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Grief: A Tangled Ball of Emotions... Grieving - Visiting Nurse Service ...

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Hospice <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong><br />

Spring 2008<br />

<strong>Grief</strong>: A <strong>Tangled</strong> <strong>Ball</strong> <strong>of</strong> <strong>Emotions</strong>...<br />

<strong>Grieving</strong>: A Process <strong>of</strong> Coping (Part II)<br />

by Rochelle Sheppard, MA, LPCC-S, GC-C, CT, Spiritual Care and Bereavement <strong>Service</strong>s Coordinator<br />

Yesterday,<br />

I viewed the<br />

movie, P.S. I<br />

Love You, based<br />

on a book by<br />

Cecelia Ahern.<br />

The movie<br />

depicts a young woman’s grief<br />

journey through the first year<br />

after her husband’s death. Holly,<br />

the main character, experiences<br />

a gamut <strong>of</strong> emotions while<br />

coping with the death <strong>of</strong> her<br />

spouse. The emotional roller<br />

The third annual Camp Promise<br />

will be <strong>of</strong>fered by the Hospice <strong>of</strong><br />

VNS Center for Loss and Hope<br />

June 23, 24 and 25 from 8 a.m.<br />

- 4 p.m. The camp’s hours were<br />

expanded this year due to popular<br />

request. The free summer camp is<br />

for children ages 6 - 11 who need<br />

help processing a significant loss<br />

(parent, grandparent, sibling...).<br />

The children will learn to manage<br />

and understand their grief<br />

through creative activities such<br />

as drama, music, art and sandtray<br />

therapy. A staff <strong>of</strong> experienced<br />

facilitators, including school<br />

coaster experienced by this<br />

main character seemed to mirror<br />

the pain expressed by many<br />

whom have shared with me<br />

their pain after<br />

loss. It is neither<br />

unusual nor<br />

incomprehensible<br />

for us to<br />

understand that<br />

with the death<br />

<strong>of</strong> a loved one<br />

there will emerge<br />

a great deal <strong>of</strong><br />

emotional pain.<br />

“What matters is not what life does to you<br />

but rather what you do with what life does to you.”<br />

— Edgar Jackson<br />

It is neither<br />

unusual nor<br />

incomprehensible<br />

for us to<br />

understand that<br />

with the death <strong>of</strong><br />

a loved one there<br />

will emerge a great<br />

deal <strong>of</strong> emotional<br />

pain.<br />

Still Accepting Registrations for<br />

Camp Promise: June 23-25<br />

counselors and<br />

bereavement<br />

pr<strong>of</strong>essionals,<br />

will oversee the<br />

children as they<br />

go through the<br />

creative stations.<br />

There is no cost<br />

for the program.<br />

A morning snack,<br />

boxed lunch and<br />

afternoon snack<br />

will be provided.<br />

Camp Promise will be held at<br />

the Hospice Care Center at 3358<br />

Ridgewood Road in Fairlawn.<br />

It is to be expected. The pain <strong>of</strong><br />

our loss floods every aspect <strong>of</strong><br />

our being. We may feel alone,<br />

unprotected and unsafe. We may<br />

find ourselves verbalizing<br />

our grief with words like,<br />

“How could this loss have<br />

happened” or “It is so<br />

unfair.” Every fiber <strong>of</strong> our<br />

being screams out against<br />

the loss. Oftentimes<br />

we enter the grieving<br />

process overwhelmed by<br />

a barrage <strong>of</strong> feelings.<br />

See <strong>Grief</strong> on Page 2<br />

For more information or to<br />

register a child, please contact<br />

Rochelle Sheppard at 330-668-<br />

4662 or 800-335-1455, Ext. 4662.


Bereavement Support • Spring 2008<br />

<strong>Grief</strong> / Continued From Page 1<br />

These same grief emotions are<br />

felt when the relationship may<br />

not have been as warm and<br />

loving as we would have desired.<br />

<strong>Grief</strong> emotions are not just felt<br />

when a person was loved, but<br />

<strong>of</strong>ten more<br />

so, and more<br />

intensely, when<br />

love was rejected<br />

or distant. Due<br />

to the emotional<br />

onslaught <strong>of</strong><br />

grief emotions,<br />

we feel drained,<br />

tired, confused,<br />

frustrated and/<br />

or disoriented,<br />

coupled with<br />

If we remain only<br />

on the emotional<br />

level <strong>of</strong> our loss<br />

we remain passive<br />

participants in<br />

our grief and we<br />

remain emotionally<br />

connected to the<br />

overwhelming pain<br />

<strong>of</strong> loss.<br />

a multitude <strong>of</strong> other emotions<br />

in varying degrees <strong>of</strong> intensity.<br />

However, experiencing these<br />

multitude <strong>of</strong> feelings is not the<br />

process <strong>of</strong> grieving. This is our<br />

feeling witnessing to our loss.<br />

Therefore, the process <strong>of</strong><br />

grieving is to enter into the<br />

work <strong>of</strong> grieving. <strong>Grief</strong> work is<br />

our active involvement in the<br />

unfolding changes resulting<br />

from the death; along with the<br />

many consequences experienced<br />

by the bereaved as a<br />

result <strong>of</strong> the death. If<br />

we remain only on the<br />

emotional level <strong>of</strong> our<br />

loss we remain passive<br />

participants in our<br />

grief and we remain<br />

emotionally connected to<br />

the overwhelming pain<br />

<strong>of</strong> the loss. If grief work<br />

is to be active it requires<br />

engaging the whole person,<br />

physical, mental, behavioral,<br />

spiritual and emotional, into the<br />

on-going challenges <strong>of</strong> coping<br />

with the loss. The wisdom <strong>of</strong> P.S.<br />

I Love You is the way in which the<br />

deceased husband goes about<br />

helping his wife engage in the<br />

work <strong>of</strong> grief, thereby helping<br />

her cope and adjust to his death<br />

and her ongoing life<br />

without him. While<br />

each grief journey is<br />

uniquely different, the<br />

process <strong>of</strong> grieving is to<br />

remain actively engaged<br />

while learning to<br />

accommodate loss into<br />

our life. Integrating loss<br />

into our daily life is not<br />

easy, as fellow bereaved<br />

will tell you. In his book,<br />

How We Grieve, Thomas<br />

Attig states,<br />

“We do not remain passive but<br />

rather actively engage the<br />

challenges presented by<br />

our longing for, and need<br />

to let go <strong>of</strong>, those we care<br />

about. We struggle to find<br />

means <strong>of</strong> overcoming,<br />

gaining control <strong>of</strong>, or<br />

constructively expressing<br />

and directing our<br />

emotions. We work<br />

our way through crises<br />

in self-identity and<br />

disruptions in our usual<br />

behavior patterns and<br />

develop alternatives.<br />

We address and seek<br />

to overcome strains in<br />

relationships and to<br />

build new ones. And<br />

we seek ways to make<br />

sense <strong>of</strong> our new reality<br />

and to find meaning in<br />

life without the deceased.”<br />

Page 2<br />

This is active grieving – longing<br />

and yet learning to let go, having<br />

control and yet losing control,<br />

overwhelming emotions and<br />

yet constructively expressing<br />

emotions, surrendering what<br />

was to what is now, learning<br />

to find peace in the midst <strong>of</strong><br />

pain. Coping and<br />

adjusting to these<br />

are the important<br />

aspects <strong>of</strong> active<br />

grieving; along<br />

with being fully<br />

engaged as we<br />

grieve and as we<br />

move in and out<br />

<strong>of</strong> our grief on an<br />

emotional level<br />

as well as a physical, spiritual,<br />

intellectual, and behavioral level.<br />

The process <strong>of</strong> adjusting to loss<br />

and learning to integrate our loss<br />

into our daily life is on-going and<br />

will continue until the day we die.


Bereavement Support • Spring 2008<br />

Untitled<br />

by Maureen J. McCardel*<br />

I have loved you in the darkness <strong>of</strong> the dawn<br />

In the fleeting shadows <strong>of</strong> daybreak<br />

I have loved you in the brightness <strong>of</strong> twilight<br />

In the lingering rays <strong>of</strong> nightfall<br />

I have loved you in the dryness <strong>of</strong> the rain<br />

When the raindrops stir the dust<br />

I have love you in the moisture <strong>of</strong> the sunshine<br />

That hangs heavy in the air <strong>of</strong> summer<br />

I have loved you in the warmth <strong>of</strong> the winter<br />

And the falling leaves <strong>of</strong> spring<br />

I have loved you in the overcrowded loneliness<br />

And deep in the solitary crowd<br />

I have loved you amidst the contradictions<br />

Despite the naysayers and optimists<br />

And you have lived in my heart in death<br />

And I die in living without you<br />

Crazy<br />

by Maureen J. McCardel*<br />

In the crazy hours I can hear your voice<br />

And smell your smell<br />

And feel your touch<br />

In the crazy hours you are near<br />

You love me still<br />

My fears are hushed<br />

In the crazy hours you never left<br />

I can see your laugh<br />

I taste your smile<br />

In the crazy hours I’m right as rain<br />

And happy too<br />

For a little while<br />

But the crazy hours, they fade away<br />

The truth sets in<br />

I feel the pain<br />

And I grieve sanely till the crazy comes<br />

To save my soul<br />

Once again<br />

*Editor’s Note: Maureen McCardel is a resident <strong>of</strong> Akron who has been helped by Hospice <strong>of</strong> VNS’ Center<br />

for Loss and Hope. She gave permission to share these poems with Bereavement Support readers.<br />

Bereavement Support<br />

Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong><br />

Can You<br />

Help<br />

Bereavement Support is a community newsletter<br />

published by the Communications Department <strong>of</strong><br />

Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong>,<br />

#1 Home Care Place, Akron, OH 44320,<br />

330-745-1601, 800-362-0031, www.vnsa.com<br />

© 2008 Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong><br />

<strong>Service</strong>. All rights reserved.<br />

President, Karen L. Talbott<br />

Bereavement Coordinator, Rochelle Sheppard,<br />

MA, LPCC-S, GC-C, CT<br />

Editor, Kelly Ward-Smith, Communications<br />

Specialist<br />

As a nonpr<strong>of</strong>it organization, Hospice and Palliative<br />

Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong> relies on the<br />

community to support the development <strong>of</strong> new<br />

patient care programs and the delivery <strong>of</strong> hospice<br />

care to those who are unable to pay for their care.<br />

Gifts to Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong><br />

<strong>Service</strong> can be made in a number <strong>of</strong> ways. For more<br />

information, contact the Development Office at<br />

800-335-1455.<br />

For more information about our bereavement<br />

support services, or about hospice care, call your<br />

local Hospice and Palliative Care <strong>of</strong> VNS <strong>of</strong>fice:<br />

Summit and Medina 330-665-1455<br />

Portage 330-677-4666<br />

Stark 330-834-3484<br />

Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong><br />

is a nonpr<strong>of</strong>it, Medicare-certified agency, and is a<br />

member <strong>of</strong> the National Hospice and Palliative Care<br />

Organization and the Ohio Hospice Organization.<br />

You have the right to request that we not send<br />

you any future fund raising materials, and we will<br />

use our best efforts to honor such request. You<br />

may make the request by sending your name and<br />

address to Hospice <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong>, Attn:<br />

Development Office, at 3358 Ridgewood Road,<br />

Akron, OH 44333, together with your request to be<br />

removed from our fund raising mailing and contact<br />

lists.<br />

Page 3<br />

Yes, I would like to help make<br />

bereavement services available for<br />

grieving adults and children in our<br />

community.<br />

My Name:____________________________<br />

Address:_____________________________<br />

City: _____________ State:____ Zip:______<br />

Accept my tax-deductible gift <strong>of</strong>:<br />

p $25 p $50 p $100<br />

p $250 p $500 p $______<br />

Please return this coupon with your<br />

check to:<br />

Hospice <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong><br />

3358 Ridgewood Road<br />

Akron, Ohio 44333<br />

Thank you!


Calendar <strong>of</strong> <strong>Grief</strong> Support<br />

Hospice & Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong> provides<br />

bereavement support programs in group settings for those in our<br />

community who have experienced a loss. There is no cost for these<br />

programs. If you would prefer to talk with someone individually,<br />

please call for an appointment. Evening appointments are possible.<br />

All sessions meet at the Hospice <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong> Justin T.<br />

Rogers Care Center, 3358 Ridgewood Road, Akron, unless otherwise<br />

noted. Some support groups/programs require registration.<br />

For more information, to register, or to schedule an individual<br />

appointment, please call 330-668-4662 or 800-335-1455, Ext. 4662.<br />

TRUSTED SHARING SUPPORT GROUP SERIES<br />

An eight-week series for adults who wish to learn what<br />

they might experience during the grieving process. Group<br />

members share their stories, emotions, victories and hopes.<br />

Group members can expect to receive loving support from<br />

group leaders, information on the grieving process, and tools<br />

for handling the normal grief response. The next series will be<br />

held for 8 weeks beginning on Thursday, September 4 from 2 - 4<br />

p.m. or 6:30 - 8:30 p.m.<br />

HEALING JOURNEY SUPPORT GROUP<br />

A six-week series focusing on rebuilding life and incorporating<br />

hope after the death <strong>of</strong> a loved one. Group members will<br />

help normalize the grief experience through camaraderie<br />

On a regular basis we update our mailing list. Each month we take <strong>of</strong>f<br />

persons who have been on the mailing list for two years. If you have been<br />

receiving the Hospice and Palliative Care <strong>of</strong> <strong>Visiting</strong> <strong>Nurse</strong> <strong>Service</strong> Center for<br />

Loss & Hope mailings since April 2006, you will be taken <strong>of</strong>f this year.<br />

with each other, the sharing <strong>of</strong> feelings/stories, support and<br />

providing an incentive to make new friends and develop<br />

new interests as soon as they are able. The next series will be<br />

held for 8 weeks beginning on Tuesday, July 8 from 2 - 4 p.m. or<br />

6:30 - 8:30 p.m.<br />

MOVING ON SUPPORT GROUP<br />

This once a month series focuses on supporting those<br />

who are moving along the journey <strong>of</strong> grief and are now<br />

beginning to incorporate new behaviors in their lives as<br />

they attempt to create their “new normal.” Group meets the<br />

second Wednesday <strong>of</strong> each month at 2 - 3:30 p.m. or<br />

6 - 7:30 p.m.<br />

MOVING ON FAMILY SUPPORT SERIES<br />

A six-week program for adults with children under 18<br />

years <strong>of</strong> age. The focus <strong>of</strong> this support series is to address<br />

communication challenges, family identity, and to help<br />

focus on the actual loss for each family member. A certified<br />

sandtray therapist works with the children to help them<br />

express memories and feelings tied to the loss. Call for dates<br />

<strong>of</strong> the next series.<br />

INDIVIDUAL GRIEF COUNSELING<br />

One-on-one grief counseling is an option for individuals<br />

who either need more privacy in expressing their reaction<br />

to loss or who are unable to attend group meetings. Call for<br />

more information.<br />

If you wish to continue to receive these mailings, please call and let us<br />

know. We will be glad to keep you on the list. Please notify us at<br />

330-665-1455 or 1-800-335-1455.<br />

HOSPICE AND PALLIATIVE CARE OF VISITING NURSE SERVICE<br />

CENTER FOR LOSS AND HOPE<br />

3358 RIDGEWOOD ROAD<br />

AKRON OH 44333-3118<br />

NONPROFIT ORG.<br />

US POSTAGE<br />

PAID<br />

AKRON OH<br />

PERMIT NO 762

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