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Grief: Helping older adults with grief

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By Jeannette Curtis

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Introduction

Key points

  • Older adults often have many major losses within a short period of time. For example, older adults who lose their spouses may suffer many losses, including financial security, their best friend, and their social contacts.
  • The natural aging process brings many losses, such as loss of beauty and physical strength.
  • Older adults may seem to overreact to a minor loss. What is considered a minor loss may bring memories and feelings about a previous greater loss.

 What is different about older adults who are grieving?
 Why does an older adult who is grieving need help?
 How can I help an older adult who is grieving?
 Where to go from here

More information about the grieving process:

Return to topic:

What is different about older adults who are grieving?

Older adults express their grief in the same ways as younger and middle-aged adults. However, because of their age and other life circumstances, older adults may:

  • Experience several losses within a short period of time. Older adults are more likely than other adults to lose more than one friend or family member within a short period of time. This can cause them to grieve the losses at the same time or grieve over a long period of time. It may also cause them to feel overwhelmed, numb, or have a hard time expressing their grief.
  • Not be aware that they are grieving. Older adults experience losses related to aging. They may need to give up roles within their family. They may lose physical strength and stamina. They may feel sad and experience other signs of grieving without knowing that they are grieving.
  • Be unwilling to tell other people that they are grieving. They may also be unwilling to tell other people how sad they feel when they see or care for older loved ones who are ill or aging.
  • Have long-term illnesses, including physical and mental disabilities, that interfere with their ability to grieve.
  • Lack the support system they once had. Older adults who depended on their spouses or other family members for social contact may lack a support system after their spouses die or other family members move away or die. These older adults may feel lonely and think that they have no one to confide in.

Test Your Knowledge

  1. Older adults express their grief in the same ways as other adults.
    1. True
      close

      The answer is correct

      Older adults express their grief in the same ways as other adults. However, they may experience several losses at the same time.

      close
    2. False
      close

      The answer is incorrect

      Older adults express their grief in the same ways as other adults. However, they may experience several losses at the same time.

      close
  2. Older adults are very willing to tell other people that they are grieving.
    1. True
      close

      The answer is incorrect

      Older adults may not be very willing to tell other people that they are grieving. They may not tell others that they are grieving losses related to aging. And they may be unwilling to tell other people how sad they feel when they see or care for older loved ones who are ill or aging.

      close
    2. False
      close

      The answer is correct

      Older adults may not be very willing to tell other people that they are grieving. They may not tell others that they are grieving losses related to aging. And they may be unwilling to tell other people how sad they feel when they see or care for older loved ones who are ill or aging.

      close

Continue to Why does an older adult who is grieving need help?
Return to Grief: Helping older adults with grief

Why does an older adult who is grieving need help?

Older adults are more likely to become physically ill after experiencing a major loss. They may already have long-term physical illnesses or other conditions that interfere with their ability to grieve. The symptoms of these illnesses may become worse when they are grieving.

Some older adults may develop unresolved grief or complications associated with grieving. This may occur more often in older adults because they are more likely to experience:

  • Many major losses within a short period of time.
  • The death of their friends, including their spouses. Older adults who lose their spouses may suffer many losses, including financial security, their best friend, and their social contacts.
  • Losses that occur as a part of the natural aging process, such as loss of beauty and physical strength.
  • Loss of their independence or the development of illness and other conditions that are common in older adults.
  • Anticipation of losing someone or something special to them.

In addition, some older adults need more time than other people to adjust to change. Adjusting to change may be hard for them and cause them added emotional stress.

Test Your Knowledge

  1. Older adults have a lot of experience with loss, so they grieve less than other adults.
    1. True
      close

      The answer is incorrect

      Older adults have a lot of experience with loss, but they do not grieve less than other adults. Older adults are more likely to develop unresolved grief or other conditions associated with grieving than other adults.

      close
    2. False
      close

      The answer is correct

      Older adults have a lot of experience with loss, but they do not grieve less than other adults. Older adults are more likely to develop unresolved grief or other conditions associated with grieving than other adults.

      close
  2. Older adults often become physically ill after a major loss.
    1. True
      close

      The answer is correct

      Older adults have a lot of experience with loss, but they do not grieve less than other adults. Older adults are more likely to become physically ill after a major loss.

      close
    2. False
      close

      The answer is incorrect

      Older adults have a lot of experience with loss, but they do not grieve less than other adults. Older adults are more likely to become physically ill after a major loss.

      close

Continue to How can I help an older adult who is grieving?
Return to Grief: Helping older adults with grief

How can I help an older adult who is grieving?

Ways you can help an older adult who is grieving include:

  • Giving the person time. Sometimes older adults need more time to become aware of their feelings and express them. Sometimes they need more time to complete other activities as well. Giving an older person extra time shows that you are concerned and respectful of the person's needs.
  • Pointing out signs of sadness or changes in behavior. This may help the person become aware of his or her feelings and may help the person feel more comfortable talking with you about how he or she feels.
  • Spending time with the person. An older adult who often seems to be alone can benefit from your company. Invite him or her to go for a walk or have a cup of coffee. Feelings of loneliness may last for a long time when an older adult has lost something or someone special, especially a spouse.
  • Talking about the loss. Ask the person to talk about his or her loss. Older people, especially those who have experienced several losses over a short period of time, are often helped by sharing memories of the lost person.
  • Watching for signs of prolonged grieving or depression. If you have concerns that an older adult is having difficulty working through his or her grieving, talk with a health professional.

Older adults often have more than one loss to deal with at a time. Talking about each separate loss may help identify the person's feelings. Separating losses from one another may also help the person feel less overwhelmed and more able to cope with emotional distress.

Test Your Knowledge

  1. I can help an older adult who is grieving by:
    1. Telling the person that feelings are not important and that he or she should just think about something else.
      close

      The answer is incorrect

      You cannot help an older adult who is grieving by telling the person that feelings are not important and that he or she should just think about something else. Asking the person to talk about his or her loss often helps the person who is grieving. Older people, especially those who have experienced several losses over a short period of time, are often helped when they share memories of the lost person. The correct answer is b.

      close
    2. Asking the person to tell me about the loss (person, object, or situation).
      close

      The answer is correct

      You can help an older adult who is grieving by asking the person to tell you about the loss (person, object, or situation). Older people, especially those who have experienced several losses over a short period of time, are often helped when they share memories of the lost person.

      close
    3. Reminding the person that we all get old.
      close

      The answer is incorrect

      You cannot help an older adult who is grieving by reminding the person that we all get old. Asking the person to talk about his or her loss often helps the person who is grieving. Older people, especially those who have experienced several losses over a short period of time, are often helped when they share memories of the lost person. The correct answer is b.

      close
    4. Making the person stay very busy.
      close

      The answer is incorrect

      You cannot help an older adult who is grieving by making the person stay very busy. Asking the person to talk about his or her loss often helps the person who is grieving. Older people, especially those who have experienced several losses over a short period of time, are often helped when they share memories of the lost person. The correct answer is b.

      close

Continue to Where to go from here
Return to Grief: Helping older adults with grief

Where to go from here

Now that you have read this information, you are ready to help an older adult who is grieving.

Talk with a health professional

If you have questions about this information, take it with you when you visit your health professional. You may want to use a highlighter to mark areas or make notes in the margins of the pages where you have questions.

If you would like more information on helping an older adult who is grieving, the following resources are available:

Organizations

National Hospice and Palliative Care Organization
1700 Diagonal Road
Suite 625
Alexandria, VA  22314
Phone: 1-800-658-8898
(703) 837-1500
Fax: (703) 837-1233
E-mail: nhpco_info@nhpco.org
Web Address: www.nhpco.org
 

The U.S. National Hospice and Palliative Care Organization (NHPCO) offers information on local hospice and palliative care programs across America. NHPCO is committed to improving end-of-life care and expanding access to hospice care with the goal of improving quality of life for dying people and their loved ones.


Hospice Association of America
228 Seventh Street SE
Washington, DC  20003
Phone: (202) 546-4759
Fax: (202) 547-9559
Web Address: www.nahc.org/haa
 

The Hospice Association of America (HAA) seeks to heighten the public visibility of hospice services. HHA offers a number of helpful, practical publications for people who are considering hospice, including consumer guides, fact sheets, historical perspectives, and other background information. The Web site offers information from the legislative, regulatory, research, legal, and public relations departments, including "Hospice Facts and Statistics."



Support Group

AARP (Association for the Advancement of Retired People) Grief and Loss
601 E Street NW
Washington, DC  20049
Phone: 1-888-687-2277
Web Address: www.aarp.org/families/grief_loss
 

AARP is a national organization founded in 1973 to promote quality of life for older people. The Web site on grief and loss includes community resources offering support to people grieving the death of a loved one. The Web site also has information on coping with the loss of a loved one and making plans such as funeral arrangements and financial decisions after a person's death.



Return to Grief: Helping older adults with grief

Credits

Author Jeannette Curtis
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Sidney Zisook, MD - Psychiatry
Last Updated November 12, 2007
Last Updated: 11/12/2007

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