Who identified the five stages of grief people experience after a loss of a loved one or as they die themselves?
Psychiatrist Elizabeth Kubler-Ross in the ground breaking book death and dying.
What are the five emotional stages of grief? (Simply name them and in order)
- Denial
- Anger
- Bargaining
- Depression
- Acceptance.
What are the five stages of grief? (Name them all and in order)
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
What are some ways you can help a patient through the grieving process?
-Do everything possible to maintain the patient’s dignity. (Don’t talk poorly about their declining condition as it will stress them)
-Show the greatest possible respect for the patient and their family (also always show the family you haven’t given up on the patient in the way you convey yourself, attitude and body language and words)
-communicate
-Allow family members to express themselves.
-Listen empathetically
-Do not give false assurances.
-Use a gentle tone of voice with the patient and family.
-Take appropriate steps if the family wants to touch or hold the body after death.
-Do what you can to comfort the family.
What are the 3 basic types of stress reactions that someone may experience as a result of a high stress incident or from constant exposure stressful situations?
-Acute stress reaction ( signs and symptoms of stress occur immediately or shortly after the incident, typically a high exposure stress enviroment )
-Delayed stress reaction ( signs and symptoms of stress occur
post incident which could take days weeks or months and can be PTSD, high expoure stress enviorment)
-Culmative stress reaction (can lead to burnout) ( caused because of constant exposure to stressful situations that build over time )
What are the common signs and symptoms of stress reactions?
-Irritability
-inability to concentrate
-difficultly sleeping/nightmares
-Anxiety
-Indecisiveness
-Guilt
-Loss of appetite
-Loss of sexual desire
-Isolation
-Loss of work interest
What are the general categories that sign and symptoms identified with stress fall under?
-Thinking
-Psychological
-Physical
-Behavioral
-Soical
What are ways you can cope with stress?
- Make lifestyle changes. (Diet, excercise, practice relaxation, and avoid self medication)
- Keep balance in your life. (Work, recreation, family, health, other interests, etc)
- Recognize the response of your family and friends. (You should help your family understand the nature of your work)
- Make changes in your work environment ( BUDDY SYSTEM, support coworkers, take breaks, request more relaxation time, request duty rotation)
- Seek professional help.
What is CISM?
Critical incident stress management. A system composed of two different approaches to dealing with stress. Debriefing or defusing. Debriefing is when you talk about the entire situation and all it’s components with an professional counselor 24-72 hour after the incident. Defusing is 8 hours after and more loosely structured, as the people immediately affected talk to each other and calm down and gather their feelings, etc.
