ABSTRACT

People vary in how they cope with bereavement. It is worth trying to assess which of the carers appears to be in greatest need of counselling. In particular, the needs of younger relatives and children in the family must not be overlooked. After the death the family may want time to clarify various issues with regard to the patient's illness and its management. These are usually simple, but misunderstandings can make bereavement and the grieving process more complicated. All members of the team should try to evaluate whether the relatives are coping with their grief. Recognising the deterioration in physical health that occurs in many widows and widowers, advice on general health may well be appropriate. There are various theories and outlines of what is 'normal grief', but in general, the grieving process has four basic stages, each with its own physical and emotional reactions.