Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

APPENDIX D ●^553

A Comparison of Models by Elisabeth Kübler-Ross, John Bowlby, George Engel, and William WordenStages/Tasks^ Possible Time Kübler-RossBowlbyEngelWordenDimension

Behaviors

I. DenialI. Numbness/I. Shock/disbelief I. Accepting the protestreality of the loss

Occurs im-Individual refuses to acknowledge that the loss mediately on experienc-has occurred.ing the loss. Usually lasts no more than a few weeks.

II. AngerII. DisequilibriumII. Developing awareness

In most cases Anger is directed toward self begins within or others. Ambivalence and hours of the guilt may be felt toward the loss; peaks lost object.within a few weeks.

III. Bargaining

The individual fervently seeks alternatives to improve current situation.Continued
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