Implementing Non-discriminatory Service Related to Loss and Bereavement - Essay Example

Implementing Non-discriminatory Service Related to Loss and Bereavement Bereavement services commit to the delivery of quality services in ensuring that bereavement experiences happen without insensitivity or error. It also seeks to meet the secular, religious, cultural and ethnic needs for the bereaved in a given community. The random selection approach will be used to identify the program’s beneficiaries. The bereaved persons (including the relatives and friends of the deceased) will be the target. According to Humphrey (2009), bereavement services focus on providing exhumation, information and memorial services to residents of a community from abroad. This paper intends to implement change in the bereavement process through instilling a counsellor in the ward. My clinical area ensures that services and resources are availed through education, health, voluntary sectors, and social care where each of the sectors comes to fore through different times of the bereavement process making work across providers significant to identify provision overlaps and gaps. The voluntary sector role is substantial in developing bereavement organisations across nations. The contribution is crucial because it provides support at points where contact to statutory services and relations to the deceased are over. Bereavement services of support are available through various voluntary agencies, mostly tailored to address bereavement impacts that result from various forms of deaths including road traffic accidents, neonatal and stillbirth deaths, suicide and murder (Humphrey, 2009). The sole Bereavement Services purpose is provision of services and facilities addressing the human life loss (Grey, 2010). The proposed change is to place a bereavement counsellor in one section of the ward. Continuity is in several cases more important as compared to the provider’s professional background while outside of palliative care and hospice services have a variation in willingness of some staff members towards providing this. The relatives will have an acknowledgement that the respective general practitioners will facilitate relief during the period (Machin, 2009). There are difficulties regarding the costing of volunteers’ contribution. Even though unpaid, these personnel have costs above opportunity costs that are relatively difficult to estimate. In case volunteers perceive counselling as favoured activities, the most appropriate choice is that reflecting leisure time rate. In adults studies, the bereaved have a likelihood of retiring while all other efforts of using wage rates in attending bereavement appointments for counselling is similar to overestimating the client’s opportunity costs (Boss, 2009). To ensure non-discriminatory service delivery, advice and information from bereavement multi‐faceted services rates will be a helpful component for the policy making and enforcement. According to Humphrey & Zimpfer (2007), most bereaved widows in the world feel that an opportunity of sharing feelings is also a useful part. Evidence also points at having information perceived positively even as its direct delivery is above the forms of listings regarding resources that individuals are required to pursue. In the case where information is insufficient, the elements of past feedback through responses can be used (Lendrum & Syme, 2008). However, some were not in the consideration of the ‘need’ of going round the samples expressed in various forms of disappointment for the bereavement support levels provided. Costs for bereavement support are likely to be extremely delicate to the focused population and changes in the structure of what are the basic components of such assistance. The developed multidisciplinary teams will be a support feature to maintain particularly suit various bereavement situations. This will easily address those who had experienced the lack of a child through peer team support recognition for the positive outcomes when categories are brought together people on shared features. The aspects of the cases of bereavement focus on the velocity reduction. There is proof that appreciate discussing their experiences, benefit from hearing from others’ encounter and that expert team assistance helps solitude, and normalises sadness reactions and that children gain an older concept of lack of life following participation in bereavement organizations (Humphrey & Zimpfer, 2007). Within such a package, there will be large cost variations based on who teaches whom, at what stage, the stage of guidance needed and in what proportion the help is offered by paid and overdue staff. Such categories keep focusing on the survival of kids through offering qualitative proof of recurring heterogeneity to mean that various members had a likelihood of understanding the helpful nature of the situation. No evidence shows that team therapy for the surviving partners focus on the improvement of emotional and social wellness (Bonanno, 2009). However, the implementation of the family bereavement program will lad to better dealing as compared to the self‐implemented programs and motivating evidence of long‐term benefits that reduce the levels of sadness at the follow‐up stages. Bereavement support satisfaction among the qualitative or quantitative assessment of the satisfaction levels of bereavement support services to develop positive reception across the intensity levels. Negative feedback, often has a relationship to dissatisfaction and pre‐bereavement phase in caring for the loved ones as compared to bereavement support. Both formal bereavement support providers and users believe in continuity of personnel as an important component. Comprehensive routes can link solutions but should not be extremely complex for companies and acknowledge that entry and exit occur at various points based on the death and how that is addressed. For particular categories of surviving (for example, children), team specific outcomes may be needed (Mander, 2007). There needs to be greater visibility through certification and review of the supply, usage and expenses of bereavement solutions, particularly outside of hospital solutions such as serious trusts. In most parts, many fatalities occur in proper care homes, but relative to hospices, there is an extraordinary lack of attention to bereavement proper care. This is an area for upcoming analysis and assistance growth (Winokuer & Harris, 2012). Kubler-Ross Grief Cycle The other applicable theory in bereavement service delivery is the Kubler-Ross Grief Cycle (1969). This grief cycle model offers an important perspective in understanding one’s own and others’ reaction emotionally while developing personal change and trauma, despite the cause. This model originally developed an explanation of the experience for the individuals dying due to terminal illness. Currently, it is widely engaged in explaining the grief process in a broader manner. From this perspective of the model, it is critical to appreciate that grief presents a linear process (Weinstein, 2008). It is categorised as fluid and as an outcome of most people, not progressing across the models stages an orderly way. The first stage of this model is denial. Denial is the refusal (unconscious or conscious) to accept information, facts or reality with respect to the occurrences concerned. The approach is a perfectly natural defence mechanism. It remains evidently easy for individuals to be stuck within this stage as they deal with certain traumatic events. The second stage is anger and it manifests in various ways. Individuals dealing with elements of emotional upset become angry with themselves or with others, mostly those immediate to them. Anger is also expressed towards deceased persons. The third stage is bargaining where it was traditionally the stage where people in death involve attempts of bargaining with whatever higher authority the individual believes in (McCarthy, 2006). The stage rarely avails sustainable solutions mostly in the event that it is an issue of death or life. The fourth stage is depression and it is characterized by emotions of regret and sadness, uncertainty, and fear. It is one indication that persons have at least started accepting the loss’s fact. The last stage is acceptance and it symbolises objectivity and emotional detachment. Grieving individuals start coming into terms with the loss while making efforts towards moving on with life. Bowlby’s Attachment Theory In developing a solution to this, Bowlby’s Attachment Theory offers useful insight to the berievement situation. Bowlby observes that attachments come up during early life as well as offer security coupled with survival for peoples involved. It is through such broken or lost affection attachments, that human kind experiences aspects of emotional disturbance and distress. This includes anxiety, anger and crying. Such emotions are normally expressed through mourning (Brown, 2005). The theory also adds four mourning phases that involve numbing, searching and yearning, disorganization and lastly, reorganization. Characteristics of numbing include disbelief feelings that death has happened while providing the grieving individual with temporary pain relief associated with such loss. This often lasts for a while and is followed by outbursts of emotions (Pizer, 2010). Searching and yearning involves personal realisation of loss while numbness starts fading away. Frustration and anger is evident in this phase even as grieving individuals search for people to attach blame on. Disorganization phase includes acceptance of reality of loss together with the turmoil brought with it. The evaluation of self in absence of the deceased occurs within the phase. Reorganization phase begins once bereaved individuals come into realisation of the new life after the deceased (Rubin, Malkinson & Witztum, 2012). This phase is characterised by gradual changes as the bereaved attempts to move forms of life. The above menmtioned grief theories take different approaches even though each of them shares several commonalities. Each of them understands grief as an involvement of painful emotional adjustments that take a while and hurrying is not viable. It appears universally true even though each individual’s experience of grief remains unique. Instead of contradicting each other, all these theories help in the presentation of pieces of the grief process puzzle through the collective demonstration of grief as a complex process. Attention needs to be focused towards ensuring equitable and universal access to bereavement services at initial level in the facilitation of natural self‐selection processes. It goes through onto the more intensive bereavement interventions with the elements of greatest need as well as the individuals they should benefit (Kumar, 2005). Those with recent cases of bereavement need to be availed with practicable information needed in the period that follows the loss of their loved ones that points them onto further services required irrespective of places of death. In the case of possibilities, information needs to be self‐contained. Various groups face difficulties in accessing bereavement information and services. It can be achieved through targeting information on the services and directly supporting at children where necessary. Death acknowledgements by appropriate health team members (hospitals or primary care) needs to be graduated into a standard practice carried out sensitivity and care to eliminate the tokenism appearance. The role of gate‐keeping played by parents on bereavement services access should be addressed and acknowledged (Worden, 2008). Further contact offers with bereaved persons needs conveyance in ways are perceived to be genuine and ample to act on. Bereavement support remains to be a critical element for an the end of life care even though the human nature with it highly individualized responses to death illustrates that the essence of formal support, as well as the nature of such support, become highly variable. The increase in attention paid to the relevance of bereavement support within certain settings away from palliative care and hospice services is critical. The scope of resources that bereaved people draw on changes across time is evident through the formal services account for small resource proportions (Houben, 2012). Voluntary, social care and health service providers are challenged with the identification of the extent of inputs towards bereavement support as well as such care needs redistribution. It also focuses on the best ways of delivering such provisions (Doka, 2013). Success of bereavement care processes is partially because of its firm identity in the communities where the local branches serve. It is also a desire reflection by most people towards getting social networks support. Prior rolling out the routine tools of risk assessment, greater evidence has to surface demonstrating the ability of accurately predicting the essence of additional support above various settings other than their original intention. The informalities of routine assessment are equally effective (Corless, Germino & Pittman, 2006). Over-reliance on bereavement services as the sole approach should be avoided. While bereavement services become specialised, artificial distinctions do not conflict with end of life care. Proper care for end of life despite the cause of death includes support for those affected by the death of loved ones and right inputs likely to cause a prevention of poor outcomes. Frontline health, social care and education staff require basic grief awareness and understanding of certain reactions. This is important in giving the staff confidences of providing the care which most perceive as lacking. It promotes the bereaved care continuity (Wimpenny & Costello, 2013). Joint professional training as well as informed voluntary service providers promotes fundamental integration within the stated sectors. Typically, psychiatric therapy would be offered by an approved expert obtaining of medical guidance and may be offered independently or from within an organization profile of solutions. The process is a symbol of the exercise that concentrates on traditional emotional issues, thoughts and the fundamentals of the problem (Wright, 2007). It is a longer-term procedure and suited to those who have collective emotional issues over a long period. Specifically, psychiatric treatment is offered in a one-to-one format and could be offered independently, from within an organisation, emotional wellness or primary proper care help. Research into bereavement proper care needs to provide adequate information of the service and intervention being evaluated and tested to allow transferability of analysis results to back up supply. Such information might include the strategy used; the frequency, duration, and stage of intensity of the intervention; and the stage of training and expert background of those involved in the delivery of bereavement support. Further analysis is needed into the growth of robust outcome measures that are delicate to changes in grief‐related issues and are legitimate across communities. The bereavement response demanding help at this stage symbolizes a complicated respond to sadness. Guidance solutions would be offered by an approved Counsellor obtaining of medical guidance and may be offered independently or from within an organization profile of solutions. “Counselling” symbolizes the exercise of concentrating on situations and symptoms to generate direction and find solutions. It is a short-term procedure, which motivates behavioural changes. Guidance may be offered one-to-one, in categories or on the telephone and online Wright, 2007). Those who are experiencing a severe response to their bereavement generally need this stage of assistance supply (Pomeroy & Garcia, 2008). The supply of information may involve the distribution of literary works, internet directories and resources for those surviving by destruction, or those wanting to back up the surviving. It may consist of the use or production of pamphlets, paper prints, books, brochures, factsheets or information websites at relevant locations, information centres, through the internet or similar programs. Memorial activities and community awareness activities may also serve as information solutions. This support stage is sufficient for most who encounter a normal or light stage of issues following bereavement. In summary, having a permanent counsellor in the wards is an improvement that comes from providing developments solutions for the survival, formulated by a committed program of Bereavement source investment. Such a strategy ensures that bereavement services can deliver the developments expected by help users of a bereavement service (Wright, 2007). While most of the developments to the support can be offered using current budget allowance, there are areas that need additional resourcing, as bereavement services seek to improve only cemeteries, and the crematorium, but also listed components, sculptures and war memorials throughout the region. The service providers need more responsiveness to the local needs even though there is advice availed at national levels highlighting the core elements and essential principles incorporated in the bereavement services. References Bonanno, G. A. 2009. The Other Side of Sadness: What the New Science of Bereavement Tells Us about Life After Loss. New York: Basic Books Boss, P., 2009. Ambiguous Loss: Learning to Live with Unresolved Grief. New York: Harvard University Press, Brown, R. J., 2005. How to Roar: Pet Loss Grief Recovery. New York: Lulu.com Corless, I. B., Germino, B. B., Pittman, M., 2006. Dying, Death, and Bereavement: A Challenge for Living. New York: Springer Publishing Company Doka, K. J., 2013. Living With Grief: Children, Adolescents and Loss. New York: Routledge Grey, R., 2010. Bereavement, Loss and Learning Disabilities: A Guide for Professionals and Careers. New York: Jessica Kingsley Publishers Houben, L., M. 2012. Counseling Hispanics Through Loss, Grief, And Bereavement: A Guide for Mental Health Professionals. New York: Springer Publishing Company Humphrey, G. M, Zimpfer, D. G., 2007. Counselling for Grief and Bereavement. New York: SAGE Humphrey, K. M., 2009. Counseling strategies for loss and grief. New York: American Counseling Association Kumar, S. M. 2005. Grieving mindfully: a compassionate and spiritual guide to coping with loss. New York: New Harbinger Publications Lendrum, S., Syme, G., 2008. Gift of Tears: A Practical Approach to Loss and Bereavement in Counselling and Psychotherapy. New York: Routledge, Machin, L., 2009. Working with Loss and Grief: A New Model for Practitioners. New York: SAGE Mander, R., 2007. Loss and Bereavement in Childbearing. New York: Routledge McCarthy, R. J., 2006. Young PeopleS Experiences Of Loss And Bereavement: Towards An Interdisciplinary Approach. New York: McGraw-Hill International Pizer, M., 2010. To You the Living: Poems of Bereavement and Loss. New York: The Pinchgut Press Pomeroy, E., Garcia, R., 2008. The Grief Assessment and Intervention Workbook: A Strengths Perspective. New York: Cengage Learning Rubin, S. S., Malkinson, R., Witztum, E., 2012. Working with the Bereaved: Multiple Lenses on Loss and Mourning. New York: Routledge Weinstein, J. 2008. Working with Loss, Death and Bereavement: A Guide for Social Workers. New York: SAGE Wimpenny, P., Costello, J., 2013. Grief, Loss and Bereavement: Evidence and Practice for Health and Social Care Practitioners. New York: Routledge Winokuer, H., Harris, D., 2012. Principles and Practice of Grief Counseling. New York: Springer Publishing Company Worden, J. W. 2008. Grief Counseling and Grief Therapy, Fourth Edition: A Handbook for the Mental Health Practitioner. New York: Springer Publishing Company Wright, B., 2007. Loss and Grief. New York: M & K Update Ltd Read More