Abstract: |
Palliative care professionals witness grief in both patients and their loved ones, often beginning at the time of the patient's diagnosis as the possibility of death is considered. Throughout a patient's treatment trajectory, grief can continue as patients experience multiple losses: physical and mental impairment, unemployment, significant roles, and future plans. Palliative care psychiatrists are instrumental in supporting patients and their caregivers as they navigate these changes and can foster continuity of care from end of life through bereavement. In order to aid patients and their chosen family (which can refer to relatives, partners, or close friends) as they grapple with grief, psychiatrists working in the palliative care context should be able to recognize the multiple clinical presentations of grief and risk factors for morbid outcomes. This chapter characterizes clinical presentations of typical and pathological grief responses as well as risk factors for poor bereavement outcomes in order to inform clinicians' work with patients and families receiving palliative care. Clinicians working in palliative care may witness grieving throughout the illness trajectory, such as when disease progresses, around the time of and following the patient's death, and, in some cases, for a protracted period of time after the loss. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |