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  • When life-threatening illness is made to seem taboo, it creates difficulties in communication and hampers social support.
  • Life-threatening illness is costly, personally as well as socially and spiritually.
  • The adaptive response to losses associated with life-threatening illness changes as circumstances change.
  • The response to illness is shaped by personality, family patterns, and social environment.
  • Four primary dimensions in coping with life-threatening illness are physical, psychological, social, and spiritual.
  • The awareness contexts relative to dying patients, families, and caregivers include closed awareness, suspected awareness, mutual pretense, and open awareness.
  • The manner in which individuals cope with life-threatening illness is described in terms of Elisabeth Kübler-Ross's pioneering stage-based approach as well as more recent task-oriented, phase-oriented, and pattern-oriented approaches.
  • Maintaining coping potency in the face of life-threatening illness requires access to both inner and external resources.
  • The options for treatment of serious illness vary according to the illness and ongoing developments in medical knowledge; withholding or discontinuing treatment may also be an option.
  • Alternative therapies encompass adjunctive or complementary therapies, as well as unorthodox therapies.
  • Pain management is an essential component of a comprehensive treatment plan.
  • Studies of the dying trajectory distinguish two main types: (1) a lingering trajectory whereby death takes place gradually and over an extended period of time, and (2) a quick trajectory whereby death is the outcome of an acute medical crisis.
  • The social role of a dying patient differs between cultural groups and among individuals and families.
  • Being with someone who is dying is often a precious and intimate experience.







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