п»їGrief and Reduction in Age of puberty: Principles, answers and problems


Sadness and reduction are fundamental aspects of life; they are inevitabilities that originate from our mortality and each of our natural propensity to form profound emotional bonds with those closest to us—our friends and family, friends and colleagues. Maybe C. S. Lewis captured the sensation of grief finest when he explained:

" No-one ever informed me that grief felt thus like fear. I i am not worried, but the sensation is like getting afraid. Precisely the same fluttering in the stomach, precisely the same restlessness, the yawning. I keep on swallowing. — C. S. Lewis, A Grief Observed

Just how one bodily manifests grief may vary among age groups and cultures but it is a common occurrence in humans whom are of normal intellectual development.

In this newspaper, grief and loss will be reviewed inside the context of Worden's rules and hypotheses; specifically, what these principles say regarding grief and loss, how they might apply at the teenage years demographic, what challenges the care service provider might be prepared to encounter whenever using a grieving adolescent, and how a health care provider can best reply to a grieving teenager. Several hypothetical severe care adjustments will be offered to demonstrate how a registered nurse might ideal proceed in responding to a grieving young.

Death during Adolescence

Adolescence is a transitionary stage of life that poses exceptional challenges intended for the individual. Transform is the characteristic of this developmental period since teenagers have trouble with hormonal changes, newfound needs for freedom, confidence concerns, and problems about body image. Grief and loss during this stage of life, whether it is the loss of a parent, relative, or close friend, frequently greatly exacerbates the emotional state of any teen that is already experiencing the stresses associated with the transition by child to adult. According to Metzgar, typical tremendous grief responses of teenagers incorporate anger, major depression, withdrawal, frustration, confusion, acting out, and noncompliance (Metzgar, 2002).

Unlike young kids, who often do not fully contemplate the finality of death, teenagers are usually aware that death is final (Freeman, 2005). According to Freeman, adolescents have the mature mental development important to understand the core concepts of death—universality, non-functionality, irreversibility, and causality—and can elucidate fully the details (Freeman, 2005). This kind of greater understanding of death spots adolescents nearer to adults telling the truth of fatality awareness; however , teens may wonder if a dead person will certainly return; this kind of thinking may include supernatural elements as young adults often connect an unexpected death or severe illness with a supernatural event or cause (Brewster, 1982).

An adolescents' grief knowledge is highly personal in mother nature, and unlike adults, teens tend to grieve more extremely. Often all their grief response is not expressed smoothly or consistently but usually takes the form of the series of punctuated outbursts; in some instances an adolescent will make a concerted effort to control his or her emotions (Worden, 1996). In trying to control all their emotions, a teenager may escape inwardly by simply immersing themselves in very personal activities such as examining, writing, hearing music, or exercising; in other cases, a youngster may want to launch the anger and unhappiness associated with their very own grief; in such a case, he or she may well act out irritated or ego?ste behavior (Worden, 1996).

Of particular importance from a health care point of view is the identification that teens often see death because something that occurs others even though they recognize that death is actually a phenomenon that may and will happen to everyone. If a teen is confronted with the death of any close friend or relative, all their perception of death as a general phenomenon that may be distant from them, is abruptly challenged. In the matter of the fatality of a expert, death is often sudden—in a north american study, the three leading...

Recommendations: Aronson, S. (2005). " A battle that experienced come right to them”: Group work with disturbed adolescents following September 10. International Journal of Group Psychotherapy, 55(3), 375-390

Brewster, A. B

Freeman, H. J. (2005). Grief and loss: Understanding the journey. Belmont, CA: Brooks/Cole.

Kanel, T. (2007). Strategies for crisis intervention. Belmont, CALIFORNIA: Brooks/Cole.

Metzgar, M. M. (2002). Developing considerations relating to children's grief. Retrieved Mar 27, 2013, from http://www.kidsource.com/sids/childrensgrief.html

Minino, A. M

Rask, K., Kaunonen, M. & Paunonen-Ilmonen, Meters. (2002). Teenage coping with grief after the fatality of a beloved. International Record of Nursing jobs Practice, almost 8 (3), 137-142

Silverman, P

Silverman, G., Nickman, T. & Worden, J. (1992). Detachment revisited: The kid's reconstruction of any dead parent or guardian. American Diary of Orthopsychiatry, 64 (4), 494-503.

Smead, R. (1994). Skills for living: Group counseling activities for elementary students. Champaign, IL: Analysis Press.

Worden, J. Watts. (1991). Sadness counseling and grief remedy. New York: Springer Publishing Organization

Worden, W


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