00172 Risk for complicated grieving

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00172 Risk for complicated grieving

Definition of the NANDA label

Risk of failure or prolongation in the use of responses and intellectual and emotional behaviors of an individual, family or community after a death or the perception of a loss.

Susceptible to a disorder that occurs after death of a significant other in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment, which may compromise health.

Risk factors

General

• Neurosis prior to loss.
• Psychological symptoms prior to the loss.
• Frequency of important life events.
• Predisposition to anxiety and feelings of inadequacy.
• History of psychiatric or mental health treatment.

Perinatal

• Advanced gestational age at the time of loss.
• Little time between a perinatal loss and subsequent conception.
• Duration of the child’s life.
• Lack of other living children.
• Congenital anomalies.
• Number of previous perinatal losses.
• Marriage adjustment problems.
• Vision of images of the fetus by ultrasound.

At risk population

• Death of significant other

NOC

• Psychosocial adaptation. Life change.
• Grief resolution.
• Overcoming problems.
• Overcoming family problems.

NIC

• Facilitate grief.
• Advice.
• Increase coping.
• Stimulation of family integrity.
• Family therapy.
• Active listening.
• Presence.
• Facilitate communication.
• Support in decision making.

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