Lecture on Crisis Management, Loss, and Grief

Introduction

• Presenter: Cathy from Level Up RN
• Topics: Crisis management, loss, grief, and a knowledge check at the end
• Encouragement to subscribe to the channel

Crisis Management

Definition

• A crisis is an overwhelming event causing significant psychological stress.

Types of Crises

1. Maturational Crisis

   • Life-changing events as normal parts of the lifespan, causing stress.
   • Examples: Marriage, having a baby, retirement, sending a child to college.

2. Situational Crisis

   • Unexpected life events.
   • Examples: Loss of a job, sudden death of a loved one.

3. Adventitious Crisis

   • Includes natural disasters, national emergencies, or violent crimes.
   • Examples: Tornado, hurricane, terrorist attack, sexual assault.

Nursing Care Priorities

• Ensure patient safety.
• Assist with anxiety reduction.
• Assess patient's support system (family, friends).
• Evaluate patient's coping skills and past successful coping mechanisms.

Loss and Grief

Types of Loss

• Actual Loss: Recognized by others, e.g., loss of a loved one.
• Perceived Loss: Not felt by others, e.g., loss of mental acuity.

Five Stages of Grief

1. Denial: Rejection of reality (e.g., not accepting a cancer diagnosis).
2. Anger: Short temper, lashing out, blaming others, or a higher power.
3. Bargaining: Attempt to gain control, e.g., promising to go to church for healing.
4. Depression: Sadness, fatigue.
5. Acceptance: Acknowledging the loss or impending loss.

Types of Grief

1. Complicated Grief

   • Also known as prolonged grief disorder or pathological grief.
   • Intense sorrow lasting more than a year, interfering with daily functioning.

2. Anticipatory Grief

   • In response to an impending loss.
   • Common with terminal diagnoses.

3. Disenfranchised Grief

   • Loss not publicly acknowledged, e.g., miscarriage.

Knowledge Check

• Quiz Questions:
  1. What type of crisis is a hurricane?
     • Answer: Adventitious crisis.
  2. Name the five stages of grief.
     • Answer: Denial, anger, bargaining, depression, acceptance.
  3. What is characterized by intense sorrow lasting more than a year?
     • Answer: Complicated grief.

Conclusion

• Encouragement to subscribe, like, and comment on the video.
• Teaser for the next video on defense mechanisms.