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At some point in our lives, we may experience unexpected and sometimes tragic events. These events can be in the form of loss. Loss of a job, a home, a pet, loss of good health, and the loss or death of someone dear to us. It can also be in the form of divorce or break-ups, transfer from one state to another, graduating from college and being faced with the real world, not having enough support from significant people in your life. It can also be by just being merely away from family and friends that you get to experience extreme sadness.
Dealing with these kinds of losses causes a person to grieve for a while. What is grief? Are we allowed to grieve? Is it normal to grieve? Grief is defined as an extreme sadness or sorrow that a person feels whenever he or she is faced with a loss, especially the death of a loved one. It is normal for a person to grieve when he or she had just experienced a loss. Grief is a healthy part of healing because you get to release all the painful emotions you are going through. Bereavement, on the other hand, is the condition of being in grief, especially when a person is being deprived of a loved one through profound absence, like that of death.
As you may see through the definition of grief and bereavement, both focus on the sorrow that a person feels after a death of a loved one. But let us talk about it in a general way, because as we have stated, there are a lot of events that can cause someone to grieve. Loss can cause you to feel a great wave of emotions, such as anger, shock, disbelief, guilt, and profound sadness. It may also disrupt your normal daily routines, such as eating, taking a shower, having enough exercise, and a lot more activities that you usually do before the loss took place.
The grieving process takes time. Let us take into consideration the stages of grief according to Elisabeth Kubler-Ross. She based these stages while she was observing patients who have terminal illnesses, however, it was soon generalized to other types of negative life changes that a person may go through, including loss. What are these stages and how to deal with each stage healthily?
The first stage is Denial, in this stage, a person denies the loss, he or she is in great disbelief of what is happening or what has occurred. This is the hardest stage because a person will have to, at some point acknowledge the loss and the pain that comes with it. This is the first struggle that a person should overcome. In this stage, support is very important, and validation of the person’s feelings from a significant other, family, or friends, or even a health care provider is essential. It is normal for them to undergo denial. However, acknowledging the feelings of this person can help them to absorb and understand what is happening, and eventually, it can help them empower themselves to accept what happened and overcome the grieving process.
Anger is the second stage of grief, according to Ross. Again, this is a normal feeling. A person may burst his anger and ask “Why is this happening to me?” In this stage, allow the person to cry if he or she must. Allow them to express their anger but at the same time making sure that they are okay and do not predispose themselves to any harm. Some people may also not cry and that is okay because grieving is an individualized process and experience. It is just important that in this stage we allow them to express their anger. Actually, in all stages, it is important to allow them to express their emotions and acknowledge that what they feel is normal. The person, at some point, may also feel guilty about what happened. If this is the case, assure them that nothing that had happened is their fault. Make them realize that after the loss, they are still worthy of good things to come their way.
In this stage, a person coping with loss may feel desperate and willing to do anything just to get back what was lost. When bargaining, a person directs his or her request to a higher power or something bigger than they are, which may be able to give them a different outcome. This may be because a person feels helpless. A person may state “God, please take away this illness and I promise to always be kind!” or “Please don’t let me lose my job, I will be more productive.” So a person tries to bargain what he or she can do in exchange for getting back the things or person they’ve lost. In this stage, again, you have to acknowledge how the person feels. If the loss is inevitable like a death of a loved one, support is important, acknowledge the feeling, but do not acknowledge the person’s request that the loss will eventually come back. It is important that you shift them back to reality and remind them of how life can still be purposeful after the loss.
Yes, according to Ross, depression is part of the grieving process. At this time a person starts to calm down and realize the loss. They start to realize the reality of what is happening and they start to face the situation. Oftentimes, sadness will fill up their emotions because they have come to realize that the loss took place and it is inevitable. At this stage, a person may want to be just alone, and as a health care provider, we have to respect that. We can advise this person’s family and friends to give them space because that will help them to recover. However, making sure that they are free from self-harm, especially committing suicide is essential. It is important that you also talk to the person and advice him or her that it is okay to seek help.
Finally, after all the struggles, the last stage is acceptance. In this stage, a person is now ready to accept what happened and move on with life. At this stage, commend the person and still provide support. Acceptance does not mean that the person forgot the pain of the loss, but rather the person has already faced the reality of the situation and that he or she is ready to embrace new beginnings.
These stages as theorized by Ross may or may not happen to all, a person may reach the acceptance stage without going through bargaining or depression, someone might stay longer in the denial stage than another, because again, grieving process is different for every person. What’s important is we recognize and acknowledge what the person feels and we provide support and shift them to reality if needed. Don’t provide false hopes as this will just exacerbate how they feel when these hopes are not met. Respect each person’s way of grieving. Do not impose a timeline as to how long they should grieve. Do not force them to move on. Advise them that it is okay to seek help when needed and remind them of how worthy they are of all the best things in life.
• An education and certification program for the working professional
• Earn the Vohra Wound Certified Nurse (VWCN™) distinction
• 20 Continuing Nursing Education credits (CNEs)
• Lifetime access to online education modules
• One low price for the leading Wound Care Education Program & Certification
• Access to a professional community of wound physicians, nursing professionals and students
Based on decades of experience, Vohra’s team of specialty wound care physicians developed this practical wound education to help you accelerate your nursing career and deliver better care, regardless of clinical setting. This educational program provides the training needed to properly care for wounds in the geriatric population. Vohra’s physicians know that knowledge, skill and proper training are critical to achieving superior clinical results. We believe every patient, family, nurse, and caregiver can be empowered through education. Hundreds of thousands of people have already benefited from this course and the knowledge we have shared.
The program is offered exclusively online and consists of 11 core modules, 2 bonus modules, individual quizzes, downloadable study guides, and a final exam. The Vohra Wound Care Course is nationally recognized, it is self-paced, and it is the most widely used and least expensive path to wound care certification nationwide.
• Wound Care Certification for facility-based nurses: 13 total modules, 20 ANCC CNE credits,
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• Wound Care Certification for home-based nurses: 11 total modules, 16 ANCC CNE credits,
$450 $400 with PROMO CODE>> Register Now
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The CNE credits earned through the program are approved by the Maryland Nurses Association (MNA) and recognized by the American Nurses Credentialing Center (ANCC). The ANCC accreditation signifies that educational activities approved by MNA meet national standards for quality continuing nursing education. Having said that, please note that the state licensing boards of California and Iowa have some exceptions to their acceptance.
• Registered Nurses (RN)
• Licensed Practical Nurses (LPN)
• Licensed Vocational Nurses (LVN)
• Nurse Practitioners (NP)
• Physician Assistants (PA)
• Certified Nursing Assistants (CNA)
• Doctors (MD/DO)
• Anyone who wants to learn more about wound care!
Note: Allied health professionals including physicians, occupational therapists, physical therapists, and medical assistants are eligilble to take the course and earn the certification. However, the continuing education credits are only offered to nurses, that includes RNs, LPNs, LVNs, ARNPs.
Wound Care is a highly sought-after competency for nurses practicing in long term care facilities and for home health nurses caring for patients in the home. By completing Vohra’s Wound Care Certification Program, participants take a large step toward becoming wound care experts.
Nurses with a Wound Care Certification can assist physicians and also treat wounds directly, improving patient outcomes significantly. Not only do trained wound nurses help improve patient quality of life, they help nursing facilities and home health agencies minimize the risk of citations and infractions for pressure ulcers. Patients under the care of a certified wound nurse rarely need to leave their regular place of treatment to visit wound care centers or hospitals, where such trips often overexert the patient and are expensive for the facility and payor. Additionally, wound training improves patient outcomes and quality of life, and minimizes the need for costly and often traumatic wound treatment in the long-term. For these reasons and countless others, nurses certified in wound care are a valuable asset to any patient care team.
The Vohra Certification Program for Wound Care focuses on a variety of wound care topics including:
• Acute and Chronic Wounds
• Atypical Wounds
• F686 Regulatory Requirements
• Geriatric Skin Conditions
• Infection Control
• Management & Treatment of Vascular Ulcers
• Support Surfaces
• Wound Care Treatment Options
• Wound Healing
• Wound Rounds & Assessment
• Delayed Wound Healing
• Prevention of Re-hospitalizations
Founded in 2000, Vohra Wound Physicians is the largest wound care specialty practice focused exclusively on the post-acute sector, and the premier provider and employer in wound management. The company employs nearly 300 wound physicians, uses innovative, proprietary technologies, and provides improved wound healing to patients across the U.S.
Vohra delivers comprehensive wound care by offering bedside and telemedicine clinical services, wound dressings, education and wound care certification, and predictive, augmented intelligence driven decision tools. The company provides care to hundreds of thousands of patients annually across 30 states and maintains strong partnerships with nearly 3,000 post-acute care facilities. Supported by proprietary technologies and extensive, ongoing physician training, Vohra delivers results including a 21-day improvement in healing time and an 88% reduction in wound-related hospitalizations.
More information about the company and instructors are here: https://cert.vohrawoundcare.com/about-us/