Abstract: |
(from the chapter) According to the World Health Organization (WHO), million patients died of cancer in 2005. Practitioners who take a family-centered approach can enhance the quality of life of the patient and the family during palliative care and position themselves to facilitate bereavement care. Specifically, clinicians can help the family understand the dying process, which may provide comfort and some sense of predictability. Psycho-oncology clinicians need to understand risk factors for morbid outcomes, be comfortable with the multiple presentations of grief, and be able to manage such expressions or to make appropriate referrals when risk factors are apparent or clinical intervention seems necessary. We begin this chapter with a brief overview of influential theoretical models of grief that have contributed to our understanding of the ways in which grief presents clinically. Descriptions of grief phenomena follow, organized chronologically from palliative care to bereavement, including the impact of loss on children. We then discuss pathological reactions to bereavement, such as prolonged grief disorder, and related risk factors. Finally, various grief interventions are discussed, including broad descriptions, indications, and, when available, research examining their efficacy. (PsycINFO Database Record (c) 2011 APA, all rights reserved). |