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When Ambiguous Loss Becomes Ambiguous Grief: Clinical Work with Bereaved Dementia Caregivers
Health & Social Work ( IF 1.7 ) Pub Date : 2020-11-12 , DOI: 10.1093/hsw/hlaa026
Abigail Nathanson 1 , Madeline Rogers 2
Affiliation  

The experience of caring for someone with dementia can be heartbreaking. The losses inherent to caregiving itself can be difficult to reconcile after the death of a person with dementia, causing challenges in the bereavement stage. Although there is often significant social support to help people process the death of someone close to them, clinicians can struggle to help bereaved dementia caregivers integrate their ambiguous losses from caregiving, such as loss of roles, functions, and relationships, into a postdeath bereavement process. Many socioeconomic, personality, and family functioning factors impact an individual caregiver’s experience, and there are more global influences from the nature of dementia caregiving itself that must be understood to best support a caregiver. Using the lens of the dementia grief model and examples from a case study, this article seeks to illustrate the dynamics inherent in integrating ambiguous losses following the death of a person from dementia, and it proposes clinical goals for working effectively with this population.

中文翻译:

当模糊的失去变成模糊的悲伤时:与失去亲人的痴呆症护理人员的临床工作

照顾痴呆症患者的经历可能令人心碎。在痴呆症患者去世后,照料本身固有的损失可能难以调和,从而在丧亲阶段造成挑战。虽然通常有重要的社会支持来帮助人们处理亲人的死亡,但临床医生可能很难帮助失去亲人的痴呆症护理人员将他们因护理而产生的模糊损失(例如角色、功能和关系的丧失)整合到死后的丧亲过程中. 许多社会经济、个性和家庭功能因素会影响个体照料者的体验,而且痴呆照料本身的性质有更多的全球影响,必须了解这些因素才能最好地支持照料者。
更新日期:2020-11-12
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