Nechama Comfort Presentation

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    NechamahComfortCongregation Rinat Yisrael

    May 5th, 2013

    2013 Nechamah Comfort, Inc.

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    Topics

    What is infancy/pregnancy loss?

    Understanding the grief

    Phases of bereavement

    The Jewish view

    Family and community response

    Nechamah

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    What is Infancy/Pregnancy Loss?

    Perinatal loss includes:

    Miscarriage

    Ectopic pregnancy

    Medical interruption

    Stillbirth

    Newborn death

    Twin or high order birth loss

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    Understanding the Grief4

    Grief is experienced in relation to the significance ofattachment. Pregnancy involves many levels ofattachment:

    Planning the pregnancy

    Confirming the pregnancy

    Accepting the pregnancy

    Feeling fetal movements

    Accepting the fetus as an individual

    Giving birth

    Hearing seeing and touching the baby

    Caring for the infant

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    Understanding the Grief (cont)5

    Infant/Pregnancy loss is different from other losses:

    The loss is usually sudden and unexpected

    The way our culture expects us to handle the loss

    When we lose older family member or friends, we haveconcrete memories and mementos of their lives

    With infancy/pregnancy loss, we have unfulfilled dreams,hopes, and what ifs

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    Understanding the Grief (cont)6

    Things you may experience or notice in othersexperiencing grief:

    Physical signs fatigue, lost or increased appetite, sleepproblems, headaches, restlessness

    Emotional denial, guilt, anger, depression, sadness, sense offailure

    Social withdrawal from normal activity, isolation

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    Phases of Bereavement7

    Four phases of bereavement:

    1. Shock and numbness

    2. Searching and yearning

    3. Disorientation

    4. Reorganization and resolution

    The stages dont necessarily happen in order

    Not everyone experiences all stages Everyone experiences bereavement on their own

    timeline

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    Phases of Bereavement (cont)8

    Four tasks of mourning:

    1. Accept the reality of the loss

    2.Work through the pain of grief

    3.Adjust to an environment without the baby

    4.Find a place for the babys memory and move on with life

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    The Jewish View9

    Spiritual effects that may result from a loss:

    questioning of your core beliefs

    searching for the meaning of the loss

    changing the level of your involvement in religious life

    anger with God

    longing for a sense of connectedness and community, or

    distancing oneself from the community

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    The Jewish View (cont)10

    Guidelines for infancy/pregnancy loss differ amongRabbis and communities.

    Things to consider in any Jewish loss situation: hospital remembrances

    naming preparation and burial

    shiva

    memory objects

    yahrtzeit -memorial

    yizkor

    It is very important to consider the parents feelings inthese matters and present all options to them

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    Family and Community Response11

    Each family member deals with this grief in theirown way

    Family dynamics determine the way each family

    member responds Extended family may not be able be support the

    parents as fully as the parents would wish

    Because there is typically no formal shiva, many

    members of the community have not known how toreact to the grieving family

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    Family and Community Response (cont)12

    When your friend or family member is grieving,dont: dominate conversations

    use clichs: I know how you feel, at least you have other

    children, you can always have another, at least you reallydidnt know your baby, this only happens to people who canhandle it, its a test from God and God only tests people Heloves, youll see the baby when Mashiach comes

    passjudgment: you should be feeling better by now

    avoid the couple because you are personally uncomfortable change the subject if they want to talk about the baby

    give legal or medical advice, or suggest they had bad care

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    Family and Community Response (cont)13

    When your friend or family member is grieving, do:

    reach out to them and acknowledge their loss

    talk with mothers and fathers, siblings, and grandparents

    allow them to express their feelings without passing judgment

    Refer to the baby by name if they have named the baby

    contact them when you say you will

    understand if theydont come to your significant life events

    ask about the funeral if there was one

    Allow for silence

    remember they may grieve at significant milestones

    be genuine and caring

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    Family and Community Response (cont)14

    Take cues from the family as to how members of thecommunity should react:

    visitors vs. privacy

    providing meals

    help with other children

    It is helpful if the community has a trained facilitator to dealwith families for example, the Rabbi or Rebbetzin, a localsocial worker, or someone experienced with loss

    Remember it is never too late to express yourfeelings to a family about the loss of their baby

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    Nechamah15

    Nechamah is a non-profit organization dedicated tohelping those who have experienced infant andpregnancy loss at any time in their lives. services to family members, clergy, members of the community, and

    medical personnel immediate attention at the time of the loss to answer questions and

    offer support

    individual counseling

    support groups

    Jewish community awareness

    guidance available to Rabbis and Rebbitzens

    help in developing support groups in other communities and Israel

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    Questions?16

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    THANK YOU!17

    Visit the Nechamah website at:

    www.nechamahcomfort.org

    To contact Reva Judas:

    phone: 201 692 9302 email: [email protected]

    Please help by making a donation toNechamah Inc.

    All donations are 100% tax deductible. Donations can be mailed to:

    642 Maitland Ave., Teaneck, NJ 07666