Awareness of imminent death : results from a mixed methods study of Israeli family caregivers' perceptions of their awareness and that of the patients for whom they cared

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COHEN-MANSFIELD, Jiska | COHEN, Rinat | BRILL, Shai

We studied levels of awareness of impending death in older patients and their family caregivers. Using a mixed methods approach, we interviewed 70 family caregivers in Israel. Of the caregivers, 64% reported having been aware of the impending death, 33% were unaware, and 3% uncertain. Caregivers reported their perception that 36% of patients were aware, 27% unaware, and for 37% they were uncertain about the patient's awareness. Mechanisms that increased caregivers' awareness were specific diagnosis, significant deterioration in health, preparation by a health professional, or patient preparations for death. This study clarifies processes which aid awareness, and the relationship between awareness and actual preparation for dying.

http://dx.doi.org/10.1177/00302228221107236

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