Showing posts with label Grief in the NICU. Show all posts
Showing posts with label Grief in the NICU. Show all posts

Thursday, May 7, 2009

The Forgotten NICU Grievers: Fathers, Siblings & Gransparents

Whenever a newborn gets admitted to the NICU, many people are affected by the unexpected admission. The baby's parents are often the first people who come to mind, Mom and then Dad, but there are other people impacted as well and may be feeling the many NICU losses.

Other family members that need to be considered are the siblings and grandparents of the NICU baby. Fathers, siblings and grandparents are often the Forgotten NICU Grievers, those feeling the impact of the NICU admission as well as the mother, but often overlooked.

Most of the literature looks at Forgotten Grievers as the fathers, siblings and grandparents when a death occurs. I am looking at Forgotten NICU grievers as the fathers, siblings and grandparents who are grieving the many losses that occur with a NICU admission.

Fathers
Because of the way that men are raised and socialized in our society, men are taught that they need to be strong, to be the "rock" for the family, to attend to practical matters, but not show any emotion and not grieve losses.

NICU Fathers may be left wondering...

When is it my turn to cry? I'm not sure society or my upbringing will allow me a time to really cry, unafraid of the reaction and repercussion that might follow. I must be strong, I must support my wife because I am a man. I must be the cornerstone of our family because society says so, my family says so, and, until I can reverse my learned nature, I say so.
It is easy to see how fathers' grieving losses, like a NICU admission, may regard themselves as "forgotten NICU grievers" or "second class grievers." Friends and family may readily acknowledge that the mother is grieving the loss, but figure that the father is handling it, so not acknowledge that he is grieving as well.

Siblings
Siblings need to be considered, because their schedules have been disrupted. Older brothers and sisters may be sent to stay with grandparents, aunts or uncles, while their parent or parents are in the NICU tending to the baby.

Children can grieve a change in schedule and may have difficulty adjusting to a baby in the NICU. We were fortunate with our oldest in that she did not act out that much during our NICU Adventure. She had been looking forward to having the baby, so was upset when the new baby didn't get to come home right away.

As our youngest started getting better, we were able to take our older daughter to the hospital with us, which made it much easier to deal with the situation.

The main issue in our case was that, try as I might, I was unable to find a book that was appropriate for having a baby in the NICU who wasn't a preemie and would be coming home soon. The book resources at the time focused on premature babies only and babies who were dying or died in the NICU.

Grandparents

Grandparents are very frequently overlooked as forgotten grievers, when a baby gets admitted to the NICU. They are also in the unique position of "doubly grieving" or experiencing "double pain" with a NICU admission. Not only do Grandparents have to manage the pain of a grandchild being in the NICU, they also have to manage the pain of watching their adult child grieving his or her own losses, when that child gets admitted to the NICU.

Grandparents are "forgotten grievers", often not considered part of the immediate grieving family.

I was amazed by how much my daughter's NICU admission impacted my own father. He continued for many years after her hospitalization recounting and remembering how lucky we were that everything had worked out as well as it did. It may have been more difficult for my father than my mother when my youngest was in the NICU, because he did not visit her while she was in the NICU.

Helping the Forgotten NICU Grievers
Key to helping the forgotten NICU grievers is to consider all of the members that may be impacted by a NICU admission parents, siblings, grandparents and even extended family like cousins, aunts an uncles.

Finding ways to get the other family members involved can be helpful. They might be able to run errands, watch siblings, answer phone calls from friends, set up a website like CarePages or Caring Bridge to keep everyone informed.

Resources

Dyer KA. 2007. For Those Who Hold the Littlest Hands. NICU Parents Support.

More about Forgotten Grievers
National SIDS Resource Center 1997. Fathers -- The Forgotten Grievers. The SIDS Network of Kansas, Inc.
AtHealth.com 1997. The Death Of A Child - The Grief Of The Parents: A Lifetime Journey. National SIDS Resource Center.
Heavilin M. Siblings, The Forgotten Grievers. Redlands Chapter of the Compassionate Friends.
O'Grady T. 2009. The forgotten grievers. Comments. Tribune.ie
O'Grady T. 2009. Forgotten grievers: an exploration of the grief experiences of grandparents. Letters to the Editor. Offal Express.

Images: Horton Group. Meeting the New Baby. Royalty Free Use.
Pierre Amerlynck. Old Couple. Royalty Free Use.

Monday, April 27, 2009

Grieving for Babies - Grieving for NICU Babies

Grieving for Babies is an online web resource that provides guidance for grieving families and NICU providers.

Developed and produced by
by DIA Productions in collaboration with SHARE Pregnancy & Infant Loss Support, Washington University School of Medicine, St. Louis Children's Hospital and Stepstone Productions, Grieving for Babies offers resources for parents and professionals.

Programs from Grieving for Babies
Grieving in the NICU: Mending Broken Hearts When a Baby Dies - For Families This program is directed towards the needs of grieving family members. The DVD includes a 70-minute chaptered video addressing topics of the initial shock and intense grief, carrying on with life, the grief of siblings and grandparents, and the role of chaplains throughout the bereavement process.

Grieving in the NICU: Supporting Families and the Health Team When a Baby Dies - For Providers
This program is designed to help health care professionals play an integral part in the lives of parents faced with the death of a baby.

I am signed up to take the Grieving in the NICU Supporting Families and the Health Team for continuing education units. I will keep you posted as to the results of taking the course.

For More on Grieving for Babies see their website.

Wednesday, April 1, 2009

Grief in the NICU - A New Presentation

Yesterday I had the privileged of presenting the following teleconference as part of the "Managing the Spectrum of Maternal Mental Health Issues from Conception through the Neonatal Experience" at the HHC Perinatal Conference held at Jacobi Medical Center.

I was told that more than 200 Neonatal Providers were present from 11 NICU hospitals.

Being able to give this presentation was particularly fitting because 7 years ago on the 31st was the day that my youngest was transferred to the level IV ICN.

Knowing that I had the ears of NICU personnel from 11 hospitals helps to complete a circle for me...taking our experiences and teaching about them to NICU personnel.

Saturday, October 11, 2008

From the Heart of a Parent - Bereavement Photography for Grieving NICU Parents

A very special group of volunteer photographers help provide a priceless gift to grieving NICU parents, that of documenting their baby's brief life through something called Bereavement Photography.

In this video clip bereaved parents share their experiences with infant loss and with benefiting from the donated services of the
NILMDTS (Now I Lay Me Down to Sleep) remembrance photographers.




About Now I Lay Me Down to Sleep Foundation
The Now I Lay Me Down to Sleep Foundation (NILMDTS) administers a network of almost 7,000 volunteer photographers in the United States and twenty-five countries. At a family's request, a NILMDTS Affiliated Photographer will come to your hospital or hospice location and conduct a sensitive and private portrait session.

The portraits are then professionally retouched and presented to the families on an archival DVD or CD that can be used to print portraits of their cherished baby.

More:

Dyer K. 2008. Now I Lay Me Down to Sleep (Bereavement Photography) on NBC's Today Show
. NICU Parent Support Blog.
Dyer K. 2007-8. Bereavement Photography
. Squidoo.com

Friday, August 24, 2007

Creatively Coping: Fabric Keepsake Memory Envelope

Newborns in Need, an charity organization that serves the needs of newborns and Laurie Anderson of Southern Stitches and offer another beautiful, healing idea for NICU Parents who have lost a newborn.

Fabric Memory Envelopes are keepsakes given to the grieving family after the loss of their baby.

These keepsake envelope, lovingly stitched by generous hearts gives the family something they will always have as a part of their baby.

Smaller Memory Envelopes are used with to hold all of the precious keepsakes that the mother and baby received while in the hospital.

The version used by the Columbia Chapter of Threads of Love includes a Recognition of Life Certificate where a picture of the baby can be included if desired. A special prayer is included for the family on the certificate.

With larger Memory Envelopes NICU staff can tuck inside the clothing that the baby had worn, the memory blanket the mother had held the baby in, a photograph of the baby, the birth certificate or even a lock of the baby’s hair.

A Fabric Memory Envelope is a heart-felt way to help Grieving NICU Parents cope with the loss of a child. Creative family and friends may want to craft their own special Keepsake Envelopes as a memorable gift to a bereaved NICU parent.

Note:
The Southern Stitches preemie patterns are to be used only for charity sewing for preemies, no sales are allowed.
The designs and instructions themselves are copyrighted and all rights remain with Laurie Anderson/Southern Stitches.

The Newborns in Need Sewing patterns have been provided by Newborns in Need volunteers. While you may use them for charitable purposes, please respect copyright laws and do not sell these patterns or items made from these patterns. They are intended to be made and given free of charge to needy babies and their families.

Remember these designs are for charity use only. No sales are allowed.

Pattern Sources:
Anderson L. Fabric Memory Envelope. Threads of Love. Southern Stitches.
Recognition of Life Certificate. Threads of Love. Columbia, TN Chapter.
Eldridge P. Memory Envelope Version 1. Newborns in Need.
Thor R. Memory Envelope Version 2. Newborns in Need.
Vanspeybroeck A. Memory Envelope Version 3. Newborns in Need.