o Illness that leads to premature death Psychosocial level
• Similarities btwn non-terminal chronic illness and terminal illness
o Management
o Chronic pain/treatment o
Psychological affect
Acceptance, etc o Impact the
individual and their family o Career
impacted o Reminiscence
• Differences between non-terminal chronic illness and terminal
illness o Terminal
Kills
Death
Making peace
• Resolve/acceptance
o Chronic
Long lasting, may shorten life but not immediately
threatening
On going process
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, 2024 Psychosocial issues in terminal illness
Different psychological processes
• Management o Terminal
Healthcare system can’t manage all of patient’s needs
• Support from family & friend (& pets?)
• Comfort, peace
• Familiar settings & familiar people
• Opportunities for reminiscence
• Imparting wisdom to next generation (generativity)
o End of life care
Palliative care
Goal
o Rleif of suffering from any illness/disease (terminal or
otherwise)
Increase quality of life
Hospice care
• Goal: relief of suffering from terminal illness
• Provide warm, personal comfort
• Pain is managed and invasive treatments are
discontinued
• Psychological comfort & increasing social support
are key points of concern
• Hospital, nursing home, patient’s home
• Continues after patient’s death o Help family
members cope with patient’s death
Home care
• Goal: relief of suffering in familiar setting
• Favored choice of terminally ill patients – personal
control and available social support
• Can be problematic for family members – work
schedules and daily routines
• Constant contact can be both beneficial and
stressful (e.g., caregiver stress)
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