Transitions in dying and bereavement : a psychosocial guide for hospice and palliative care / by Victoria Hospice Society and Moira Cairns, Marney Thompson, Wendy Wainwright.

Main Author: Cairns, Moira.
Corporate Author: Victoria Hospice Society.
Other Authors: Thompson, Marney., Wainwright, Wendy.
Published: Baltimore : Health Professions Press, c2003.
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Find the words--and the deeds--to meet the psychosocial needs of chronically ill and dying people, their families, and caregivers in this first-ever strengths-based, step-by-step guide through the labyrinthine process from diagnosis to death to bereavement. Transitions in Dying and Bereavement puts a human face on a difficult yet unavoidable topic. This book comprehensively and compassionately covers the key transitions that dying people and their families face and the most effective interventions to facilitate the transitions. Employing their many years of experience in hospice and palliative care, this team of counselors and other health care professionals provides: clear explanations of current theory and research related to hospice, palliative, and bereavement care ways to help alleviate anxiety, fear, fatigue, and feelings of denial and powerlessness ways to improve communication about the experience of dying help in planning for death the Palliative Performance Scale, a functional assessment tool sensitive explanations on navigating the three phases of grief perspectives on difficult issues such as body image, sexuality, and intimacy multicultural and interdenominational perspectives on death and dying ways to support staff and much more Activities, exercises, case studies, personal essays, poetry, and illustrations are liberally and strategically located throughout the text, forming the perfect in-service, classroom, or professional development tool for nurses, physicians, counselors, social workers, allied health professionals, volunteers, and others who work with people traversing the end-of-life experience.

Table of Contents

About the Authors

p. vii


p. ix


p. xi

Introduction: Signposts: Principles, Values, and Assumptions

p. 1

Perspective: Support for the Hospice Palliative Care Team

p. 13

1Establishing the Framework: Integration of Psychosocial and Palliative Care

p. 23

Perspective: The Role of Counselors in Hospice and Palliative Care

p. 39

2Beginning the Journey: Early Diagnosis and Treatment

p. 47

Perspective: Psychosocial Assessment

p. 85

3The Path Not Chosen: Recurrence and Chronic Illness

p. 93

Perspective: Family Types and Stages

p. 125

4Entering the Unknown: The Shift Toward Hospice and Palliative Care

p. 135

Perspective: Dying Children and Adolescents

p. 165

5The Long and Winding Road: Illness Predominates

p. 171

Perspective: Alternative Therapies

p. 207

6Watching and Waiting: As Death Approaches

p. 215

Perspective: Body Image, Sex, and Intimacy

p. 247

7The Parting of the Ways: Time of Death

p. 255

Perspective: Working with Emotions

p. 279

8Walking the Edges: When a Death Occurs

p. 287

Perspective: Cultural Competency

p. 321

9Entering the Depths: Adjusting to Loss

p. 329

Perspective: Difficult Grief and Multiple Losses

p. 357

10Reconnecting with the World: Mending the Heart

p. 365

Afterword: The Last Word

p. 389


p. 391