Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Wednesday, August 13, 2014

Grieving National Loss

If you are a parent today, you are well-versed in all things Dora. I learned this over the weekend at my niece’s daughter’s three-year old birthday party. For my husband and me with our son, who will soon celebrate his twenty-fourth birthday, it was Aladdin. We still will watch it on occasion and it makes us laugh as much is it did originally, and I still sing along about a whole new world.

That is one of the aspects that make news about the untimely death of comedic genius Robin Williams so unsettling. I have commented on this before but it bears repeating in this situation. In a "traditional" hospice setting, we are typically serving families with loved ones who are diagnosed with cancer or another terminal illness that has had a long, slower onset. Our "typical" patient is age 75 or older. This makes us baby boomers pretty comfortable – we are serving our parents, not our own generation. And while the amount of time patients and families access hospice is short – it is available for six months, but often families only access services for up to 14 days due to a variety of barriers – it is generally anticipated that there is going to be a death in the family.

This death in our national family was certainly not anticipated, at least not by those outside Robin’s immediate family. As a social worker by discipline, I am compelled to mention the serious illness that is depression, how silent its symptoms can be, how manic swings can be masking other serious issues, and how self-medicating behaviors create other challenges for the person and their family. Robin was such an accomplished actor and comedian in his field – many people will wonder with all of his success – awards, money and fame – what would drive him to take his own life? That is the inconsolable depths of despair that is depression left untreated, and why we need to address it as much as we address any other serious, chronic illness.

Grief support during any loss is important, and it is especially so during a sudden loss such as a suicide. I continue to be drawn to the news reports to witness others recollections of Robin’s impact on their lives, and remember how he impacted mine and my family’s – and I keep remembering other films he was in that I enjoyed. As we know too well, that’s part of the grief journey. I urge others to access support services, grief support services, or health care services depending on our need to ensure our well-being. We cannot help others when we don’t take care of ourselves.

This post was written by Gloria D. Brooks, Arbor Hospice President and CEO. You may contact Gloria by commenting below or emailing her at gbrooks@arborhospice.org.

Tuesday, August 5, 2014

Anxiety At The End of Life

Feelings of nervousness, also known as anxiety, are normal responses when things feel uncertain or beyond your control. Because of the many physical and emotional changes associated with illness, feelings of nervousness may occur. Although anxiety is a natural response, being nervous is uncomfortable and can affect the quality of your life.

Causes of Anxiety
Over the course of an illness, there are things that can cause feelings of anxiety or nervousness. It is helpful to identify what may be causing you to feel anxious. Identifying the cause of your nervousness will be helpful in determining what to do about it. However, it is possible to feel anxious without being able to say why. Some of the things that may cause feelings of anxiety include:
  • Fear of the unknown
  • Changes in how the disease is advancing
  • Fear about relieving symptoms such as constipation, pain or shortness of breath
  • Concerns about medications
  • Fear about giving or receiving care
  • Fear about not being able to care for yourself 
  • Fear of physical or emotional loss
  • Responding to changes in your life
  • Concerns about your family or loved ones
  • Concerns about moving to a nursing home or assisted living facility
  • Unexpected news, favorable or unfavorable
  • Fear related to making decisions about the future
  • Concerns about making the right decisions
  • Questions or concerns about spiritual or religious issues
  • Financial concerns
  • Changes in your role within the family or the community
Signs and Symptoms of Anxiety
Each person responds differently to situations which cause feelings of anxiety. Your body has many different ways of showing anxiety. Knowing that you may be nervous is the first step to feeling better. Some of the more common symptoms of anxiety include:
  • Restlessness or not being able to relax
  • Irritability
  • Stomach upset or nausea
  • Butterflies in the stomach and/or feeling as though there is a lump in your throat
  • Muscle tension, aches, soreness or just feeling tense
  • Feeling very tired or exhausted
  • Trouble falling or staying asleep or having nightmares
  • Getting upset about things which normally would not upset you
  • Worrying about what could or may happen
  • Trouble concentrating or feeling overwhelmed
  • Headaches
  • Eating more or eating less than usual 
What You Can Do
While feelings of anxiety are normal, it is important to decrease the effect these feelings may have on you or the people you care for. The symptoms of anxiety are your body's way of letting you know it needs to relax. It your body is relaxed, it helps you cope with what is happening in your life. Talking to someone you trust is usually a good place to start. Other suggestions to reduce anxiety may include: 
  • Talk about your feelings, fears and concerns with someone who will listen and provide support, including family members, friends, clergy and/or your Arbor Hospice team
  • Take slow, deep breaths
  • Enjoy a relaxing activity such as a hot bath, a good book
  • Take a short walk or find a place that you can relax, uninterrupted for awhile
  • Seek spiritual support from your clergy and/or the Arbor Hospice spiritual care coordinator
  • Allow yourself to cry
  • Keep a journal and write about your fears, feelings, concerns and/or things that are happening in your life
  • Listen to soothing music