Death and the Dying Patient There is a growing and important focus

Q' i professional education and the literature on the need to address the issues f death and dying. Topics such as end-of-life decision-making, grief and )ereavement, and advance directives are beyond the scope of this chapter. asic concepts are appropriate even for beginning students, however, since you will care for patients near the end of their lives.

Many clinicians avoid the subject of death because of their own discomforts and anxieties. You will need to work through your own feelings with the help of reading and discussion. Kubler-Ross has described five stages in a person's response to loss or the anticipatory grief of impending death:

■ Denial and isolation

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