[Psychosocial aspects in terminally ill and dying patients]

Considering the experiences and behaviour patterns of terminally ill patients, especially their perceptions, fears, wishes and needs, the classical phases as possible stages in the processes involved in the last big crisis in life are newly described. Consequences on how to adequately communicate and interact with these patients are represented. Psychological and social support of the dying person and their relatives demands preparation as well as accompanying (e.g. supervision and education) of an interdisciplinary team (in the context of a hospice or palliative treatment). Psycho-social offerings and interventions are discussed as well as subsequent support of the bereaved. Delimitation of psycho-social, psychological and religious support competency is outlined. The article ends with the questions which remain to be researched and conclusions.