Outcomes: The Patient
Has experienced no physical harm to self
Discusses loss with staff and family members
No longer idealizes or obsesses about the lost entity
Sets realistic goals for self
Attempts new activities without fear of failure
Is able to identify aspects of self-control over life situation
Expresses personal satisfaction and support from spiritual practices
Interacts willingly and appropriately with others
Is able to maintain reality orientation
Is able to concentrate, reason, and solve problems
Risk for suicide: Depressed mood; feelings of hopelessness and worthlessness; anger turned inward in the self; misinterpretations of reality; suicidal ideation, plan, and available means
Maintain close observation at irregular intervals.
Encouraging verbalizations of honest feelings.
Complicated grieving: Depression, preoccupation with thoughts of loss, self-blame, grief avoidance, inappropriate expression of anger, decreased functioning in life roles
Develop a trusting relationship with the client.
Encourage the client to express emotions.
Communicate that crying is acceptable
Low self-esteem/self-care deficit: Expressions of helplessness, uselessness, guilt, and shame; hypersensitivity to slight or criticism; negative, pessimistic outlook; lack of eye contact; self-negating verbalizations
Be accepting of the client.
Encourage the client to recognize areas of change.
Encourage independence in the performance of activities of daily living.
Powerlessness: Apathy, verbal expressions of having no control, dependence on others to fulfill needs
Encourage the client to take responsibility.
Help the client set goals.
Help the client identify