Showing posts with label grief. Show all posts
Showing posts with label grief. Show all posts

Friday, April 8, 2011

H is for How to Help them Grieve - The ABC's of Inspired Hospice Volunteers

A little girl once went to visit a neighbor who had lost his wife.  When she returned, her mother asked what she’d been doing.  She replied that she had helped the neighbor.  When her mother queried her further on how she had done that, she said simply, “I sat with him and helped him cry.”
It really can be that simple! 
As hospice volunteers we work with many grieving people.  As we all learned in our training though, grief isn’t just about death.  We can lose loved ones to mental illness, divorce or simply bad choices.  We can grieve over lost jobs, houses or life styles.  We can grieve lost hopes and dreams. 
Our patients are grieving for the children or grandchildren that they will not see grow and have families of their own.    They are grieving the betrayal of a body that has seen them through so many years.  They are grieving the loss of friends and family that suddenly stay away because they don’t know what to do or say.  They grieve for the hobbies and skills they can no longer enjoy.  They grieve their lost independence.  They may grieve as they regret the way they lived their life.  Grief begins when they find out that they are going to die and then it morphs and changes throughout their last days. 
Please don’t negate their pain.  Don’t tell them that “everything will be okay”.  Acknowledge their loss. 
I have a dear friend whose husband lost his job and was forced to relocate to a distant state and while she remained behind trying to sell their home, in the middle of preparing for her daughter’s wedding, she got cancer and another un-related family crisis arose.  Just today, right after another surgery, she was handed more bad news.  Rather than try to paint a rosy picture and say everything would be all right, I wrote to her, “When this is all over you will look back on this time and think about how you grew more during these several months of trials than you did in the previous several years put together.  In the meantime though, only the language of our children can describe it adequately:  This SUCKS.  Big time.”
 As we visit with the patients we mustn’t be afraid to say that yes, they’ve been handed a raw deal.  Put yourself in their place.  When someone minimizes our pain, it seems to hurt even more.  Once our loss is recognized however, we can often move forward. 
Give them an opening, an opportunity to share and let them decide what to do.  Anger is natural.  Some may choose to scream, or beat on a pillow to vent their feelings.  Some people prefer to grieve in private and that is okay too. 
I have a long-admired friend who lost her young adult son in a terrible accident.  As the day that he was supposed to get married approached, I thought often of her and wondered if she might need some company that day.  When I asked her though, she said that she planned to send the kids off to school that day and have some private grieving time.  I was so inspired by her answer.  I had been going through my own grief and in the years after she told me that, it escalated dramatically as I watched helplessly while family members self-destructed.  There were several days where I followed her advice, sending the children off to school, turning off the phone and having my scheduled time to grieve.  By the time my husband and children came home I felt better and had applied make-up and a smile, able to fully function once again.  I also found that it cut down drastically on the nights that I’d wake up and be unable to return to sleep for the grief. 
When someone you know is grieving, it can leave you feeling utterly helpless.   You know that you cannot ever eliminate their grief.  It is something that each person must work through at some time in our lives, some more than others.  Nobody can do it for us, and it can’t be avoided, though many try through alcohol or other drugs.  You may not be able to lessen their pain, but you can bring them some measure of comfort, thus allowing them to work through it more effectively.   Open your training manuals often.  Refer to page 82 and review the information on how to help grieving people. 
Each person grieves differently and for different reasons.  If you are prepared and trained, then the right way to be there for each person will be apparent to you, whether it is talking, listening or simply sitting with them and helping them cry.  That’s Inspiration!

Tuesday, February 15, 2011

B is for Belief System - ABC's of Inspired Hospice Volunteers

Belief System can refer to life stance, religion, world view, philosophy or ideology. Think of people you have known throughout your life and you will see that one’s belief system can be a most powerful asset or worst liability. It is made up of a set of core values, on which we tend to base our actions, words and beliefs. It defines us and molds us throughout our lives.
This month we want to focus on the spiritual side of belief systems.

In the medical world, there is little to no room for anything but hard science. In hospice however, we see that anyone giving care to a dying person finds that even the most ordinary things can take on a spiritual nature. Spiritual support is an integral part of a patient’s care.

How can we as volunteers help provide that spiritual support without overstepping bounds?

First, we must respond to patients from their own backgrounds. To do that, we must learn what their background is. Most everyone loves to talk about themselves and this is especially important to someone who is dying as it allows them a bit of a life review as they process the fact that they are indeed at the end of their life. As you get to know a new patient, you can ask gentle questions that give them an avenue to discuss their belief system if they choose. They have to know that you are interested in a non-judgmental way. Recording a patient’s life history, will also likely bring their spiritual beliefs to the forefront.

Once we know what a patient’s background or belief system is, we can be there with them in that place.

It is so important that we never impose our own personal beliefs on patients or families. This can be a delicate thing when we wish to bring them comfort in times of grief, but what succors us may not console another.

Spiritually, everyone has a belief system, even if it is simply that they have no belief in a power higher than themselves. Those that have no higher power can be the hardest to support.

The most gut-wrenching funeral I ever attended was my husband’s grandmother’s in East Berlin not long after the wall fell. Denied freedom of belief system, or religion for so many decades, the young people in the family thought death was simply the end and that they had no hope of seeing her again. They were absolutely devastated by her passing.

We are blessed to live in a time and place where people are allowed the freedom to believe how they wish. We must not do anything to take this freedom away from others.

It is a tragic thing to witness someone in the depths of despair, but all we can do is be with them in their grief and keep the channels of communication open should they desire to explore other ideas.

We have awesome chaplains available to help with patients who are struggling spiritually. Perceptive volunteers will let the staff know when needs are apparent. That’s
Inspiration!