# Reflect: The Concept of Grief and Loss Josie Duncan is a 32-year-old African American woman whose...

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Reflect: The Concept of Grief and Loss Josie Duncan is a 32-year-old African American woman whose 7-year-old daughter, Tasha, died 3 months ago after fighting leukemia. Mrs. Duncan took a week off from work after her daughter died and then returned to her job. She visits her primary care physician's office complaining of difficulty falling asleep over the past 2 weeks. After checking her vital signs, weight, and temperature, you notice that Mrs. Duncan has lost 15 pounds since her last visit 6 months ago. Her blood pressure and temperature are both normal. You observe that she looks exhausted and has deep circles under her eyes; the clothes she is wearing are at least a size too large. She also seems to be very distracted. Question 1 Why might Mrs. Duncan be having trouble sleeping? Question 2 What are some factors that influence an individual's grief response? Question 3 What additional questions would you want to ask Mrs. Duncan? Why?

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