Psychosocial Manifestations at End of Life

Psychosocial Manifestations at End of Life 150 150 Tony Guo

Psychosocial Manifestations at End of Life

  • Altered decision making
  • Bereavement
  • Anxiety and fear
  • Withdrawal
  • Life review
  • Grief is experienced and mourning occurs
  • Peacefulness
  • Grief is the normal process of reacting to loss
  • Saying goodbyes
  • Dynamic process
  • The period of time following the death of a loved one
  • Includes both psychologic and physiologic responses

Models of Grief

  • Kubler-Ross — Five Stages of Grief

Stage

What Person May Say

Characteristics

Denial

No, not me. It cannot be true.

Denies the loss has taken place and may withdraw. This response may last minutes to months.

Anger

Why me?

May be angry at the person who inflicted the hurt (even after death) or at the world for letting it happen. May be angry with self for letting an event (e.g., car accident) take place, even if nothing could have stopped it.

Bargaining

Yes me, but …

May make bargains with God, asking, “If I do this, will you take away the loss?”

Depression

Yes me, and I am sad.

Feels numb, although anger and sadness may remain underneath

Acceptance

Yes me, but it is okay.

Anger, sadness, and mourning have tapered off. Accepts the reality of the loss

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