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Re-living trauma near death: an integrative review using Grounded Theory narrative analysis
Nikki Johnston1,2,3, Michael Chapman4,5,6, Jo Gibson7
1Faculty of Health, University of Canberra, Building 10, 11 Kirinari Street, Bruce, Australia, ACT Health Directorate, Canberra, ACT, Bruce, ACT 2617, Australia.
Palliative Care and Social Practice
|September 30, 2024
Summary
Re-living past trauma near death is a distinct phenomenon causing physical and emotional distress. Improved clinical understanding and trauma-informed palliative care are crucial for managing these end-of-life experiences.
Area of Science:
- Palliative Care
- Psychology
- Trauma Studies
Background:
- Emotional and physical stress symptoms near death may stem from prior trauma.
- Previous trauma experiences can influence end-of-life distress.
Purpose of the Study:
- Identify the prevalence and manifestation of previous trauma in dying individuals.
- Examine the association between past trauma and the dying experience, considering cognitive impairment.
- Determine available palliative care interventions for individuals with trauma at the end of life.
Main Methods:
- An integrative review following Whittemore and Knafl's guidelines.
- Searched electronic databases (August 2021, updated August 2023) adhering to PRISMA guidelines.
- Analyzed qualitative and quantitative data using Grounded Theory.
Main Results:
- Eleven studies met inclusion criteria, with most focusing on war veterans.
- Re-living trauma near death presents unique symptoms beyond post-traumatic stress disorder, including unexplained acute pain.
- Distress related to trauma was reported in the final weeks of life.
Conclusions:
- Re-living trauma near death is a recognizable phenomenon with significant physical and psychological impacts.
- Enhanced clinical knowledge and appropriate management can ameliorate end-of-life trauma-related distress.
- There is an urgent need for trauma identification and trauma-informed interventions in end-of-life care.
Keywords:
end-of-life careidentifying past traumaincreased sufferingtraumatrauma-informed palliative careMore Related Videos
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