Willingness to listen and share the concerns of the dying is obvious from these studies. An open initial interview helps the patient know there will be no fear of using the word cancer or death. It is important to remember why some patients may be hanging on to life, whether over some imagined guilt, fear or unfinished business. Kubler-Ross describes at length an elderly Mr. E., who was not terminally ill, but suffering from a sense of loss of control over his life. He also carried guilt and anger toward a deceased wife who had left him, transferring those feelings onto the hospital staff. After understanding his own behavior, his demeanor changed, and he felt he could now face his death with "more equanimity."
The author.....
