The Spectrum of End-of-Life Experiences: A Tool for Advancing Death Education

Omega (Westport). 2024 Mar;88(4):1314-1334. doi: 10.1177/00302228211052342. Epub 2022 Jan 28.

Abstract

Studies on end-of-life experiences (ELEs) suggest that caregivers and loved ones of dying patients also have ELEs, though these are rarely explored. This article introduces the Spectrum of End-of-Life Experiences (SELE) as a descriptive list of types of ELEs reported by all members of the care unit, including dying patients, their caregivers, and their loved ones. We applied SELE towards identifying ELEs reported by 143 caregivers and loved ones and successfully identified every experience. Interviews revealed that participants viewed their ELEs as profound communicative events, yet a substantial minority also reported struggling to name and process these experiences. We propose that SELE be included in death education to raise awareness about ELEs that can occur within the care unit, and we suggest that SELE has additional applications, including use as a prognostic aid in end-of-life care and as a therapeutic aid for bereavement support.

Keywords: bereavement; deathbed phenomena; end-of-life experiences; spirituality.

MeSH terms

  • Attitude to Death
  • Bereavement*
  • Caregivers
  • Death
  • Hospice Care*
  • Humans
  • Terminal Care*