Bereavement Professional

  • 1.  Bereavement Support in the time of COVID-19

    This message was posted by a user wishing to remain anonymous
    Posted 05-27-2020 06:40 PM
    This message was posted by a user wishing to remain anonymous

    I just read an article by Barbara Karnes, RN where she suggested that Bereavement support be ramped up and is proposing "Daily Volunteer calls and Weekly SW calls to the Primary Bereaved."  As I read this, I was quite overwhelmed.
    We are a small in home hospice with a current census of 40. I am the sole Bereavement Department, per diem, carrying 205 families. 
    Below is the link:

    https://bkbooks.com/blogs/something-to-think-about/bereavement-support-is-important-at-any-time-now-its-vital?utm_source=BkBooks+Newsletter&utm_campaign=fa77256742-Bereavement_Support_Is_Important_At_5_19_2020&utm_medium=email&utm_term=0_c9ffb5b18f-fa77256742-201721689&ct=t(Bereavement_Support_Is_Important_At_5_19_2020)&mc_cid=fa77256742&mc_eid=67b204875a


    We added a COVID-19 Bereavement Letter to our mailings in early May with the insert from whatsyourgrief.com "Grief and Loss in the Time of COVID-19." It went out to 200 families and has been added as 4 week mailing for all current families indefinitely. A followup telephone call is being made between 4-6 weeks post death. It references the 3 week Intro to Bereavement Services and 4 week COVID-19 mailings.

    We do not have the Volunteer nor SW personnel to do daily/weekly calls.  I personally think it is overkill. I am curious of others thoughts on this.


  • 2.  RE: Bereavement Support in the time of COVID-19

    Posted 05-28-2020 06:49 AM
    Glad you raised the question! First of all, Barbara Karnes is an RN, not a master's level grief counselor. Second, she is self promoting the booklet she authored, hoping hospices would purchase them for their clients. Third, if you follow what she suggests, there is no assessment by a grief counselor, the volunteer jumps in from the beginning and she's assuming everyone is at high risk. This may or may not be the case. All grief is traumatic initially....she is being assumptive that all bereaved WANT weekly check ins when she recommends a volunteer say "I'll be checking in with you once a week for a while." ??!!!!  And later she says "the volunteer determines through the develloped relationship how often to check in??!!! No, the grief counselor makes that determination and should be reviewing each and every contact the volunteer has with the bereaved!
        She later says "bereavement support groups are a tough sell under normal circumstances." Not necessarily if they are set up and promoted appropriately. We have many bereaved who are so appreciative of our Zoom groups they are saying they'd prefer continuing this way instead of going back to face to face groups. They feel comfortable in their own environment and appreciate not having to drive elsewhere. We already are planning to continue Zoom groups even when we are back face to face because as the winter months return, those who never attended evening groups because they didn't want to drive at night will  now have an alternative option.
         Please don't assume just because something is in print it is accurate information. Also remember that although, yes, this pandemic will complicate everyone's grief for a long time to come (great job security for us! :-) ) people are innatetly resilient and, with our availability, guidance and resources we share with them they will figure it out , adapt to the loss and eventually get on with their life once again.

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    Patti Anewalt, Director
    Pathways Center for Grief & Loss
    Hospice & Community Care
    Mount Joy, PA
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  • 3.  RE: Bereavement Support in the time of COVID-19

    Posted 05-28-2020 09:11 AM

    Thank you Patti,

     I fully agree with your perspective.

    Kim

     

    Kim Warner  LCSW, ACHP – SW

    Director of Social Work & Bereavement

    Hospice of Orange & Sullivan

    800 Stony Brook Court

    Newburgh NY. 12550

    kimwar@hospiceoforange.com

    845-561-6111 x117

     

     

     






  • 4.  RE: Bereavement Support in the time of COVID-19

    Posted 05-28-2020 07:27 AM
    Hi - 
    I believe bereavement support is critical right now and for many, the pandemic has impacted their grief response.  I do believe daily calls are a bit much.  All bereavement plan of cares should be made based on the needs and interested of the bereaved and include the bereaved person in creating that plan of care.   Some may want a weekly or bi-weekly call, others may only want to receive a mailing and others still might want to be left alone.  It is not one size fits all.   
    Hope that helps.
    I am curious about what others think.
    Diane

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    Diane Snyder Cowan, CHPCA,MA,MT-BC
    Director of Western Reserve Grief Services
    Hospice of the Western Reserve, Inc
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  • 5.  RE: Bereavement Support in the time of COVID-19

    Posted 05-28-2020 11:05 AM
    To Anonymous,

    The author has a valid point of view to a certain degree. These are different times for those who lose loved ones. Grief support can take different forms. But I was a bit surprised at her paragraph that stated:

     "Some hospices and other support groups send monthly notes and a year anniversary card. That is lovely but is not nearly enough support for any griever let alone during this current time when the mourning rituals are all but non existent..."

    Our organization evaluates each griever on their own situation. We seek to provide support they want, not what we think they should have. Do they have family support? Are friends involved?  What does their social network look like, such as religious/community involvement? Do the grieving want the extra support? Have they any reference point for grief and loss? Some grievers are doing well with the support they already have in place and may not need daily or even monthly calls. I appreciate Barbara Karnes' enthusiasm. However I am concerned with her need to promote "enough" grief support when it may not always be warranted. 

    Your thoughts?

    Kevin

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    Kevin Cross
    Bereavement Coordinator
    York, PA
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  • 6.  RE: Bereavement Support in the time of COVID-19

    Posted 06-08-2020 05:25 PM
    Also agree that the daily may be too much maybe even intrusive. But we did encourage our Grief Support Staff to consider that grief may be heightened, so explore existing care plans and discuss with the client if support needs may warrant more frequent contact. Our ethical responsibility to support our client's autonomy remains important even during COVID 19. But what a great question and interesting perspective.

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    Karen Monts
    Director, Grief Support Services & Practice Manager, Counseling Services
    Northstar Care Community
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