Implementing Non-Discriminatory Service Related to Loss - Research Paper Example

Implementing Non-Discriminatory Service Related To Loss and Bereavement Affiliation 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 bereaved persons (including the relatives and friends of the deceased) will be the focus of this essay. According to Humphrey (2009), bereavement services focus on providing exhumation, information and memorial services to residents of the community from abroad. This paper intends to implement change in the bereavement process through implementing a counsellor all the hospital wards hosting adult patients. The need for a clinical counselor is indicated in that many bereavement cases resume to complicate grieves and psychiatric conditions such as bipolar disorders since most people are unable to access the services. My clinical area ensures that services and resources are available through education, health, voluntary sectors, and social care where each of the sectors comes to the 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 organizations 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 the provision of services and facilities addressing the human life loss (Grey, 2010). Essentially, the counsellors should have quality counselling therapy skills, in such a way that he or she can provide primary counselling services to the clients. In the case of complicated grieving, clients can be referred to the chief counsellor for counselling services. The counsellor should work hand in hand with the chaplain or imam depending on the religion of the client. Research has proven that religion plays a key role in the bereavement process (Grey, 2010). Any person with a close affiliation to the Supreme Being tend to have the internal hope that the loved one has not died, but have just gone to another world free from pain and worldly distress (Humphrey, 2009). Even as the change process is anticipated, resistance is expected from different directions. To ensure that the team members embrace charge, nurses will be the best change agent tools as they are the ones with the clients’ for the better part of the day. They will utilize their counselling triaging skills in determination of any client who may require counselling services. Assessment of both subjective and objective data of the patient is enough to communicate for the counselling necessity. The clients may see as their privacy is being violated. There should be a single nurse with possession of counselling skills in every ward, playing the role of linking the clients to the counsellors. The skilled counsellors may fail to demonstrate effective teamwork to the health fraternity and the family at stake. All of these are challenges that may impede the proposed change. Primarily, the change agent has to involve the influential personnel, who will later transverse the ideologies to the other staff members. Most significantly, understanding the behavioral change theory will be of great use in implementation of the new plan (Chunn, 2002). 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 (Machin, 2009). The counsellors will serve to grant services to every person with that need, not necessarily after bereavement. Initial psychological examination and history taking will be useful in establishing the cases necessitating counselling. In some scenarios, the grieving process starts to take place long before the death of the client (Boss, 2009). For example, for a client suffering from a chronic illness such as cancer or end-stage HIV. Sometimes the clients can even receive bereavement counselling services at home, where the counsellors pay them a home visit. Such an act makes them feel even more acceptable and loved (Boss, 2009). To ensure non-discriminatory service delivery, advice and information from bereavement multi-faceted services will be a helpful component for the policymaking and enforcement. According to Humphrey & Zimpfer (2007), most bereaved widows and widowers in the world feel that an opportunity of sharing feelings is also a useful part. Any information dug from the parties requiring counselling services should be authenticated and taken positively. In the case where information is insufficient, the elements of past feedback through responses can be used (Lendrum & Syme, 2008). Records from the hospital and the next of kin will be of utmost importance. However, some clients may not be in need of the counselling services as they are already through the mourning and grieving process (Machin, 2009). 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. A service delivery charter will be in place, clarifying all the services offered, the time consumed for each service and the cost incurred for each service. Professional ethics has to be maintained at all times, and each counsellor has to maintain a counsellor-client relationship only at all times (Machin, 2009). Humphrey & Zimpfer (2007) demonstrated that discussing the bereaved experiences about the grieving process benefits them. They can learn from other people’s responses and encounters; hence, aids in normalizing sadness reactions and that clients gain an older concept of lack of life following participation in bereavement organizations. 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 the highly qualified staffs. Such categories keep focusing on the survival of children 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 bereaved focus on the improvement of emotional and social wellness (Bonanno, 2009). However, the implementation of the bereavement program will lead 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. Quantitative and qualitative research has proven that the bereavement support services grants satisfaction among the parties involved in it (Doka, 2013). The services not only provide coping mechanisms to the bereaved parties, but also provide sessions of comforting adapting to the change that occurs after the loss of a loved one. 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 health care providers and acknowledge that entry and exit occur at various points based on the death and its addressing criteria. For particular categories of survivors (for example, children), team specific outcomes may be needed (Mander, 2007). There needs to be intense assessments, monitoring and evaluation of counselling services through certification and review of the supply, usage and expenses of bereavement solutions. In comparison to the hospice care, there is an extraordinary lack of attention to bereaved, who fail to receive the authenticated and idea care. It is an area for upcoming analysis and assistance growth. Other disadvantage groups are those in areas without accessibility of counselling services. They may even lack awareness of whether such services exist. They are likely to encounter complicated grieving processes (Winokuer & Harris, 2012). After working with and observing the dying patients, Kubler-Ross developed a cycle that does express the grieving process. It is the role of a counsellor to demonstrate understanding of all the stages of grieving, and hence provide the required services with reference to the grieving process stage (Kübler-Ross, 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 categorized 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 defense 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 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 as a fact. The last stage is acceptance, and it symbolizes objectivity and emotional detachment. Grieving individuals start coming into terms with the loss while making efforts towards moving on with life. In developing a solution to this, Bowlby’s Attachment Theory offers useful insight to the bereavement situation (Brown, 2005). 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 humankind experiences aspects of emotional disturbance and distress. It 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 are also associated with such loss. It often lasts for a while and is followed by outbursts of emotions (Pizer, 2010). Searching and learning involves personal realization of loss while numbness starts fading away. Frustration and anger are 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 the absence of the deceased occurs within the phase. Reorganization phase begins once bereaved individuals come into the realization of a new life after the deceased (Rubin, Malkinson & Witztum, 2012). This phase is characterized by gradual changes as the bereaved attempts adapt to various life stages. The above-mentioned 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 personal 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. It goes through onto the most intensive bereavement interventions with the elements of greatest need as well as the individuals they should benefit. Those with recent cases of bereavement need to be availed with practical information needed in the period that follows the loss of their loved ones that point them onto further services required irrespective of places of death (Kumar, 2005). Various groups such as the illiterate people, the physically and mentally handicapped and those with low socioeconomic status face difficulties in accessing bereavement information and services. It can be achieved through targeting information on the services and directly supporting children where necessary. Death acknowledgements by appropriate health team members (hospitals or primary care) need 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. Bereavement support remains to be a critical element for the end of life care even though the human nature with its 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 (Houben, 2012, pg. 25). 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 to 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 (Doka, 2013, pg. 27). While bereavement services become specialized, artificial distinctions do not conflict with the 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. It is important in giving the staff confidences of providing the care that most perceive as lacking. Such measures do promote 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. According to Wright (2007), complicated grieving may take turns to become psychiatric conditions. In such cases, an experienced psychiatrist is needed to take a course of action and plan for the care of the clients. The process is a symbol of the exercise that concentrates on traditional emotional issues, thoughts and the fundamentals of the problem (Wright, 2007). Essentially, people have an accumulation or built up of emotions and stress aspects since their childhood. 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 change 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 behavioral 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 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 centers, through the internet or similar programs. In summary, having a permanent counsellor within the reach of the clients is an improvement that comes from providing development solutions for the survival of the clients after the bereavement process. Such a strategy ensures that bereavement services can deliver the developments expected by help users of a bereavement service (Wright, 2007). The service providers need good levels of 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 Chunn, J. C. (2002). The health behavioral change imperative: theory, education, and practice in diverse populations. New York, Kluwer Academic/Plenum Publishers. 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 Kübler-Ross, E. (1969). On death and dying. On death and dying. 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 Read More