Pediatric Loss And Bereavement
WHAT YOU SHOULD KNOW:
- Losing a child or someone important may cause feelings of bereavement and grief . Bereavement is a feeling of being deprived or suffering due to a loss or death of a loved one. Grief is a normal, healthy response to a loss. A person's grief is his experience and reaction after the loss or death.
- When a child dies, the people who were left behind may feel different for a while. The death of a child while inside the mother's womb or shortly after birth or during childhood or teenage years may cause deep sorrow and pain. You may be shocked, confused, cry a lot, or feel guilty, angry, worthless, hopeless, and helpless. You may need time to go over and over the events around the death and think that mistakes were made. Getting tired easily or having problems with sleeping, thinking clearly, or eating may also occur. Healing from a loss or death needs accepting, recovering from, and learning the meaning of the sad experience.
Stages of grief:
As you experience loss and the death of a child, you may have different feelings at different times. You may go through the following stages when you are dealing with grief:
- Shock, numbness, and denial: Even if the death of a child was expected, it may still come as a surprise or shock. Shock may leave you feeling numb emotionally which may lasts for hours to days. The shock and numbness may occur immediately after the death of a child. You may also deny or find it hard to accept that someone close to you has died.
- Yearning and searching: During this period, you may often be irritable and anxious. You may continue to miss and hold on to the memories of the child who died. Sometimes, you may feel guilty because of unfinished business at the time of his death. You may not have said all the things you wanted to say to the child. You may have had differences or conflicts with him that were not resolved. You may feel guilty for being the one who is still alive.
- Disorganized and despair: You may feel confused, lonely, and depressed. Extreme sadness may be felt as though the pain and despair will not go away. There may be times that you might isolate (separate) yourself from your family or friends. Once you slowly recover, you may try to reach out to them and enjoy their company again.
- Reorganization: As time passes by, you may learn to accept the changes in your life. You may finally say good-bye to the child and take control of your own life. You may now be ready to move on and nourish new relationships.
Accepting the loss of a child and the pain of the grief process is hard. You may feel angry, sad, or depressed. Anything can be a reminder of the loss and trigger these feelings. Events, birthdays, holidays, and the date of the death may also bring these emotions. The following may help you cope with the death of a child:
- Express your thoughts, feelings, or guilt: Try painting, singing, playing a musical instrument, or writing poems, stories, or journals. Letting your feelings come out creatively is very helpful in working with grief. Counseling and emotional support may be given by caregivers. You will be free to express your emotional needs to someone who is willing to listen. You and your family or friends may join support groups, or meet other families who have been through the same experience. Ask caregivers for more information about bereavement and support groups.
- Keep the child's memories alive: Even though the child passed away, it may be nice to keep some of his things. These may include pictures or mementos, footprints, handprints, locks of hair, toys, or blankets. Keeping them may help you remember the joys and happiness the child brought to you.
- Rest is important. Allow yourself time to heal. Grief is not something you can rush. Live and enjoy each day while looking forward to the future. Do not try to do everything all at the same time. Do only what is needed and let other things wait until later. Ask your family, friends, or caregivers for help.
- Share your feelings. Try saying what you really feel or share stories of the one who just passed away. Often just talking things out with someone you trust or crying when you need to can be a big help.
- Take good care of yourself. Do not forget to look after yourself and other family members or friends. You must eat healthy food and keep yourself healthy. Avoid using alcohol, smoking, or taking medicines other than those given to you by caregivers to hide your pain. Try to get out of the house a little each day. Go for a walk or meet with a friend. Be sure to spend time with your family and friends. It is also important that you have time to yourself each day.
Problems when coping with the loss of a child:
You may be overcome by emotions brought on by grief, and have problems accepting the loss. You are unable to cope with the loss of a child when:
- Bereavement and grief is chronic (long-term).
- Grief reactions are delayed or too severe (bad).
- Relationships, job, or school work are badly affected.
- Reckless behavior, such as substance abuse or heavy drinking, develops.
- True feelings are hidden or masked and you pretend that everything is okay.
CONTACT A CAREGIVER IF:
- You cannot eat, drink, or take your medicines.
- You feel more depressed or sad most of the time, or your depression does not go away.
- You need to talk about your problems and feelings.
- You have questions or concerns about the death of the child and your problems with bereavement and grief.
SEEK CARE IMMEDIATELY IF:
- You feel like hurting yourself or someone else.
- You are anxious or restless even after taking medicines.
- You feel that you cannot cope with your condition.
- You have problems sleeping.
- You have trouble breathing, chest pain, or a fast heartbeat.
© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of the Blausen Databases or Truven Health Analytics.
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.