does this article align with my discussion if so can we also include it

Kubler-Ross Stages of Dying and Subsequent Models of Grief Patrick Tyrrell; Seneca Harberger; Caroline Schoo; Waquar Siddiqui Author Information and Affiliations Last Update: February 26, 2023. Continuing Education Activity Goto: @ Medical professionals will work with dying patients in all disciplines, and the process 1s difficult as care shifts from eliminating or mitigating illness to preparing for death. This is a difficult transition for patients, their loved ones, and healtheare providers to undergo. This activity provides paradigms for the process of moving toward death as well as a discussion of how they should and should not be applied, supporting the interprofessional team to address the unique needs of their patients and guide them and their loved ones through the process. Objectives: Describe the five stages of death. as outlined by Elisabeth Kubler-Ross e Describe alternative paradigms for experiencing death and grief, in addition to those introduced by Kubler- Ross. Explain the potential underlying process generating these outwardly demonstrated stages to provide a context for supporting patients, families, caregivers, and healthcare providers experiencing death. Outline interprofessional team strategies for improving care coordination and communication in a dying patient. Access free multiple choice questions on this topic. Introduction Go to: (%) Medical professionals in all disciplines work with dying patients, and doing so effectively can be difficult. In the context of death and dying. patients, their loved ones, and the health care team must shift their goals. Where treating acute and chronic illness usually involves finding a tolerable path to eliminating or preventing the progression of a condition, freating terminal illness must involve preparing for death as well as efforts to mitigate symptoms. [1] Understanding the experience of dying and grief allows providers to support the unique needs of patients, their loved ones, and other healthcare team members.[2][3][4] Function Goto Dr. Elizabeth Kubler-Ross introduced the most commonly taught model for understanding the psychological reaction to imminent death in her 1969 book, On Death and Dying. The book explored the experience of dying through interviews with terminally ill patients and outlined the five stages of dying: denial, anger, bargaining, depression, and acceptance (DABDA). This work 1s historically significant as it marked a cultural shift in the approach to conversations regarding death and dying. Prior to her work, the subject of death was somewhat taboo, often talked around or avoided altogether. Dying patients were not always given a voice or choices in their care plan. Some were not even explicitly told about their terminal diagnosis. Her work was popular in both the medical and lay cultures and shifted the nature of conversations around death and dying by emphasizing the experience of the dying patient.[4] [5] This led to new approaches to working with patients through the final phase of life. She highlighted the importance of listening to and supporting their unique experiences and needs and spurred new perspectives on ways practitioners can support terminally ill patients and their family members in adjusting to the reality of impending death.[6] Kubler-Ross and others subsequently applied her model to the experience of loss in many contexts, including grief and other significant life changes. Though the stages are frequently interpreted strictly, with an expectation that patients pass through each in sequence, Kubler-Ross noted that this was not her contention and that individual patients could manifest each stage differently, if at all. The model, which resulted from a qualitative and experiential study, was purposely personal and subjective and should not be :nterpreted as natural law. Rather, the stages provide a heuristic for patterns of thought, emotions, and behavior, common in the setting of terminal illness, which may otherwise seem atypical.[7] Facility with these patterns cen help health care providers provide empathy and understanding to patients, families, and team members for whom these patterns may cause confusion and frustration 6] Kubler-Ross's Five Stages of Dying Denial is a common defense mechanism used to protect oneself from the hardship of considering an upsetting reality. Kubler-Ross noted that patients would often reject the reality of the new information after the initial shock of receiving a terminal diagnosis. Patients may directly deny the diagnosis. attribute it to faulty tests or an unqualified physician, or simply avoid the topic in conversation. While persistent denial may be deleterious, a period of denial is quite normal in the context of terminal illness and could be important for processing difficult information. In some contexts, it can be challenging to distinguish denial from a lack of understanding, and this is one of many reasons that upsetting news should always be delivered clearly and directly. However, unless there is adequate reason to believe the patient truly misunderstands, providers do not need to repeatedly reeducate patients about the truth of their diagnosis, though recognizing the potential confusion can help balance a patient's right to be informed with their freedorm lo veconeile ihal inGmmsiion withoni interlerence