Factors to be aware of that influence health outcome are:
• events and circumstances leading up to the death
• meaning of the relationship with the deceased
• personal vulnerability of the bereaved person
• availability of social support and economic resources.
In roughly half of UK services assessment is largely informal, with nurses using their clinical judgement to decide who may need support after bereavement. However, in just under half of UK services there is more structure to the approach, utilising checklists …show more content…
These may manifest as resilience or vulnerability. A capacity to balance the competing forces of grief typifies resilience, ie:
Specific indicators:
• Can face the issues of impending loss resulting from the illness
• Demonstrates coping strategies that make use of inner resources and external sources of support
• While acknowledging the current emotional and social impact of the illness, there is hope that strength and meaning may come from the experience
General indicators:
• Ability to describe situations coherently
• Ability to engage in discussions about the illness and its outcome
• Can show emotion but distress is not persistent
• Ability to be open to the changing needs and emotions of the patient
• Accepting of offers of help and support
• Can take ‘time out’ and attend to own needs
Conversely, vulnerability is evident when there is an incapacity to manage the complex internal and external domains of grief, eg:
Specific