Abstract: |
This chapter focuses on the common grief reactions and risk factors for poor bereavement outcomes. It describes a family-centered approach to supporting grief and loss that ensures continuity of care from cancer diagnosis, throughout illness, and into the bereavement phase. The chapter identifies evidence-based grief interventions to normalize grief, educate families, and support adaptive coping responses. It explores relevant professional, ethical, and cultural issues in supporting the bereaved after caring for palliative care patients. Bereavement care is a foundational aspect of quality palliative care in oncology settings. The chapter describes the clinical presentation of grief and related psychological reactions before and after a significant interpersonal loss, including considerations for making a differential diagnosis between typical grief and more concerning responses. It reviews interventions that can be applied to support the bereaved in the palliative care context. Cognitive-Behavioral Therapy approaches with bereaved individuals focus on addressing maladaptive thoughts and behaviors that may play a role in persistent, debilitating grief. Cognitions related to guilt, regret, anger, and coping with distress and the future may be targeted. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |