TRANSITION AND LOSS

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TRANSITION AND LOSS

• THEORY, PROCESS
• AND
• COMMUNICATION SKILLS

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Todays Programme

• What is a transition
• Brainstorm
• The Transition curve
• Transition and loss
• Communication skills
• Experiential work

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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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THE JOURNEY
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The Theory

• Phases Colin Murray Parkes
• Stages Elizabeth Kubler-Ross
• Tasks J William Worden

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PHASES and STAGES

• Phases

• Stages

• Denial
• Anger
• Bargaining
• Depression
• Acceptance

• Shock
• Separation and Pain
• Despair
• Acceptance
• Resolution and reorganisation

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TASKS

• To accept the reality of the loss
• To work through the pain of the grief
• To adjust to an environment in which the deceased
  is missing
• To emotionally relocate the deceased and move on
  with life

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COMMUNICATION SKILLS

• REFLECTIVE SKILLS

• PROBING SKILLS

• RESTATING
• PARAPHRASING
• SUMMARISING

• QUESTIONING
• MAKING STATEMENTS

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RESTATING

• Repeating what you believe to be a significant
  word or phrase the patient has used

• I felt so frustrated..
• frustrated

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PARAPHRASING

• Involves expressing in your words the patients
  key message

• Im useless! Ive been dithering all week. I
  cant make up my mind whether to take the job or
  not. Sometimes I think Id be mad not to take it
  other times I think it isnt what I want!
• youre undecided, now youve got the job, you
  dont know whether you want it

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SUMMARISING

• Offers patients a précis of the information they
  have given you not a list of facts, but an
  organised overview of the important themes or
  clusters of concerns

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• QUESTIONS

• STATEMENTS

• OPEN
• not
• CLOSED

• Are a gentler form of probing/question.
• Instead of asking your patient,
• Why are you upset?
• You might say
• Im not sure what has upset you

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RESOURCES.