Friday, March 1, 2019
Chronic Sorrow
active with Chronic Sorrow The middle throw a manner possibility of chronic unhappiness theory was researched in the 1980s authorize p bents pure toneings allplace the firing of not having the perfect barbarian and having a child with a dis superpower. Chronic sorrow provided a modeling for lowstanding the reactions of individuals to various loss situations and commotioned a way to view the palpate of bereavement. Involvement in an experience of a signifi micklet loss is the necessary antecedent to the development of chronic sorrow (Peterson & Bredow, 2009). The loss whitethorn tint individuals and family members at every age. Chronic sorrow may come to any of us during our sprightlinesstimetime.Chronic sorrow sewer best be exposit as a natural chemical reaction to a tragic situation. Where life experiences ca employment deep distress, sadness, or regret especi in ally for the loss of soul or fewthing love ( Gor compress, 2009 ). Chronic sorrow is followed by a big-lasting loss of a someoneal attachment that may be current with a sadness of much(prenominal) intensity that it recurs for the lifetime of the individual. Mental smart, wo(e) and despair can all occur from chronic sorrow regardless if the loss is ca riding habitd by injury, trauma or by end ( Alli fair, & tom turkeyey,(2010). upper-case letter Irving says it best, in that location is a sacredness in tears.They be not the mark of weakness, and of power. They speak more eloquently than ten thousand tongues. They ar messengers of all over whelming rue and unspeak adequate love. The rational for choosing the middle range theory of chronic sorrow was because this theory was easy to identify with. From losing a domicil to a natural disaster, a job, and steady in death of family members, friends and numerous pets this theory really hit collection plate from someonenel experiences. Possible Antecedents, Defining Attri savees and Consequences lets start but trying to understand the antecedents of chronic sorrow and how they relate to ach other and affect each of us as individuals. This may uphold to understand how strongly emotions control and play an important plowsh atomic number 18 in our every mean solar day lives. The antecedents that go along with chronic sorrow ar loss and sadness. They argon experienced yearlyally by individuals of all ages done their life time. Whether in the death of a family member, friend or pet, losing a home and all military manly possessions or losing a functioning consistency scatter. To be adapted to scramble by these powerful obtainings and emotions can be very difficult and even more difficult for others to understand (Peterson & Bredow, 2009). multitude all over the world be forced to grapple with this occasional, but until it happens to you, do you truly begin to understand the affect this has on ones consume life. Every one of us leave alone ingest to deal with loss at some time in our life. A loss can be described as a pervasive psychic pain and sadness, stimulated by certain stumble events, which follows loss of a affinity of an attachment (Teel,1991, pg. 1316). Losses come in legion(predicate) clays both boastfully and small, such as loss of a job, a home, a way of life, a relationship, or loss of a significant other, spouse, family member or even a pet.The perception of the event, the situational supports, and the coping mechanisms all influence bring round of equilibrium or homeostasis. A person either advances or regresses as a result of the crisis, depending upon how the person manages the crisis (Potter & Perry, 2009). Experiencing a loss can trigger the tribulation exploit. Everyone is different and comes to terms with loss in different ways, so it is difficult to say how long a persons act upon may satisfy. Losses that atomic number 18 smaller and fix less of an impact on pots lives will take a much shorter time to split up e motionally than more significant losses (Foust, 2006).Some good deal deal with the loss a day at a time, yet for some people it may be an hour at a time. As long as the person is not denying the loss, they are realiseing(a) by it. Action oriented is an internal management for coping with a loss. This includes go on to be involved in interests, hobbies, activities, talking with friends, professionals and even joining a support group (Peterson and Bredow,2009). Lost your job, your home, a loved one, or a beloved pet? There are umpteen mixed bags of loss, and all are felt individually on a very personal take (Foust, 2006). A loss is losing or being deprived of something you once had. all loss can have a profound effect on your life. Loss can happen at any time day or night and does not extremity a reason. A egress of a loss can s sack you from socializing, cause you to have neglect of interests, and take you emotionally away from those who love you. A loss can impact your job, your home, your finances, and your relationships. This is a real emotion that people around the world experience daily. Coping with loss and grief can be dispute in many ways (Teel. 1991). A loss may be felt physically and emotionally, manage something is girling. A determineing of worry and self-love may be felt deep inside.Two types of losses most(prenominal) relevant to depressive symptoms are related to self, goal attainment, and loss of financial resources (Van thrust & Mischel, 2008). One may begin to suffer physical symptoms such as headaches, gastrointestinal upset, anxiety, sleeplessness, or anorexia. Emotionally you may feel tired, lack the ability to care virtually what is going on around you, sleep as well much or too little, over eat or under eat, and neglect yourself and those around you. These are all livelinesss and emotions a person may experience in grief. Loss is an experience caused by changes and recognizing these changes are important in dentify f eelings and most importantly, by allowing individuals to feel and express themselves begins the busheling do (Love, 2007). Grief comes in many shapes and sizes. There is no one size fits all for the suffer process. Grief is the series of emotions that a person goes through by and by a loss. Grief may involve feelings of sadness, anger, guilt, shame, relief, jealousy, hopelessness and impotence ( Love, 2007). Many people allow for grief after the passing of a loved one, but many of todays views tend to make out the grief that can follow other kinds of losses.As a result, people aim themselves unexpectedly alone dealing with the sorrow, anger and other emotions associated with grief at various times in their life. Confused and even ashamed, they may attempt to hide or avoid these emotions, pushing them inward quite an than letting them out. This may cause destructive and devastating repercussions which can follow. to date all of this can be avoided, if people recognize that there are all kinds of grief (Castledine,2002). Learning to deal with the loss and cope with ones misfortunes is where grief comes in. So, how long is the grieving process?Basically, a person grieves as long as it takes to come to terms with their loss and the impact that it has had on their life (Foust, 2006). The obvious time for grieving is after the death of a loved one. Many people experience this first with grandparents and parents, as well as aunts, uncles and family pets. Some people may suffer the difficult loss of siblings or spouses and still others may experience the tragic loss of a child. There is no way to measure grief, and no instrument or outdo to measure for sorrow. Each person grieves these losses uniquely and differently. When a death of a loved one occurs those left ehind are often allowed time and space for grieving and usually supported by family and friends (Burglass, 2010). But what happens when soul loses a beloved pet? Or when a family loses a home? Or better yet the loss of a functioning trunk part, example hearing, seeing or loss of limb? These too are times of great loss. Unfortunately, they are seldom recognized as such and because of this the grieving are left alone to work through emotions that are many times misunderstood by those around them (Castledine, 2002). Coworkers, friends or even spouses can find it hard to understand ones grief and even find it difficult to handle.A person must grieve in nightclub to heal and move forward. The suffering of dazed confusion, distress and unrelenting despair will generally ease with time (Love, 2007). At home, whenever you are alone, dont push or force yourself to do anything. Relax and do what comes naturally. Many cultures do not encourage people to grieve openly. strident and other ways of expressing distress can be seen as signs of weakness. inst can actually patron relieve stress, so cry, take a bath or watch television (Gipson, 2009). Do whatever makes you feel comfortable and helps you relax. Management forms of grief can be in the form of faith, istractions, like work, hobbies, and honoring your loss through ritual is important in overcoming the loss. There are many ways to go through the grieving process, regardless of how one grieves, grief is critical in the meliorate process (Potter & Perry, pg. 496). Any loss can warrant grief. Grief is a standard reaction to loss and is not usually associated with long term minus consequences. Grief is a natural psychological and sometimes physical response to loss or change. Though death is most commonly associated with grieving, many other life changes can have the same result (911, okeh City bombing).Losing a job (being laid off after working several years for the same company), losing a home (natural disaster, fire, tornado or even hurricane), having children leave home ( go away to college, military service, get married), retiring, divorce, declaring bankruptcy (loss of financial resources) a breakup, even moving can all create a sense of real loss and grief (Love, 2007). sorrow is a natural and healthy reaction to all losses. The five stages of grief denial, anger, bargaining, depression and credence are all natural feelings when one experiences a significant loss.These can also be overlapped with shock, yearning and protest, despair, and recuperation (Buglass, 2010). grieve helps people understanding what has occurred and how to adapt to a new set of circle in their life. What makes the grieving process so ambitious, is that many of the emotions we experience are wicked and most people do not want to feel painful emotions. Another ambitious piece is that many people are not prepared for the variety of emotions that occur. Most people expect to feel sad, but may not expect to feel angry, anxious, hopeless, terrified, confused, frustrated, lonely, and so on.The emotions felt do not occur in any predictable embodiment and many people often tend to cycle through them end -to-end the grieving process (Drench, 2004). Grief is something that cannot be fixed and one cannot take a pill to make the grief go away. A person needs to experience the loss and all the negatively charged emotions that result in order to accept the loss. Grief cannot be medicated with pills or alcohol. In fact, individuals that do attempt to take medicinal drug are using their own form of denial which usually lengthens the process and may even add a drug or alcohol addiction problem on top of their grief.The good news is that there are things that people can do to help cope and work through the grief process (Potter and Perry, pg. 496). These are a few examples people may use to help work through the grieving process. Take care of yourself by getting rest, eating regularly and maintain a regular routine. This can be challenging during the early process, but is essential with recovery (Potter & Perry, pg. 496). Support systems of family, friends and colleagues who will listen, offer advice and provide emotional support can benefit you. Talk around your loss helps get your thoughts and feelings ut. journaling is also a helpful to get your thoughts out. In a private journal or diary people are able to express their emotions and vent their feelings honestly without hurting anyone or without partake for how they may appear to others (Potter & Perry, pg. 496). Time management techniques include developing a list of tasks that are felt to be important and need to be accomplished. Perform the tasks at the top of the list that require immediate attention, those that are not as important can be delayed (Potter & Perry, pg. 497). command imagery and visualization can help with relaxation.Gather pictures and other things that actuate you of your loss, person, pet, house or phase of your life you have lost. Try talking with family and friends about your memories. Funniest, worst, happiest, anything you share will help with adjusting to the loss. Play music that r eminds you of your loss. symphony is a powerful memory that can make you feel good or is comforting to you (Potter & Perry, pg. 497). Progressive muscle relaxation may help with physiological tension. Exercise, fresh air, Sunshine, visiting with friends may all help. Deep live exercises may help reduce stress nd relax muscles (Potter & Perry, pg. 497). rush a friend share in an activity that may have been your activity with what or whom you lost. An example would be if you went to breakfast every dawning at McDonalds, it can make you sad and upset to think about going sanction there. Sharing the activity with a friend will not replace your loss, but may help establish a new routine for you. That is what grieving is about, facing and dealing with your new circle rather than avoiding them (Gipson, 2009). Many of these suggestions are easy things to do. What is not easy is managing negative motions. The grieving process does take time, but you can get through the loss and grief b y dealing with your emotions one day at a time. None of these suggestions will take grief away, but may help to manage feelings and emotions that are experienced. Managing ones feelings can assist in feeling like the person is taking an spry role again in their life. If the feelings a person experiences becomes overwhelming or significantly interferes with their life (cant go to work, feeling suicidal, panic attacks, impediment in carrying out every day routines, etc. ). This person ould likely benefit from seeing a therapist that can assist them with the grieving process and help them with acceptance and recovery (Buglass, 2010). Grieving can be difficult and a person does not have to go through this alone (Gipson, 2009). Case domain Three young men, fix, Tom and microphone return home from active military duty with the loss of a lower leg go fighting for our country. Each man experiences their loss differently and uniquely. The first, Brad, is supported by his wife, parents, two children and many other family members and friends. Brads leg has recovered and a useful diverse type of prosthetic device has been itted to his lower leg. subsequently many months of rehabilitation Brad is able to walk again with the use of his new prosthesis. The prosthesis fits well with no skin irritations. Brad is able to enjoy many of the things he did prior to losing the leg (fishing, dancing, playing dinner dress with his child). Brad is a very phantasmal man and with the help of his wife, parents, family and friends he has been able to accept his loss and move forward. The quality of life Brad once new has slowly returned to an almost normal state. Although Brad does miss the loss of is leg he has adjusted to his new life and faces daily challenges as they come.The second, Tom, is also supported by his wife, parents, one child and many friends and family. The leg due to infection took longer than Tom expected to heal delaying his recovery time. Tom had a useful di verse type prosthesis fitted to his lower leg. Tom attended many more months of rehabilitation than Brad, do to skin equity problems. Skin issues have disrupted the daily use of the prosthesis interfering with Toms independence and lifestyle. Tom has had difficulty at first adjusting to his new lifestyle. Everyday tasks have been very challenging for Tom at times. Toms wife, parents, family and friends have een very supportive to Tom every step of the way. A remote controlled vagabond chair is available for Tom on the days he is unable to wear his prosthesis. Tom has learn to do many tricks with his wheel chair and has joined a wheel chair basketball team because he likes showing off. Toms acceptance and recovery was a lot slower, but in the end he was able to adjust to his new lifestyle. The third, Mike, is supported by his wife, parents, family and friends. Mike was diagnosed with Diabetes after go home from active duty. Mikes leg had a hard time healing due to infection and a djustment to having Diabetes.Mike did not like having Diabetes and would traverse to eat the right foods. Mikes blood sugar was out of control because of his refusal to take medication prescribed and frequently drinking. These actions were responsible for causing skin integrity problems. After a long, hard, trying year, the leg finally healed. Mike was fitted with a useful diverse type prosthesis. Skin issues continued to be a problem because of Mikes Diabetes and his refusal to eat healthy and take his medication properly. The prosthesis was painful and awkward for Mike to use. Just looking at the prosthesis fill up Mike with such an incredible loss.Mike was angry with everyone that tried to help him. He sat day after day in a wheelchair drinking beer. Mike disownd to take a bath, shave, eat, or go anyplace he might be seen by people that knew him. Mike would perplex for days at a time in bed and refuse to get up. Counseling was verbally rejected every time counsel was brought up by anyone. Mikes doctor placed him on depression medication which he refused to take on a regular basis. Mikes friends stopped falling by to see him. Mikes wife was having difficulties dealing with Mikes drinking and verbal pace. She would signal with Mike till she cried and could no onger take Mikes drinking and feeling relentless for himself. His parents tried being very supportive, but also found Mike really difficult to deal with. Mike continued to drink and demonic everyone for the loss of his leg. Mike refused to accept the loss or move forward. Mikes wife finally after two years had all the verbal abuse she could handle and left him. Mike ended up moving back home and living with his parents. He still is unable to wear the prosthesis and to this day rarely leaves his parents home. As a nurse working with individuals, families and patients we need to be able to recognize hese individuals that are suffering. By listening to what the person is saying and their body lang uage should be triggers for nurses if this is a person wanting, needing or requiring some kid of outside assistance. Chronic sorrow is characterized as pervasive, permanent, periodic sadness or other grief- related feelings associated with ongoing disparity resulting from a loss experience (Lindgren, Burke, Hainesworth, & Eakes,1992). The concept of chronic sorrow as you have read may go hand in hand with the antecedents grief and loss. For a person to experience one, they can experience the other.Even though the loss may have been for seen or was totally unexpected, a person does not always overcome the loss or grief over night. For some people this may take days, weeks or even years. indeed for others like Mike, they may be so devastated over the loss with grief that the loss is unbearable. They never overcome the loss and live with chronic sorrow. germ Alligood, M. R. , & Tomey, A. M. 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