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17: Caregiver and Family Grief and Bereavement (Including Anticipatory and Complicated)

DOI:

10.1891/9780826128287.0017

Authors

  • Ombres, Rachel
  • Baker, Karen
  • Wiener, Lori

Abstract

Upon a patient's death, the focus of caregiving changes to attending to the grief of the patient's family and friends. Grief manifests in innumerable ways depending on several factors, including one's culture, religion, and personality, but is a universal stressor. As a clinician encountering grief, it is important to familiarize oneself with the family's background in order to contextualize their experience. This chapter examines the constitution of normal as well as complicated grief. Studies have shown that the way in which a person discovers that a loved one has died can contribute to the grieving experience and can be associated with the development of complicated grief. Grieving is not intrinsically pathological, but identifying characteristics of complicated grief, which can be associated with increased rates of depression and even mortality, is essential to provide appropriate care for those experiencing it.