Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

impossible for the aging individual to complete the grief process Elderly Personsis less able to adapt and reintegrate, and mental and physical AdultsThe adult’s concept of death is inflcumulative, this can result in gious backgrounds (Murray, Zentner, & Yakimo, 2009). Behaviors associated with grieving in the adult were discussed in the section on “Theoretical Perspectives on Loss and Bereavement.”health is jeopardized (Halstead, 2005). Bereavement overload Bateman (1999) has stated:in response to one loss before another occurs. Because grief is experienced numerous losses, and mourning has become a life-long process. Those who are most successful at adapting to losses earlier in life will similarly cope better with the losses and grief inherent in aging. Unfortunately, with the aging proc-ess comes a convergence of losses, the timing of which makes it has been implicated as a predisposing factor in the development By the time individuals reach their 60s and 70s, they have phers and poets as the “season of loss.” Loss of one’s occupational role upon retirement, loss of control and competence, loss in some life experiences, loss of material possessions, and loss of dreams, loved ones, and friends must be understood and accepted if the older adult is to adapt effectively (p. 144). For the older adult, the later years have been described by philoso-bereavement uenced by cultural and reli-Loss and Bereavement overload; the person ●^401

2506_Ch24_390-405.indd 0401 2506 Ch 24 390 - 405 .indd 0 signifiDefiof depressive disorder in the elderly person.between the depression of normal grieving and the disorder of signifi cant other [or any other loss of signifi cance to the individual], in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment.clinical depression. Some of these differences are presented in Table 24-1.Common Nursing Diagnoses and Interventions for the Individual Who Is Grieving● 4 01 RISK FOR COMPLICATED GRIEVINGDepression is a common symptom in the grief response to nition: cant losses. It is important to understand the difference At risk for a disorder that occurs af ter the death of a 10/1/10 9:38:48 AM 10 / 1 / 10 9 : 38 : 48 AM