No abstract

It is crucial for palliative care teams to evaluate practices in assessing the risk of developing complicated grief among family members and caregivers of patients. A retrospective chart review of 99 patients seen by an inpatient palliative care team at an academic medical center was conducted to assess for documentation and prevalence of complicated grief risk factors. Factors included patients whose family are their primary caregiver, involvement of young children, mental health or substance use diagnoses in patients or their family members, a history of multiple losses, traumatic or sudden death. 64% of charts did not formally document bereavement assessment while 45% of families exhibited at least one risk factor for prolonged grief. This work suggests the need for increased education for PC providers on grief risk factors as well as the implementation of a formal screening assessment in order to best utilize limited psychosocial support resources to address needs.

Although a number of social-cognitive and contextual correlates of defending against bullying have been identified, research on the personality traits associated with defending have yielded weak and inconsistent results. The current study provided a novel examination as to whether a tendency toward social withdrawal is associated with less frequent defending and whether perceived injunctive norms for defending and aggression minimize the impact of social withdrawal on defending behaviors. A sample of 1,564 children (760 girls; M age = 10.05; 55.0% White; 36.1% Black) were followed in the fall, winter, and spring of a school year. Defending was measured with self-reports and peer-reports. Social withdrawal was measured using teacher-reports. Perceived injunctive norms were estimated by calculating within-person correlations between participants' ratings of peers' popularity and defending and between peers' popularity and aggression. Results revealed that social withdrawal was associated with less peer-reported defending in the fall, and this effect was sustained over the school year. For boys, lower levels of social withdrawal in the fall were associated with less peer-reported defending when they viewed popular peers as unlikely to defend. A temporary (i.e., fall) association was found between viewing defenders as popular and self-reported defending, and children became less likely to self-report defending over the school year if they viewed popular children as aggressive. These findings underscore the need to examine how temperamental traits and perceived contextual norms cocontribute to bystanders' behavior when witnessing bullying.