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Talking About Death, Dying, and Bereavement With Terminally Ill Patients and Their Caregivers
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The article by Emanuel and colleagues1 addresses an important and difficult topic: There is no question that communication about death and dying is vital, but the difficulty and stress involved in bringing up the subject is so great that the discussion will usually be "postponed" for a "better opportunity," which seldom arrives. Yet one must not forget that the main purpose of holding such a discussion is basically to help ease the stress of both the patient and the caregiver and help them cope with the terrifying notions involved with the thought of near-coming death.
The format for discussion suggested by Emanuel et al was reported as not being too stressful (88.7% of patients and 89.7% of caregivers reported feeling little or no stress). But when asked if the discussion was helpful, 49.6% of patients and 44.9% of caregivers reported experiencing "little or no help."
It seems to me . . . [Full Text of this Article]
AUTHOR INFORMATION
Leora Schachter, MD, MPA
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Talking About Death, Dying, and Bereavement With Terminally Ill Patients and Their Caregivers —Reply
Ezekiel J. Emanuel and Linda L. Emanuel
Arch Intern Med. 2005;165(12):1437.
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Talking With Terminally Ill Patients and Their Caregivers About Death, Dying, and Bereavement: Is It Stressful? Is It Helpful?
Ezekiel J. Emanuel, Diane L. Fairclough, Pam Wolfe, and Linda L. Emanuel
Arch Intern Med. 2004;164(18):1999-2004.
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