[A nurse's experience applying grief counseling to a bereaved family]

This case report describes a nurse's experience applying William Worden's Grief Counseling on a young woman whose mother had passed away after a brief period in a coma. The report describes how the nurse facilitated this case and assisted the woman though the grief process, during which the woman completed the four tasks of mourning. Seven behavioral process records were analyzed base on Worden's grief responses. Emotional reactions included shock, denial, guilt and fear. Insomnia was the sole physical reaction indicated. Cognitive reactions included disbelief with regard to the death and preoccupation with her mother. Social withdrawal, avoidance of mentioning her mother, calling out, sighing and crying comprised the main behavioral reactions. The author applied the concepts and principles of grief counseling by accompanying and supporting this case though the grief process, and helping the patient complete the four tasks of mourning, which are: (1) to experience the pain of grief, (2) to accept the reality of the death, (3) to adjust to life after the death, and (4) to move on with life. It is hoped that this case report will help nursing staffs be more sensitive and receptive to family grieving and be better equipped to provide proper grief care.