PSY 802 Chapter Notes - Chapter 7: Radiation Therapy, Chemotherapy, Palliative Care
27 Apr 2016
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Charles corr"s holistic view of death: four primary dimensions in coping: physical. Satisfying bodily needs and minimizing physical distress: psychological. Maximizing psychological security, autonomy, and richness in living: social. Sustaining and enhancing relationships and addressing social implications of dying: spiritual. Identifying, developing, or reaffirming sources of spiritual energy or meaning; thus, fostering hope. Glaser and strauss" four ways (mosc) in which death awareness context shapes communication (can change with altering circumstances): Closed context: dying person unaware of impending death (others may know) Lack of communication about either illness or impending death. Suspected awareness: person suspects their prognosis, but those who know do not verify. Patient may try to confirm/deny suspicions by testing others to elicit information. Patient observes disruptions in communication patterns and senses others" anxiety (thus, tending to confirm suspicions) Mutual pretense: everyone is aware of impending death, but act as if patient will recover (can be carried on until very end)
