Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
You are on page 1/ 14
Anticipatory Grief
RACHEL PRUDHOMME Introduction Nurses in all areas deal with patients and families who are grieving Article: Anticipatory grieving among parents living with a child with cancer (Al-Gamal & Long, 2010) Study compares anticipatory grief in parents with a child with newly diagnosed cancer and with a diagnosis 6-12 months earlier Grief v. anticipatory grief Purpose
What is grief? Definition of grief (Videbeck, 2014, p. 160)
Definition of anticipatory grief (Videbeck, 2014, p. 160)
Kubler-Rosss Stages of Grieving (Videbeck, 2014, p. 162) Evidence for Care: Nursing Care Problem Childhood cancer
Illness perceived as terminal
Anticipatory grieving Evidence for Care: Nursing Theory Human to Human Relationship Model (Current Nursing, 2012)
Joyce Travelbee (1926-1973)
Evaluation of the Evidence: Study Methods Methods: 70 Parents in each group 2 hospitals in Jordan Recruited by head nurse 30 minute individual interview with researcher Results: <1/2 at peace Newly diagnosed = more severe grief Moms v. Dads = no difference in grief reaction Evaluation of the Evidence: Critique Pros: Adequate sample size No conflict of interest Credible authors Cons: Limitation: Cross-sectional design = changes over time not detected Head nurse selected eligible parents Attachment styles, coping, social support relationship
Patient Care Design: Collaboration Encourage parents to talk about negative feelings (Al-Gamal & Long, 2010) Provide targeted interventions (Al-Gamal & Long, 2010) Assess for the need for additional support (Al-Gamal & Long, 2010) Promote support groups (Al-Gamal & Long, 2010) Be honest with patients and families Act in a caring and compassionate manner
Patient Care Design: TRUEPIC 1 .
Identify -Parents of a child with a cancer diagnosis
-Speak English or Arabic
-Live in same household as child 2 .
Relate Primary Proposition: Parents are unable to cope with childs diagnosis due to risk for death. Possible Assumptions: Childhood cancer is a terminal illness and death is eminent. Possible Confounding Variables: Parents are unable to cope with childs diagnosis due to lack of support. 3 .
Understand Proposition: Cancer, especially is childhood, is extremely terrifying, no matter how progressed it is. Significance of Assumptions: Cancer is perceived as a terminal illness, even though often times it can be successfully treated. Possible Confounding Variables: It is important for families dealing with cancer to have adequate support in order to get through the difficult time. Patient Care Design: TRUEPIC Continued 4 .
Explain Proposition: Explain to the family that you understand how difficult this situation must be for them. Assumptions: Confounding Explain to the family that there are options for treatment that can put their childs cancer into remission. Variables: Explain to the family how important it is to have support. 5 .
Predict Proposition: Parents will think that the healthcare team is not empathetic for them and will have difficulty coping. Assumptions: Parents wont understand that their childs illness is treatable and will live in fear. Confounding Variables: Parents wont have anyone to talk to that understand what they are going through and will have ineffective coping. 6 .
Influence Proposition: Act in an empathetic and caring manner when dealing with the family of the child with cancer. Assumptions: Explain to the parents the different treatment options that would be beneficial to the child and the likelihood of survival for their child. Confounding Variables: Refer the parents to a support group that includes other families dealing with childhood cancer. 7 .
Control -Create a comfortable and soothing environment. -Assure families that treatment options are available and remission is possible. -Provide adequate support through referrals to support groups. Nursing diagnosis: Ineffective coping r/t cancer diagnosis a.e.b. lack of peace with situation Advocate Role: Research & Reflections Demonstrate understanding
Equity Advocate Role: Significance to Practice Grief and death in all areas of nursing
Empathetic care
Support systems
References Al-Gamal, E. & Long, T. (2010). Anticipatory grieving among parents living with a child with cancer. Journal of Advanced Nursing, 66(9), 19801990. Current Nursing. (2012). Human-to-human relationship model. Retrieved from http://currentnursing.com/nursing_theory/Joyce_Travelbee.html. Videbeck, S. L. (2014). Psychiatric-mental health nursing (6 th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Complete Download Trauma Informed Social Emotional Toolbox for Children and Adolescents 116 Worksheets and Skill Building Exercises to Support Safety Connection and Empowerment 1st Edition Lisa Weed Phifer PDF All Chapters
Complete Download Trauma Informed Social Emotional Toolbox for Children and Adolescents 116 Worksheets and Skill Building Exercises to Support Safety Connection and Empowerment 1st Edition Lisa Weed Phifer PDF All Chapters
