What action must a patient take to complete the despair level of Sheldons stages of grief?

What are grief and loss?

Grief is a natural response to loss. It might be the loss of a loved one, relationship, pregnancy, pet, job or way of life. Other experiences of loss may be due to children leaving home, infertility and separation from friends and family. The more significant the loss, the more intense the grief is likely to be.

Grief is expressed in many ways and it can affect every part of your life; your emotions, thoughts and behaviour, beliefs, physical health, your sense of self and identity, and your relationships with others. Grief can leave you feeling sad, angry, anxious, shocked, regretful, relieved, overwhelmed, isolated, irritable or numb.

Grief has no set pattern. Everyone experiences grief differently. Some people may grieve for weeks and months, while others may describe their grief lasting for years. Through the process of grief, however, you begin to create new experiences and habits that work around your loss.

Download the grief and loss factsheet

Getting through grief and loss

Grief is something that takes time to work through. While everyone finds their own way to grieve it's important to have the support of friends and family or someone else, and to talk about your loss when you need to.

What you can do to help yourself

  • Don’t be afraid to ask for help. 
  • Talk to friends and family about how you are feeling, or consider joining a support group. 
  • Take care of your physical health. Grieving can be exhausting, so it's important to eat a healthy diet, exercise and sleep. 
  • Manage stress – lighten your load by asking friends, family members or work colleagues to help you with some chores or commitments. Relaxation and gentle exercise can be helpful.
  • Do things you enjoy, even if you don’t really feel like doing them.

How to help a person who is experiencing grief and loss

Many people do not know what to say or do when trying to comfort someone who is grieving. However, often it is the simple offer of love and support that is the most important.

  • Ask how they're feeling. Each day can be different for someone who is grieving; take the time to listen and understand what they are going through.  
  • Talk about everyday life too. Their loss and grief does not have to be the focus of all your conversations. 
  • Ask them how you can help. A few home cooked meals, doing the shopping, or perhaps offering to go walking or do something enjoyable with them can all help someone through their grief. 
  • Encourage them to seek professional support if their grief does not seem to be easing over time.

Is it depression?

Grief and depression are quite different but they can appear similar as they can both lead to feelings of intense sadness, insomnia, poor appetite and weight loss. Depression stands out from grief as being more persistent, with constant feelings of emptiness and despair and a difficulty feeling pleasure or joy.

If you notice that depression symptoms continue, or your grief begins to get in the way of how you live, work, share relationships or live day-to-day, then it's important to get support or professional help.

Learn more about the symptoms of depression

You might have heard of the five stages. But what are they, and does grief really follow a set timeframe?

Who developed the five stages of grief?

The five stages of grief model was developed by Elisabeth Kübler-Ross, and became famous after she published her book On Death and Dying in 1969. Kübler-Ross developed her model to describe people with terminal illness facing their own death. But it was soon adapted as a way of thinking about grief in general.

Do the five stages happen in order?

The five stages – denial, anger, bargaining, depression and acceptance – are often talked about as if they happen in order, moving from one stage to the other. You might hear people say things like ‘Oh I’ve moved on from denial and now I think I’m entering the angry stage’. But this isn’t often the case.

In fact Kübler-Ross, in her writing, makes it clear that the stages are non-linear – people can experience these aspects of grief at different times and they do not happen in one particular order. You might not experience all of the stages, and you might find feelings are quite different with different bereavements.

What are the five stages of grief?

Denial

Feeling numb is common in the early days after a bereavement. Some people at first carry on as if nothing has happened. Even if we know with our heads that someone has died it can be hard to believe that someone important is not coming back. It’s also very common to feel the presence of someone who has died, hear their voice or even see them. 

Anger

Anger is a completely natural emotion, and very natural after someone dies. Death can seem cruel and unfair, especially when you feel someone has died before their time or you had plans for the future together. It’s also common to feel angry towards the person who has died, or angry at ourselves for things we did or didn’t do before their death.

Bargaining

When we are in pain, it’s sometimes hard to accept that there’s nothing we can do to change things. Bargaining is when we start to make deals with ourselves, or perhaps with God if you’re religious. We want to believe that if we act in particular ways we will feel better. It’s also common to find ourselves going over and over things that happened in the past and asking a lot of ‘what if’ questions, wishing we could go back and change things in the hope things could have turned out differently.

Depression

Sadness and longing are what we think of most often when we think about grief. This pain can be very intense and come in waves over many months or years. Life can feel like it no longer holds any meaning which can be very scary.

Acceptance

Grief comes in waves and it can feel like nothing will ever be right again. But gradually most people find that the pain eases, and it is possible to accept what has happened. We may never ‘get over’ the death of someone precious, but we can learn to live again, while keeping the memories of those we have lost close to us.

Frequently Asked Questions

The five stages are useful for understanding some of the different reactions you might have to a death. But it’s important to remember that every grief journey is unique.

It certainly doesn’t mean that something is wrong if you experience a whole mess of different stages and emotions, or if you never pass through some of the ‘stages.’

Since the five stages were first developed, there have been lots of new ways of thinking about grief. At Cruse, our understanding has grown over the years, based on research into the best ways to help and understand bereaved people.

We now know there are many ways to experience grief and many models to help us understand bereavement. One we find can be helpful, is the idea of ‘growing around your grief.’ In this model, there are no set stages or phases to bereavement. Instead, your grief remains the same but, as you grow as a person, it starts to take up less space in your life.

What action must a patient take to complete the despair level of Sheldon's stages of grief?

What action must a patient take to complete the despair level of Sheldon's stages of grief? The last level of Sheldon's stages of grief is completed by relocating the deceased to an important, but not central, place in bereaved person's life and moving on, such as by building a life without the deceased.

How do you respond to stages of grief?

How to deal with the grieving process.
Acknowledge your pain..
Accept that grief can trigger many different and unexpected emotions..
Understand that your grieving process will be unique to you..
Seek out face-to-face support from people who care about you..
Support yourself emotionally by taking care of yourself physically..

Is despair a stage of grief?

Disorganization and Despair: This phase is marked by initial acceptance of the reality of the loss. The grieving person may experience feelings of apathy, anger, despair, and hopelessness. The person often desires to withdraw and disengage from others and the activities they regularly enjoyed.

How do patients deal with grief?

Adair shared some strategies that nurses can use to cope..
Practice self-care. Since grief affects the body physically, it's important to care for yourself in that way. ... .
Own your story. ... .
Talk to a grief counselor or your supervisor. ... .
Acknowledge each death. ... .
Know it's OK to experience joy. ... .
Heal however you can..

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