coping with loss

kubler first stage

denial. temporary defense

kubler second stage

anger. makes them hard to care for because of rage and envy

kubler third stage

bargaining. negotiation, postponing death, speaking to a higher power

kubler fourth stage

depression. understands the certainty of death and cries a lot

kubler fifth stage

acceptance. peace and understanding. wants to be left alone

issues with kubler

neglected the patients situations and how they could affect the cycle

1- shock and denial

numbed disbelief, emptional protection

2- pain and guilt

suffering of pain, guilty or remorse

3- anger and bargaining

lash out and blame people

4- depression

reflection, loneliness

5- upward turn

life becomes calmer and more organized

6- reconstruction and working through

solivng issues without the loved one

7- acceptance and hope

accept and deal with reality of the situation

pronouncement of death

absence of heartbeat, repsirations, BP, pupils fixed