External adjustments are the actual physical things that you have to do now that the death has happened that you didn't have to do before.At first you are confronted the horrifying truth of that the death has occurred and in if that wasn't cruel enough, now you have to go and do a lot of shit. If you are the parent, spouse, or adult sibling you will be making a lot of decisions and plans. This includes things like calling the ambulance; going down to the hospital; calling the funeral home; writing the obituary, choosing a casket; discussing with family members how to carry the wishes of the person who died; burial or cremation arrangements; memorial service or funeral including and who will do what and speak etc.), delivering the eulogy, dealing with the insurance company and the bank, getting the will and the estate taken care of. This would all be a nightmare if you had boundless energy, but Jesus, you are in THE WORST PAIN OF YOUR LIFE.