The Emotions of the Dying

By Lizzy MilesIn my role as a hospice social worker, I find that there are recurring concerns expressed by family and friends of the dying. These are some of my responses to their worries. Mostly I find that I am normalizing behavior that they find confusing or unsettling, while also validating their discomfort. Families often feel helpless and I do my best to reassure them that what is happening with the patient is part of the process of dying.I am careful to be mindful of faith/cultural beliefs of the patient and family so as to not suggest an explanation that is outside of their dogma.RestlessnessRestlessness is a common symptom for patients who are dying. It can be distressing for family members because you want to help calm them and nothing seems to work. Medicine may help some, but you may see them still moving around and/or trying to get out of bed.• Know that restlessness is normal and part of the process.• When patients are restless, they are experiencing a disconnect between their conscious and unconscious mind. They subconsciously know they are dying, but their conscious mind just knows they need to go somewhere. There are books about the travel metaphors patients sometimes use.I need my ticket.I ’m going to be late for the train. There is a helicopter waiting for me.• As a patient gets closer to death, they often settle down on their own.• Be mindful of guest activity in the room.  Restlessness can sometimes be contagious. The patient, even when the...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: dying emotions letting go life review lizzy miles restlessness social worker Source Type: blogs