NHPCO NewsLine Summer 2020 - 29
A Violation of the
Assumptive World
...it's important
to take a whole
global view of
how the patients,
the families we
support, their
support systems,
and our hospice
teams are being
impacted.
COVID-19 has had a huge impact
on health care systems, including
hospice. There have been a variety
of responses and approaches, as
communities are not all impacted
in the same way. Service delivery
has taken on many different
shapes and iterations to reflect
the needs of the communities
that they're in while taking into
account the ever-developing
research and recommendations
that come from places like the
CDC and state health authorities.
There was a common reflection
amongst all of us in the field that
all deaths now seem to be
COVID-19 related. And although
hospice is well versed in loss and
grief, this pandemic still uniquely
affects our communities, our
patients, our programs, and our
staff.
One thing that we all have in
common right now is a significant
violation of the assumptive world,
whether it's personally because
of a job loss or a sense of safety
and security that's no longer
present. Maybe we don't have
access to resources as we did a
couple of months ago, or our
community has changed shape.
Certainly, the families and
patients that we serve through
hospice are experiencing the
same thing. Someone grieving a
loss, and even our hospice
professionals, are faced with daily
challenges where our beliefs,
assumptions, and meaning
making constructs are being
challenged. If we remember
Maslow's Hierarchy of Needs,
many of us are feeling like we're
camped out in the physiological
or safety realm, holding on for
dear life and trying to figure out
what's coming next. This violation
of the assumptive world will
impact people for quite some
time to come.
We know that when our sense of
security in the world around us
and how we can rely on those
that typically might provide
comfort, whether it be through
rituals or just personal support
after a death, changes shape,
that violation may increase our
susceptibility to a more
complicated grief manifestation.
We need to acknowledge that in
some ways it is important that
we take it slow and piece by piece
because challenges for a lot of
grieving individuals will likely
come later on down the road. But
it's important to take a whole
global view of how the patients,
the families we support, their
support systems, and our hospice
teams are being impacted.
Impact on Patients
In this age of social distancing,
patients are experiencing
increased isolation from
sheltering in place, which can
impact and compound the
anticipatory grief experience as
patients reach the end of life. For
instance, those hospice patients
who would normally not be
homebound are missing out on
opportunities to fulfill final
Newsline / Summer 2020
29
NHPCO NewsLine Summer 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Summer 2020
NHPCO NewsLine Summer 2020 - intro
NHPCO NewsLine Summer 2020 - 1
NHPCO NewsLine Summer 2020 - 2
NHPCO NewsLine Summer 2020 - 3
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