How can we organize bereavement care? An intervention study - PowerPoint PPT Presentation

Loading...

PPT – How can we organize bereavement care? An intervention study PowerPoint presentation | free to download - id: 1dbbd9-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

How can we organize bereavement care? An intervention study

Description:

Mai-Britt Guldin. Background ... Mai-Britt Guldin. Clinical issues. What kind of bereavement support is relevant in primary care? ... – PowerPoint PPT presentation

Number of Views:19
Avg rating:3.0/5.0
Slides: 13
Provided by: trinebr
Learn more at: http://www.gp2009cph.com
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: How can we organize bereavement care? An intervention study


1
How can we organize bereavement care?An
intervention study
  • Mai-Britt Guldin
  • Cand.Psych.
  • Specialist i psykoterapi,
  • phd-studerende.
  • m.guldin_at_alm.au.dk
  • .

2
Background
  • In Denmark approx. 55.000 deaths leave 200.000
    close relatives bereaved annually.
  • Grief is considered an existential condition most
    people will experience several times in their
    lifetime.
  • An estimated 20 will develop complications as a
    result of suffering a loss.

3
Co-morbidity
  • Bereavement related complications have been shown
    to be associated with
  • increased medicine consumption,
  • problems with job retention,
  • development of psychopathological disorders
  • (depression, anxiety disorders, suicidal
    ideation, post traumatic stress etc.)
  • mortality

4
Complicated Grief
  • A new clinical diagnosis is proposed for DSM-V
  • Core items in the proposed diagnostical criteria
    are
  • longing,
  • denial of the loss,
  • traumatic components in connection with the loss,
  • lack of reduction in emotional distress over
    time,
  • disruption of normal everyday functioning.

5
Clinical issuesWhat kind of bereavement support
is relevant in primary care?
  • How can we identify bereavement conditions in
    need of treatment?
  • Is it possible to assess the risk of developing
    complicated grief?
  • Can we develop a more systematic approach to
    bereavement reactions with clinical guidelines?

6
Bereavement managementDescription, assessment
and care A randomized controlled study
  • Supervisors
  • Frede Olesen, GP, Professor, Research Director¹

7
Aimof randomized controlled study
  1. Implement a bereavement management programme in
    primary health care i Denmark and conduct a
    randomized controlled trial to measure its
    effect.

Mai-Britt Guldin
D. 12.5.09
8
Intervention in the
randomized controlled study
  • Risk assessment
  • Information for patients and GPs on grief
    reactions and how to identify complicated grief
  • Suggestions on when to seek help/how to provide
    care

Mai-Britt Guldin
D. 12.5.09
9
Project flow chart
Assessment
Randomization
Both groups
Patient inclusion
6 weeks post loss
At hospital departments right after loss
Intervention group
Control group
Information pamphlet to GPs.
Treatment as usual
Information pamphlet to patients
Patients are encouraged to contact their GP if
they worry about handling their bereavement
reaction.
Evaluation
6 months post loss
Questionnaires
13 months post loss
Mai-Britt Guldin
12.5.09
10
How to identify a bereaved person in need of
treatment
  • Emotional distress must decrease over time
  • Look for dynamic adaptation (change in the
    reaction)
  • Acceptance of loss should move forward
  • Extreme social withdrawal is a warning sign
  • Assess psychopathological reactions depression,
    anxiety, suicidal ideation, post traumatic stress
    are signs of complicated grief.

11
How to provide care in general practice
  • __________________________________________________
    _________________________________________________
  • Initiate dialog about the grief reaction
  • Ask about level of distress (must decrease over
    time)
  • Schedule follow up consultations to structure the
    monitoring of the emotional regulation.
  • Refer the patient to specialized psychotherapy in
    case of symptoms of complicated grief.

12
Thank you for your attention!
m.guldin_at_alm.au.dk
About PowerShow.com