Posted in Emotions, For Nurses, Therapy

Grief Stages and Goodbye Letter Template (Kids)

10 Stages of Grief
1. Shock
The initial stage of grief which is usually experienced whether the death was expected or it was a long illness.
2. Emotional Release
As the shock wears off, there is a need to express the pent up emotion.
3. Depression
There are often feelings of isolation and loneliness.
4. Physical Symptoms of Distress
Physical symptoms may show up.
5. Anxiety
A common experience is intense dreams of the deceased.
6. Hostility
It is common to become angry with those involved in the situation, especially medical personal and clergy.
7. Guilt
An exaggerated, often imaginary emotion.
8. Hesitancy to Renew Normal Activities
There can be a fear of getting back to a regular routine of living.
9. Healing of Memories
Start of understanding that painful memories are a part of the healing process.
10. Acceptance of a New Life Role
The start of the realization, that a new role is accepted and lived.
Signs of Grief in a Child
1. Depression, Anxiety
2. Acting out inappropriate anger
3. Lack of concentration
4. Difficult or poor performance in school
5. Sleeping and/or eating disorders
6. Regression to earlier childhood developmental stages
7. Expression that child wants to join the deceased
8. Sympathetic pains or a fear of disease
9. Intense dreams so real that it’s hard to distinguish between reality and the subconscious
(Outside intervention is needed when: child pretends nothing has happened, school work takes a major decline, phobic fear of school, threatens suicide, panic attacks, physically assaults to others, starts using drugs or alcohol, involved in serious socially delinquent acts, and if the child is not willing to socialize with other peers).
Writing a letter to the person who has passed is a good tool to say goodbye.
Goodbye L best-2
Goodbye Draw best

Good Bye Letter

Help children and adolescents process their grief using this writing exercise. Your client will be asked to describe who they are grieving, special memories with that person, and lessons learned from the relationship. The goal of this grief worksheet is to build positive meaning associated with the lost relationship, and to begin moving toward closure. This worksheet will be helpful with children and adolescents who have difficulty talking openly about their loss.
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Download Good Bye Letter Template Here: 0089

The Stages of Grief

The five stages of grief defined by Kübler-Ross in 1969 have helped countless people make sense of the feelings that they experienced after a painful loss. In this handout, each of the five stages (denial, anger, bargaining, depression, and acceptance) are explained. Use this worksheet as an education piece and allow your clients to identify how they have personally experienced the stages. Remember, not everyone experiences each of the stages, and they don’t necessarily occur in order, and a person can move back and forth between them. Try pairing this worksheet with the “My Stages of Grief” worksheet to increase client interaction.
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Download Stages of Grief (educational handout) here: 0083

My Stages of Grief Worksheet

Pair this worksheet with the “Stages of Grief” printout to allow your clients to explore how they have coped with each of the five stages (denial, anger, bargaining, depression, and acceptance). If your client feels that they have gotten stuck in one of the stages, encourage them to explore this point more deeply. We find that this worksheet works well with clients who are having a hard time processing their feelings related to grief, and with groups specifically related to loss.
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Download My Stages of Grief Worksheet here: 0084

Grief Sentence Completion Worksheet

Help children and adolescents begin to process their grief using this sentence completion exercise. Starting a conversation about loss can be difficult for anyone, and this worksheet will allow your clients to begin expressing themselves in a more private way. Example statements include: “The thing I miss most about the person who I lost is…” and “One thing I learned from the person who I lost is…”. Some of the prompts might be challenging, so we suggest allowing your clients to skip any that they are uncomfortable answering.
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Download Grief Sentence Worksheet Here: 0084

Grief and loss is one of the hardest subjects to talk about with kids.  One reason is that many times the adults in the child’s life are also grieving too.  Another reason is that death is difficult ANYONE to understand … let alone a child.

 Here are some books to help a child who is grieving …

  • The Giving Tree, by Shel Silverstein (classic, simple story of the cycle of life)
  • The Hurt, by Teddi Doleski (discusses the importance of sharing your feelings)
  • Someone Special Died, by Joan Singleton Prestine (simple explanations, great for kids)
  • When Dinosaurs Die: A Guide to Understanding Death, by Laura Kransy Brown (my favorite book to help children understand death)
  • When Someone VERY Special DIES, by Marge Heegaard (a workbook designed to help kids cope with grief)
  • Nana Upstairs & Nana Downstairs, by Tomie dePaola (the author shares his own experiences about being blessed to experience knowing different generations of his family and the grief of losing them)
  • A Terrible Thing Happened, by Margaret M. Holmes (a story for children who have witnessed violence and trauma)
  • Brave Bart, by Caroline H. Sheppard (a story about a cat who has been traumatized and seeks help to cope with his feelings)
  • We Had an Angel Instead, by Pat Schwiebert (instead of a family having anew baby, they experience loss and grief)
Original Sources:

EsteticNurer

Grief Stages and Goodbye Letter

Grief
10 Stages of Grief
1. Shock
The initial stage of grief which is usually experienced whether the death was expected or it was a long illness.
2. Emotional Release
As the shock wears off, there is a need to express the pent up emotion.
3. Depression
There are often feelings of isolation and loneliness.
4. Physical Symptoms of Distress
Physical symptoms may show up.
5. Anxiety
A common experience is intense dreams of the deceased.
6. Hostility
It is common to become angry with those involved in the situation, especially medical personal and clergy.
7. Guilt
An exaggerated, often imaginary emotion.
8. Hesitancy to Renew Normal Activities
There can be a fear of getting back to a regular routine of living.
9. Healing of Memories
Start of understanding that painful memories are a part of the healing process.
10. Acceptance of a New Life…

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Mother, Pediatric Nurse and a Trail Blazer for Positive Change.

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