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Question 3.What would you tell Elizabeth”shusband about his manifestions of his grief?
Manifestations of grief may involve psychological,physical,and social components.
Psychological manifestations
Avoidance phase
The avoidance phase may be characterized by shock,denial,anddisbelief.These will be experienced by patients as they first hear the diagnosis and later as they cope with bad news about disease progression and changes in roles,independence,and emotions.family members undergo similar but individualized experiences
This numbing experience may initially be intellectualized,but that defence mechanism usually fails quickly as the next phase of reality develops.
Decision-making during this phase is often difficult.
There is some experiential evidence that if the dying process is mmanaged well,this avoidance phase is limited and shortened.
Confrontation phase
During this phase,those who grieve confront the reality of the loss.
This is accompanied by extremes of emotion:sadness,anxiety,fear,anger and guilt.
Anger may be with oneself over perceived lack of a certain appropriate response,over a perceived ability to have averted the illness,or over relationship issues that have not been resolved.
Anger displaced to others,including professional caregivers,is also very common.
Spiritual angst may manifest as anger with God.
Restlessness,irritability,and panic may occur.
There is often a feeling of loss of control,and decision-making during this phase may be difficult,requiring more time.