Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^394) order to complete the grief process. Worden’s four tasks of mourning include the following:information as true (p. 42). one. The bereaved person may be intellectually aware of the fiTask II: Processing the Pain of Grief. Belief and denial are intermittent while grappling with ity of the loss long before the emotions allow full acceptance of the it involves not only an intellectual acceptance but also an emotional Coming to an acceptance of the reality of the loss takes time since Task I: Accepting the Reality of the Loss.^ this task. It is thought that traditional rituals such as the as though he or she has not died, and removing all remind-ers of the lost loved one so as not to have to face the reality of the loss. Worden (2009) stated:to believe that the loss has occurred. Behaviors include thing of value is lost, it is common for individuals to refuse misidentifying individuals in the environment for their allow themselves to think painful thoughts, by idealizing grieving process. People accomplish this by refusing to To avoid or suppress it serves only to delay or prolong the This pain must be acknowledged and worked through. lost loved one, retaining possessions of the lost loved one funeral help some individuals move toward acceptance of the loss. ●with a loss includesor avoiding reminders of what has been lost, and by using^ SPECIAL TOPICS IN PSYCHIATRIC both physical pain and emotional pain. Pain associated When some- nal-
2506_Ch24_390-405.indd 0394 2506 Ch 24 390 - 405 .indd 0 Task III: Adjusting to a World without the Lost Entity. 394 But the commonality is that it to do so generally results in some form of depression that It usually takes a number of months for a bereaved person to realize what his or her world will be like without the lost entity. In the case of a lost loved one, how the environment changes will depend on the types of roles that person ful-fiin which it is experienced are different for all individuals. commonly requires therapy, which then focuses on work-will be required to make adaptations to his or her environ-ment in terms of the changes as they are presented in daily life. In addition, those individuals who had defiing through the pain of grief that the individual failed to identity through the lost entity will require an adjustment work through at the time of the loss. In this very diffialcohol or drugs. The intensity of the pain and the manner cult Task II, individuals must “allow themselves to process the pain—to feel it and to know that one day it will pass” (Worden, 2009, p. 45). lled in life. In the case of a changed lifestyle, the individual must be experienced. Failure ned their -^ 10/1/10 9:38:46 AM 10 / 1 / 10 9 : 38 : 46 AM