Guilt: a crisis within a crisis.

Abstract

Resolution of the crisis created by a catastrophic neurologic event can be obstructed by the patient's or family's feelings of guilt. This article describes the stages of guilt and manifestations that can be assessed by the nurse. The need for the nurse to assess personal values and responses is discussed. Barriers that may exist in the nurse/patient/family situation and hinder guilt resolution are also listed along with specific interventions to resolve guilt--the crisis within a crisis. Two case studies are included to demonstrate nurse and family interaction in a guilt crisis.