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Reply to these two discussion with more regarding perinatal loss—be specific. Identify specific nursing interventions to meet the needs of families experiencing loss.

 

1-The video “An Altered State of Reality” really stood out to me. This video showcased what different parents went through after losing a child. Each of these people had unique circumstances with the loss of their child but they all grieved. Kellie, one of the parents in the video, explained that someone told her “God will take care of you, God wants him.” Kellie said, “God gave him to me why was he taking him away?” Our book states that we should not say God had a purpose for her or it’s God’s will, rather we could say I’m here I want to listen or what can I do for you (Lowdermilk et al., 2020, box 37.1). Rob, another parent in the video, says that people are in an altered state of consciousness and they are not going to remember a lot of the things they are told. Our book states that when under great stress people are likely to have limited ability to take in anything but the most basic information (Lowdermilk et al., 2020, pg. 813). Rob suggested that more detailed notes should be written so when they leave they might have fewer questions. One thing that stood out to me was when Kellie said that dragonflies are special to her because on the day of her child’s service a dragonfly had landed on her uncle’s shoulder. At my grandmother’s funeral, we released live monarch butterflies and some landed in my hair. I, similar to Kellie, symbolize monarch butterflies with my grandmother. 

 

 

 

2- No family is ever prepared to experience perinatal loss or loss of an infant. When this does occur, there is one thing they may all have in common. Often, families will all come together to support the child’s parents. While the process of losing a child is quite intimate for the parents, family support can be provided without being considered invasive. Helping with meals, memorial expenses, planning, and offering spiritual reinforcement reminds the family they are not alone in this process. Until the end of life, parents want their child to have the most peaceful death possible. They may have only been a parent for a few days, but still hold the child as the priority above everything. Reading the article about the unexpected loss, made me realize how important support is for the family to uphold strength. 

As the nurse of a family who is experiencing loss, my top priority is to encourage and support the free flow of emotions. Maintaining the client’s space as safe and private will allow for the mother and father to feel assurance in this grief process. Although the outcome of the pregnancy was not as expected, the nurse must maintain postpartum care to avoid any complications with the mother. This will entail fundal and lochia assessments, perineum care, and vital sign changes (Holman et al., 2019, p.122). Other important nursing interventions include providing effective pain management, and psychosocial assessments. As the nurse, I should allow verbalization of feelings, assess the emotional status, and monitor for symptoms of postpartum depression (Holman et al., 2019, p. 126). Although it may be upon discharge, providing resources on grief counseling and other helpful option should be included in the nursing care plan.

 

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