- The Oxford Handbook of Ethics at the End of Life
- Legal Issues in Death and Dying: How Rights and Autonomy Have Shaped Clinical Practice
- “So What Do You Want Us to Do?”: Patients’ Rights, Unintended Consequences, and the Surrogate’s Role
- Death at the Beginning: The Neonatal Intensive Care Unit
- Dying Children and the Kindness of Strangers
- Medical Futility and Potentially Inappropriate Treatment
- Conscientious Objection
- Continuous Sedation at the End of Life
- The Ethics of Medically Assisted Nutrition and Hydration at the End of Life: Separating the Wheat from the Chaff
- Disorders of Consciousness and Neuro-Palliative Care: Toward an Expanded Scope of Practice for the Field
- Ethical Issues in Prognosis and Prognostication
- The Smell of Chlorine: Coming to Terms with Death
- Talking and Working with Dying Patients: True Grief and Loss
- The Nature of Suffering
- On Our Difficulties Speaking to and About the Dying
- The Cost of Dying Among the Elderly in the United States: Ethical Issues
- Death, Dying, and the Disabled
- The Effect of Social Media on End-of-Life Decision Making
- Cultural Factors
- Ethnicity as a Factor
- Reframing Care in End-of-Life Care Helpful Themes from a Catholic-Christian Understanding of Death
- Physician-Assisted Death in the Netherlands
- The Case Against Physician-Assisted Suicide and Euthanasia
- Goodbye, Thomas: The Case for Physician-Assisted Dying
- Depression and the Desire to Die Near the End of Life
- Hospice and Palliative Care: Developments, Differences, and Challenges
- Potential Perils to the Promise of Specialty Palliative Care
- Marketing Palliative Care
Abstract and Keywords
This article reflects on the lessons about grief and dying acquired by a palliative care and hospice physician over the course of her training and career. The article describes how she views, engages, and incorporates grief into her work as a health-care provider based on her personal experiences and lessons learned from mentors, patients, and families. It describes ways to better understand the types of loss one can personally experience and need to “tag your baggage” as a way of loss experiences before patient discussions. The article then emphasizes the importance of managing one’s expectations when working with a patient and/or family facing end-of-life issues, citing a pervasive concept in palliative and hospice care known as the “good death.” Finally, it discusses the role of communication and supportive skills in dealing with dying patients and their families, along with debriefing and self-care.
Lisa Humphrey, MD, is the Director of Inpatient Services and co-director of the Pediatric Palliative Care Program at Nationwide Children’s Hospital. She is also Assistant Professor of Pediatrics for The Ohio State University College of Medicine.
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