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Loss

Widows and Widowers: Dealing with the Loss of a Spouse

Dealing with the loss of a spouse encompasses a variety of issues. Widows and widowers face not only the grief and disorientation that follows the death of a spouse or partner, but possible legal and financial issues, as well. The lack of proper estate planning or a will can worsen an already stressful situation. (Many local churches and organizations provide free or affordable legal services for those who need guidance in these matters.) Grief, as well as stress about a life that must now be lived without the familiarity of a long-time companion, can lead to serious depression, even—occasionally—the loss of the will to live.

The Shock of Bereavement. Whether your partner’s death was expected or unexpected, bridging the gap between your old life and your new life is one of life’s major tasks. Grief affects each of us differently, and it may take some time before you know what you need. Remember that you are entitled to mourn and recover in exactly the way that feels right to you at the time, and that your needs will probably change as time passes.

Unsympathetic Sympathy. Well-meant sympathy may come across as unfeeling and misguided. You may hear such painful clichés as “time heals all wounds,” “you’ve got to be strong,” “you should stay busy,” or “I know just how you feel.” Though it may be difficult to be charitable, concentrate on how perplexing and difficult loss is for all of us—especially those who have not (yet) experienced what you are going through now. You can always say “Thank you for your sympathy” to forestall more comments that you suspect may make you feel worse. “No, thank you” or “I’m not sure, but I’ll get back to you” are reasonable responses to well-meaning offers.

Coping Strategies. Even during early mourning, there are coping strategies that may help. Though the first days and weeks may often seem unbearable, several alternatives can help recent widows and widowers survive this initial transition. These include personal relationships, faith and spirituality, and “distractions” such as special self-care, pets, volunteering, and new activities.

• Personal relationships, such as those with family, friends, co-workers, neighbors, and even acquaintances who are part of your regular routine (librarians, grocery store clerks, the folks at the coffee shop) are especially important. Some can offer unlimited emotional support. Others may offer help with specific (and perhaps unfamiliar) chores. Even people with whom you are not on intimate terms can still provide reassurance that there is some continuity in your life, even when such a major part of it has changed.

• Churches, synagogues, mosques, and other places of spirituality, worship, and faith can offer guidance and counseling. Practices such as prayer, meditation, and yoga may help ease the pain, allowing an atmosphere in which you can communicate directly—including sharing grief, fear, or anger—with the God of your understanding.  Grief support groups also provide an outlet where you can share your experiences and feelings with others undergoing the same transition. A professional psychologist or therapist may be able to help guide you through this time, as well.

• Don’t under-estimate how helpful simple “distractions” can be, especially in getting through those first days and weeks, when you may still be in shock, even if you’re still functioning (or trying to).

You may not have the energy to do much at all; grief is often exhausting. Sometimes “staying busy” is bad advice. Try soothing self-care instead: enjoyable healthy food, rest, and perhaps a treat such as a massage or a long soak in the tub. Perhaps the best “distraction” will simply be extra sleep. Get as much rest as you really need and want, and try not to expect too much of yourself. And don’t be surprised if you feel lethargic for longer than is “expected.”

Pets, since they need lots of care and attention, and provide unconditional love, can be invaluable during this time. Sitting with a purring cat or walking an eager and affectionate dog can be the “best medicine.”

Perhaps you are unused to living alone, and need to be around others. Or maybe offering service can remind you of the larger world. If you have the energy, what about volunteering to babysit? (This could include young relatives, or babies and children in your community or local hospital). Or helping at your regular charity or philanthropic organization?

You’ll know when you do need to “stay busy.” Reading, seeing movies, and trying new activities, hobbies, or classes—such as community college offerings—are all ways to take your mind off things, even if the respite is temporary.

A Universal Experience. Though we’re often discouraged from thinking and speaking about “the unthinkable,” death will happen to each and every one of us. However taboo many of us find it, death is inextricably part of life. Though we may not feel ready to cope with this ultimate mystery, each of us will be called to do just that. Situating yourself, your loss, and your grief in this inevitable human experience may help assuage some of the pain.

Last Updated (Thursday, 22 October 2009 03:17)

 

A Quick Guide to Hospice Care

“Hospice” refers to the care provided to individuals with life-limiting illnesses. This care can be provided at home by qualified doctors, nurses, and therapists—or it can sometimes be provided at specialized hospice facilities. Though the term “hospice care” is often associated with seniors and long-term health care, hospice care isn’t usually long-term in nature, and people of any age may use it. Typically (though not always), hospice care is provided to those with life expectancies of 6 months or less. Hospice care is designed to be palliative (relieving pain and suffering) rather than therapeutic (curing an illness). Its goal is to help alleviate physical and mental suffering, and to provide the best available quality of life for terminally ill patients and their families.

The Hospice Team.  Hospice patients are typically cared for by a team that includes doctors, nurses, social workers, and clergy, as well as mental and physical therapists. Those providing hospice care are typically up to date on medications and therapies for pain and symptom relief, as well as emotional stress. They are trained to provide both the physical and the emotional therapy that those facing terminal illnesses require. They are prepared to provide mental and emotional support to help patients with life-limiting illnesses be as self-sufficient as circumstances permit.

Agreeing to Hospice Care. To join a hospice program, your primary-care physician needs to attest that you agree to hospice care, and you sign consent and insurance forms confirming your willingness to join a hospice program. You should receive information about how your decision affects Medicare, Medicaid, and general insurance coverage.

Insurance for Hospice Care. Most insurance companies cover hospice treatment. It is covered by Medicare nationwide, and by Medicaid in more than 45 states. Under Medicare Part A, for instance, all physician services—including nursing care, medical equipment costs, medical supplies and medication for pain relief and symptom control, as well as home health aide and homemaker services—are covered. Most private insurance providers also cover hospice treatment. Costs depend very much on what type of care you want, your insurance coverage, and how long you will need hospice care.

Deciding About Hospice. You should decide about hospice in consultation with your physician and other health care professionals as well as spouse, family, friends, and clergy.

Last Updated (Thursday, 22 October 2009 03:18)