent decisions regarding life-^ Defi 7. Ensure that client and family are fully knowledgeable re-Outcome Criteria 1. Client is able to perform ADLs independently. 3. Client is able to express hope for the future with consider-cant other [or any other loss of signifi cance to the individual], in age client to keep follow-up appointments with physician, or garding the physiology of the change in health status and its which he or she may seek assistance in adapting to the change in health status. Examples include self-help or support groups and public health nurse, counselor, or social worker. Encour-necessity for optimal wellness. Encourage them to ask ques-to call physician’s offiation of change in health status. concerns arise. tions, and provide printed material explaining the change to which they may refer following discharge. COMPLICATED GRIEVINGstyle considering change in health status.edge enhances successful adaptation. nition: A disorder that occurs af ter the death of a signifi - ce prior to follow-up date if problems or Adjustment Disorder Increased knowl-●^247
2 2506_Ch13_236-255.indd Sec1:247 506 Ch 13 236 - 255 .indd SDefiimpairment.[Verbal expression of distress at loss][Idealization of lost entity][Denial of loss][Excessive anger, expressed inappropriately][Developmental regression][Altered activities of daily living]Possible Etiologies (“related to”)[Real or perceived loss of any entity of value to the individual]fails to follow normative expectations and manifests in functional [Bereavement overload (cumulative grief from multiple unre-which the experience of distress accompanying bereavement [Thwarted grieving response to a loss][Absence of anticipatory grieving][Feelings of guilt generated by ambivalent relationship with lost ecentity]solved losses)] 1 ning Characteristics (“evidenced by”): 247 1 10/1/10 9:36:17 AM 0 / 1 / 10 9 : 36 : 17 AM