The Five Stages Of Resilience In Health Care

Grief is a natural response to a major loss, though often deeply painful and can have a negative impact on your life. Any loss can cause varied levels of grief often when someone least expects it however, loss is widely varied and is often only perceived as death. Tugendhat (2005) argued that losses such as infertility, miscarriage, stillbirth, adoption and divorce can cause grief in everyday life. Throughout our lives we all face loss in one way or another, whether it is being diagnosed with a terminal illness, loss of independence due to a serious accident or illness, gaining a criminal record (identity loss), losing our job, home or ending a relationship; we all experience loss

This paper examines the implications of grief, bereavement and disenfranchised grief. Grief in response to a loss is a unique experience and is expressed distinctively by every individual. It is helpful to have models that outline the stages of grief that need to be experienced in order to achieve acceptance. However, their utility is limited by the reality that grief is immeasurably complex and individualized. Veterans and children are two groups at risk of developing disenfranchised grief. Therefore, it will be important for nurses to be able to identify those suffering with disenfranchised grief or other forms of maladaptive grief so appropriate intervention may be employed.

The health care industry is an environment that is competitive and expensive. To be a patient receiving care the urgency is high and at a very critical point to trust a team of strangers with your care possibly even your life. On the other side of that coin, treating and interacting with patients is a part of the health care industry because providing care does not end with the physician. In the middle of these two different side of health care is where management steps in and takes over the middle ground.

Recovery of a patient is much more than the management of medial symptoms. It involves a person regaining control, individualism and independency, “socially re-connecting” and rebuilding their life (Welch, 2010). Protective factors such as self-care, quality of life, pain and illness perception, and physical outcomes can be associated with the recovery of a patient. Welch suggest, “Excessive individualism or self-reliance is an obstacle to resilience when it undermines relationships or prevents people seeking and receiving help when they need it” (Welch,

Resilience is defined as a person’s ability to weather adversity and come out of it with a stronger ability to deal with the next challenge (Mosby’s Medical Dictionary, n.d.). Resilience can be noted as a trait within an individual as well as a process through which a person undergoes during adversity (Jacelon, 1997). Measuring resilience can be done by assessing certain qualities within an individual and asking questions to elicit better understanding of their current psychological state (Wagnild & Collins, 2009). Nurses must have a thorough comprehension of resilience and how to measure and promote this among individuals who are met with health challenges. By doing this nurses are better able to provide holistic client centred care and inform the nursing profession.

In the ever changing world of healthcare, healthcare organizations in order to be the most efficient in their delivery of healthcare, streamline their organizational structure to stay competitive, while providing the best patient care possible. This process can place increasingly undue stress onto its staff resulting in nurses having to do more with less available resources which ultimately increases their workload, has them working longer hours due to staff shortage, which contributes to an increase in the nurse burnout rates. This eventually filters down to the patient’s level of care and means less time spent on each

Cumulative grief is known as a caregiver’s emotional response to many episodes of grief (Shorter & Stayt). The multiple encounters with death give a nurse no opportunity to grieve adequately or completely for each individual patient that has died (Shorter & Stay, 2010). The unresolved grief accumulates and can lead to emotional and physicals problems which can then effect a nurse professionally and personally (Shorter & Stayt, 2010). The effects of cumulative grief include denial, feelings of decreased personal competency, overwhelming grief, low self-esteem, and pre-occupation with death (Shorter & Stayt,

This paper will examine the concepts of risk, protective factors, and resiliency. The paper will start with defining and elaborating on the concepts of risk and protective factors and examine how the latter promotes or hinders an individual’s capacity for resiliency. The paper will expound on the concepts of risk, protective factors and resiliency, by integrating the terms into the case study of Will Quinones. Lastly, the paper will conclude with strategies that can be used to promote resiliency in children that are deemed at- risk.

Resiliency describes a patient’s ability to return to base-line level of functioning after an illness or injury through use of compensatory and coping mechanisms (Lindell, Reimer, Swickard, Swickard, and Winkelman, 2014). This patient suffered the psychological trauma of losing her unborn baby as well as the physical threat to her own life all at the same time. She demonstrated admirable resiliency as she faced such unfathomable events. After two days of care and observation in the ICU, she was able to be discharged to home. It would certainly take time to experience the different stages of grief; however, she possessed an admirable faith that she, her husband, and their

Grief is the act following the loss of a loved one. While grief and bereavement are normal occurrences, the grief process is a social construct of how someone should behave. The acceptable ways that people grieve change because of this construct. For a time it was not acceptable to grieve; today, however, it is seen as a necessary way to move on from death (Scheid, 2011).The grief process has been described as a multistage event, with each stage lasting for a suggested amount of time to be considered “normal” and reach resolution. The beginning stage of grief is the immediate shock, disbelief, and denial lasting from hours to weeks (Wambach, 1985). The middle stage is the acute mourning phase that can include somatic and emotional turmoil. This stage includes acknowledging the event and processing it on various levels, both mentally and physically. The final stage is a period of

There are numerous elements that contribute to stress in the healthcare setting. Nurses’ days are full of physical, mental and emotional demands. There are societal demands and workplace demands created by the shortage. These stressors can become increasingly overwhelming and if there is no stress relief, job performance can and will be hindered. When fatigue and stress combine there is potential for “performance decrements”. This can include diminished capacity to manage a specific level of workload resulting in errors in the delivery of nursing care. This can produce damaging effects on the safety and advantageous outcomes for both the nurses and patients. (Reese, 2011). Therefore, finding a balance between lowering stress levels of

Teams working in a hospital or other healthcare setting may consist of several physicians, nurses, medical assistants, referral coordinators, pharmacists, therapists, and students among others. Such large teams can provide comprehensive care for complex and chronic illnesses, but when they fail to work well together, they

In my term paper, I would like to talk about Resilience which I believe is a prerequisite for an effective leader. Life has ups and downs and adversities are inevitable. Things can beyond our control, it is impossible for us to prevent unpleasant circumstances from happening. Difficulties and problems come out of nowhere, the stress and anxiety associated with adversity may knock us down if we cope with them inadequately. Chronic stress can lead to mental collapse if we still cannot manage them well, which is definitely undesirable for a leader because it can affect the cooperation with others as well as the team morale.

The theory of chronic sorrow is a middle range nursing theory explored largely by Georgene Gaskill Eakes, Mary Lermnann Burke and Maragret A. Hainsworth. The theory provides framework for understanding and working with individuals who have experienced a significant loss of a loved one. As stated by Eakes et al. (1998, p. 179), Chronic sorrow is described as “…the periodic recurrence of permanent, pervasive sadness or other grief related feelings associated with a significant loss.” As nurses, it is vitally important to understand and be aware of the high potential for chronic sorrow to occur when treating patients across the life span with chronic and traumatic conditions.

I'm amazed by the clear majority of “successful” people who overcame adversity and hardship. How do we react to ours? Do we crumble like cookies under the thought of a challenge and avoid them.. or do we conquer challenges and own them? Well, I say, it's up to us. All this [stress] plays into a huge feedback loop that can determine health, happiness, and ultimately our "success". For better or for worse. Why did patients in our readings have such different personal narratives of illness from what seemed to be very similar and even in the same biomedical causes of illnesses? These questions highlight the view that there is a deeper transcending non-biomedical cause of illness, which then, effects outcomes of treatment and healing. I believe an attitude of resilience fostered through experience, plays a huge role in how people react to their illness which then affects how one responds to treatment/therapy. How is it that some people in life have suffered so much and at the end of the day, sometimes after years. not only remain intact mentally, but thrive in the world and carry on with their lives, despite their condition(s) and exposure to trauma. Against all the odds. Through personal experience and evidence presented in the readings. I will persuade you to understand why I feel humans may respond so differently; to treatment and the processes of healing. I don’t expect you to agree with everything I say, you are entitled to that. I only expect that you acknowledge that the