System Disorder:
Complicated Grief
Alteration in health/Diagnosis |
Dysfunctional grieving related to stress |
Pathophysiology related to Complicated Grief |
1. Relational factors such as Ambivalence, Narcissism and/or
Dependency. 2. Circumstantial factors such as uncertainty and multiple losses. 3. Historical factors such as a previous complicated grief reaction or the influence of early parental loss. 4. Personality factors such as the inability to tolerate extreme emotional distress or to tolerate dependency feelings as well as poor or negative self-concept. 5. Social factors such as a norm that the loss is socially unspeakable, or when the loss is socially negative, or when there is an absence of a social network. 6. Closed (or non-existent) communication between peers and family. |
Health Promotion and Disease Prevention |
• Promote trust: Show empathy and caring, demonstrate respect for her culture and values, offer support and reassurance, be honest, engage in active listening. • Assist in labelling her feelings: anger, fear, loneliness, guilt, isolation. • Explore previous losses and the ways in which the client has coped. • Encourage review of her relationship with her dead husband. • Reinforce expressions of behaviours associated with normal grieving. • Encourage participation in usual spiritual practices. • Encourage participation in a grief group that meets at the facility. |
Assessment:
Risk factors |
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Expected Findings |
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Laboratory Tests/Other Diagnostic measures |
Distinguish behaviours indicative of the grieving process:
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Diagnostic procedures |
Grieving is a highly individual process for each person, and determining when normal grief becomes complicated grief can be difficult. There's currently no consensus among mental health experts about how much time must pass before complicated grief can be diagnosed. Complicated grief may be considered when the intensity of grief has not decreased in the months after your loved one's death. Some mental health professionals diagnose complicated grief when grieving continues to be intense, persistent and debilitating beyond 12 months. There are many similarities between complicated grief and major depression, but there are also distinct differences. In some cases, clinical depression and complicated grief occur together. Getting the correct diagnosis is essential for appropriate treatment, so a comprehensive medical and psychological exam is often done. |
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