The death occurred several months ago and Rita has been unable to get past her grief. Rita was personable to all staff and she took the assessments easily. She was assessed to have complicated grief, depression and anxiety. There are several challenges for Rita that as clinicians we will attempt to sort out so that she can receive the medical assistance that she needs.
Rita was diagnosed with complicated grief as one of the first "symptoms" of her health needs. There are several issues that come about because of complicated grief. Wagner, Knaevelsrud and Maercker found that when a significant person dies it can leave a spouse with a variety of emotions from a post-traumatic stress situation to increased passion and optimism. They also cite that there is a larger body of evidence that shows complicated grief as a disorder that should be seen as different than depression (Wagner, Knaevelsrud and Maercker 2007: 157). Langner and Maerker argue that complicated grief is a disorder that shows "as a combination of sustained intrusion, avoidance and maladjustment symptoms" (Langner and Maerker 2005 cited in Wagner et. al. 2007: 157). They also suggest that this disorder can be related to Post Traumatic Stress Disorder (PTSD) because it usually is a reaction to having exposure to an event that was stressful.
For Rita, the complicated grief is a result of her husbands death which was her traumatic event. His death was not expected when it happened and she was not prepared for it. She may have some responses that are similar to the PTSD symptoms but they do not seem to be the most prevalent in her diagnosis.
As the psychiatric nurse part of the mental health team, it is important o notice that grief is always something that happens in life. Most people will have a healthy relationship with grief because they will go through anger ad other emotions naturally. Some may feel that the people who are attempting to help them have ulterior motives. The bereaved may also