End-of-Life Care

Gundersen, Elizabeth

doi:10.1016/b978-0-12-420123-1.00009-5

Cited by 1 publication

(1 citation statement)

References 73 publications

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“…Palliative psychological interventions are evidence-based (Von Blanckenburg and Leppin, 2018), particularly for EOL anxiety and depression (Fulton et al, 2018). Unfortunately, while some physicians have advocated for psychology integration (Gundersen, 2015) access to psychosocial intervention is still not standard EOL care (Committee on Approaching Death, 2015); however, this may be changing. The Society of Behavioral Medicine formed a palliative care special interest group (Hoerger et al, 2019), the first author (ADF) co-created and co-chairs a similar group within the American Psychological Association (@EOLSIG), and the second author (BB) has directed medical student and resident clinical rotations in geriatrics and palliative care, and recently served on an expert advisory panel addressing behavioral health integration and serious illness care (Cheung et al, 2019).…”

Section: A Psychological Approachmentioning

confidence: 99%

Advance care planning: End-of-life hopes and fears among community dwelling adults

Dark-Freudeman

Bensadon²

2022

J Health Psychol

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End-of-life (EOL) medical care in the United States often does not align with patients’ goals and preferences. This study explored EOL hopes and fears among 86 community-dwelling adults and examined medical and psychological predictors of death anxiety. Common EOL hopes included absence of suffering, closure, and personal fulfillment. Common EOL fears included suffering, lack of competence, and specific types of death. Fear of the dying process was greater than fear of death itself. Health predicted death anxiety; age alone, did not. Advance care planning and clinical decision making should include these psychological insights and explicitly address EOL hopes and fears.

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