Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

In the distorted grief reaction, all of the symptoms associated a return to satisfying living. Delayed grieving most commonly the following way:and Yakimo (2009) described an exaggerated grief reaction in tional in terms of management of daily living. Murray, Zentner, He or she remains fias numerous somatic complaints, render the individual dysfunc-ess, sometimes for many years. When this occurs, the grief re-sponse may be triggered, sometimes many years later, when the individual experiences a subsequent loss. Sometimes the grief process is triggered spontaneously or in response to a seemingly insignifilessness, hopelessness, powerlessness, anger, and guilt, as well be one manifestation of delayed grief.with normal grieving are exaggerated. Feelings of sadness, help-ing on the profoundness of the loss, the failure of the mourning process may prevent assimilation of the loss and thereby delay^398 occurs because of ambivalent feelings toward the lost entity, outside pressure to resume normal function, or perceived lack of internal and external resources to cope with a profound loss.Distorted (Exaggerated) Grief Responsenot progress to integration of the loss, fiwhelmed, demonstrates prolonged maladaptive behavior, manifests An intensifiThe recognition of delayed grief is critical because, depend-excessive symptoms and extensive interruptions in healing, and does^ ●^ cant event. Overreaction to another person’s loss may SPECIAL TOPICS IN PSYCHIATRIC cation of grief to the point that the person is over- xed in the denial stage of the grief proc- nding meaning in the loss,
2506_Ch24_390-405.indd 0398 2506 Ch 24 390 - 405 .indSome authors have discussed a chronic or prolonged grief iors such as maintaining personal possessions aimed at keeping a are exhibited. Prolonged grief may be a problem when behav-is the result. Depressive mood disorder is a type of exaggerated process may be considered maladaptive when certain behaviors adaptive response may take years for some people. A prolonged ously, length of the grief response depends on the individual. An taken in making this determination because, as was stated previ-response as a type of maladaptive grief response. Care must be the life of the bereaved) or disabling behaviors that prevent the Chronic or Prolonged Grievinggrief reaction.dividual may be attributing the loss. However, many times the be directed toward others in the environment to whom the in-lost loved one alive (as though he or she will eventually reenter fianger is turned inward on the self. When this occurs, depression d xed in the anger stage of the grief response. This anger may 0 When the exaggerated reaction occurs, the individual remains and resolution of the mourning process (p. 706). 398 1 10/1/10 9:38:47 AM 0 / 1 / 10 9 : 38 : 47 AM