title: Loss, grief, mourning: what to do.
abstract: Physicians should be familiar with the stages of grief, so that they can assist patients who are grieving. There are two interventions which the physician can use to help the grieving patient. The `seemingly simple' intervention is for patients who have reserves for adapting to change. The physician should reassure them that their feelings are legitimate and perhaps encourage them to cry and to reminisce. More extensive intervention is needed for patients with few reserves and resources. There are certain warning signs that a patient is finding it difficult to work through the process of grieving. These include no apparent emotional reaction to the loss, noticeable weight loss and malnutrition, grossly inappropriate dress, extreme changes in appearance, substance abuse, and lost work time that jeopardizes the patient's job. The physician can help by answering questions about the loss, interpreting medical terminology, and giving specific advice to help ensure the patient remains physically and mentally healthy.
authors.forename: M K
authors.initials: MK
authors.lastname: Laurence
authors.forename: R C
authors.initials: RC
authors.lastname: Weikart