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美国护理assignment代写 关怀医院
2020-06-11 23:55
我在临终关怀医院做顾问,帮助临终病人及其家人和密友。这在悲伤、拒绝、愤怒、讨价还价、沮丧和接受的过程中会很自然地发挥作用(Kubler-Ross 2005)。客户有时会抓住这些阶段,如果他们没有按照顺序度过这些阶段,就会变得心烦。我发现对病人来说,重要的是要理解我们都有不同的悲伤,可能不需要经历所有的阶段,这可能取决于死亡。悲伤工作中使用了许多工具,悲伤的漩涡(Wilson 1993),双重过程模型(Strobe和Schut 1999)和围绕悲伤成长(Tonkin 2006)。我已经非常成功地在一对一和组的设置中使用了这些,这帮助客户理解了一些他们正在经历的自然。然而,在临终关怀医院里,事情很少这么简单,因为即使是最舒适的死亡也会让家人受到创伤,最后的呼吸,垂头丧气,或者只是看到自己所爱的人不再呼吸。一开始,我发现这很有挑战性我很惊讶在这个房间里有这么多与丧子之痛有关的创伤心理咨询每个人都有独特的悲伤但有趣的是人们悲伤的方式。有些客户需要在治疗室里进行几次治疗,有些则需要更多。这就是我对创伤以及当一个人遭受损失时,过去创伤重现的关系产生兴趣的地方。把自己扔进世界的研究我发现创伤后成长(PTG),这不仅启发了我,兴奋的我如何我可以提高我的工作和我的客户体验这个现象让我问许多问题“什么证据是普遍的医生注意到创伤后成长的开始?“什么是创伤后生长(PTG) ?它对每个人都有效吗?”它从何而来,如今的治疗师是如何处理它的?我研究了18篇文章、论文、期刊和书籍来探索这一现象,以增进我作为丧亲顾问的知识和实践。本综述所选的论文涵盖了从1998年到2013年的各个方面,回答了我的问题,从而获得了涵盖至今历史的广泛信息。被排除在外的论文与丧亲之痛无关,尽管它们增加了我对PTG的了解。在研究中,我也想确定障碍和复杂性与PTG“如果有任何”,以帮助我变得更了解坑跌倒,并可能需要改变实践。美国护理assignment代写 关怀医院
I work as a counsellor in the Hospice supporting the dying patient, their families and close friends. This can be working naturally with the process of grief, denial, anger, bargaining, depression and acceptance (Kubler-Ross 2005) clients will sometimes hold onto these phases and become upset if they are not moving through them in order. I find it is important to client to understand that we all grieve differently and may not need to go through all the stages it may depend on the death. There are many tools used in grief work, the whirlpool of grief (Wilson 1993), the Dual Process Model (Strobe and Schut 1999) and Growing Around Grief (Tonkin 2006). I have used these quite successfully in one to one and group settings and this has helped the client understand some of what they are going through to be natural. Yet in the Hospice things are rarely that simple as even the most comfortable of deaths can leave family members traumatised, the last breath, the drop of the head or the simple fact of seeing their loved one no longer breathing. In the beginning, I found this challenging I was surprised there is so much trauma in the room related to bereavement counselling everyone grieves uniquely but it is the way people grieve that is interesting. Some clients a couple of sessions in the therapy room and some need far more. This is where I became interested in the trauma and the relation of past trauma reappearing when someone suffers a loss. Throwing myself into the world of research I found Post Traumatic Growth (PTG) and this not only inspired me but excited me into how I could improve my work with my clients experiencing this phenomenon This led me to ask many questions ‘What evidence is prevalent for a therapist to notice the beginning of Post traumatic growth?’ What is PTG (Post traumatic growth) and does it work for everyone? And Where did it originate and how are therapists working with it today? I researched 18 articles, papers, journals and books to explore the phenomena to enable me to enhance my knowledge and practice as a bereavement counsellor. The selected papers for this review covered from 1998 to 2013 that answered aspects of my question to obtain a broad range of information covering the history to present day. The excluded papers were not linked to bereavement although they have increased my knowledge regarding PTG. In the research I would also like to identify the obstacles and complexities ‘if any’ with PTG to help me to become more aware of pit falls and where a change of practice may be required.
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