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DEATH, DYING AND BEREAVEMENT: BEREAVEMENT AND PHYSIOTHERAPY - WAYS IN WHICH THE PHYSIOTHERAPIST CAN PROVIDE PRACTICAL HELP IN PROMOTING THE HEALTH OF BEREAVED PEOPLE
There are a number of ways in which the physiotherapist can provide practical help in promoting the health of bereaved people:
1. If sleep is difficult, rest is possible without recourse to a drug-induced sleep. Most physiotherapists have a range of relaxation techniques to offer or they may suggest some commercially produced audio and video tapes.
2. Exercise may be a useful way of encouraging relaxation if it is undertaken sensibly. Walking is probably the best and safest way to maintain cardiovascular fitness. It may also help to enhance the immune system and lift depression.
3. There is no substitute for balanced, wholesome meals and the bereaved person should be encouraged to take care of her diet.
4. A medical check-up for bereaved people is a good idea. The patient should not be labelled a 'hypochondriac' if there are physical signs and symptoms of emotional distress. They are real and should be regarded as such.
5. The physiotherapist should recognize when the patient needs to be referred to a bereavement counselling service. Particular types of death, such as stillbirth, sudden-infant-death-syndrome, suicide, abortion and homicide are usually catered for by specialist counsellors or other helping agencies.
6. Reaching out to another human being will always help to dispel loneliness and isolation.
Professional carers are not immune from grief themselves. Physiotherapists may mourn the loss of a patient they have become attached to and may feel anger, guilt and remorse when such a loss occurs. They, too, need help, understanding and support which sensitive colleagues should be ready to provide.
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General health

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