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HealthAdvocate

Caregiving

Anticipatory Grief: Preparing for the Death of a Loved One


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Summary & Participants

If someone close to you is nearing the end of his or her life you know that this can be a challenging and confusing time for everyone involved. What are "normal" feelings and behaviors during this period? What can you do to prepare yourself for your relative or friend's death?

Medically Reviewed On: July 04, 2008

Webcast Transcript


Patricia DONOVAN-DUFF, RN: I think that you'd get answers in both corners. I think that people who have are dealing with a sudden loss would say maybe that it would have been harder to deal with the saying-goodbye process. The good part about maybe having some anticipation of the loss is to begin to get ready for it. I think what you said before -- that no matter when it happens it's still a surprise -- I think that's where the similarity is even if it's a sudden loss versus an anticipated loss, say in a hospice programs. When the death actually happens it still is somewhat of a surprise and you're not ready for it.

LISA CLARK: During the '70s, Elizabeth Kubler-Ross had a very popular theory about the five stages of death, those being denial, anger, bargaining, depression and, finally, acceptance. Are there similar steps in the grieving process?

Patricia DONOVAN-DUFF, RN: I think she would call them phases, not stages or steps, because it's not a linear process in grieving. It's definitely a rollercoaster kind of experience. It's not that you finish with one phase and move on to the next one. You can retreat back and forth. She did identify kind of similar phases but, again, they're not linear.

R. BENYAMIN CIRLIN, CSW: Patricia makes a good point there that today people really don't tend to think of grief, as she said, in a linear way. People, I think, more often tend to think that grieving presents us with tasks, that there is certain work that we have to engage in in order to work through a loss. The first task really has to do with accepting the reality, that it's really true, a recognition that a life has changed. The second task, for the most part, has to do with coming to terms with all the pain. The third task is learning to adjust to a new environment in which roles change. The fourth task really is about finding a new relationship with the deceased person and finding new sources of meaning in life.

LISA CLARK: In your work with people who are suffering loss, does it matter at what point they enter this phase of starting to deal with the issue of someone dying, whether it's a matter of months they have to come to terms with this or whether it's a sudden event? Is there a difference in the period of time that they enter this process that helps them process what's going on, what the loss is going to be like?

R. BENYAMIN CIRLIN, CSW: I think that the more that people can begin to deal with it as someone is dying, in the long run, the better off they will be. Anticipatory grief is really about a dance between holding on -- staying with the person, still having a relationship -- and slowly letting go -- beginning to think about what life is going to be like without this person here. It's a difficult dance to do.

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