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Page 1: NUR 111 Grief-Loss - NC Associate Degree Nursing at level 111 and will focus on anticipatory grieving, death and dying, ... fundamentals of nursing: ... NUR 111 Grief-Loss

NUR 111

Grief and Loss

Description: This module focuses on the concept of Grief and Loss. This module will

be at level 111 and will focus on anticipatory grieving, death and dying, children’s

response to loss, elder’s response to loss, situational loss and end of life care.

Learning Outcomes:

Upon completion of this module, the student will be able to:

• Describe sources and types of loss

• Describe symptoms of grief and signs of grieving

• Discuss factors that facilitate or impede healthy grieving

• Identify signs of death (impending and actual)

• Discuss the nurse’s role in caring for the dying client and their families

• Discuss nursing care of the client after death

Learning Resources:

Text: Berman, A., Snyder, S,. Kozier, B., & Erb, G. (2008). Kozier and Erb’s

fundamentals of nursing: Concepts, process and practice. (8th

edition).

Upper Saddle River, NJ: Prentice Hall.

Electronic Resources:

www.hospicenet.org

www.nhpco.org

www.carolinadonorservices.org

www.childrensgrief.net

www.childtrauma.org/ctamaterials/Loss2.asp

www.sidscenter.org

Periodicals/Journals:

Hamilton, K. (2004). A remembrance for the children. RN, 67(5), 43-44.

Kavanaugh, K. & Moro, T. (2006). Supporting parents after stillbirth or

newborn death. American Journal of Nursing, 106(9), 74-79.

Matzo, M., et al. (2003). Strategies for teaching loss, grief and

bereavement. Nurse Educator, 28(2), 71-76.

Pimple, C., Schmidt, L. & Tidwell, S. (2003). Achieving excellence in

end-of-life care. Nurse Educator, 28(1), 40-43.

Rivera-Andino, J., & Lopez, L. (2000). When culture complicates care.

RN, 63(7), 47-49.

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Rushton, C. (2004). Ethics and palliative care in pediatrics. American

Journal of Nursing, 104(4), 54-64.

Zerwekh, J. (1997). Do dying patients really need IV fluids? American

Journal of Nursing, 97(3), 26-30.

Classic References:

Borg, S. & Lasker, J. (1981). When pregnancy fails: Families coping

with miscarriage, stillbirth and infant death. Boston, MA: Beacon Press.

DeFrain, J., Taylor, J., & Ernst, L. (1982). Coping with sudden infant

death. Lexington, MA: Lexington Books.

Kubler-Ross, E. (1975). Death: The final stage of growth. Englewood

Cliffs, NJ: Prentice Hall.

Schwiebert, P. & Kirk, P. (1993). When hello means goodbye: A guide

for parents whose child dies before birth, at birth or shortly after birth.

Portland, OR: Perinatal Loss.

Learning Activities:

• Case studies

• Role playing

• Storytelling

• Therapeutic communication techniques

• Therapeutic play

Evaluation:

• Clinical performance

• Nursing care plans

• Nursing concept maps

• Unit exam

Exemplars:

• Death and dying

• Perinatal loss

• Children’s response to loss

• Situational loss

• End-of-life care

• Elder’s response to loss

• Anticipatory grieving