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End of Life Issues in Behavioral Medicine

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Principles and Concepts of Behavioral Medicine

Abstract

End of life issues have been relatively neglected in behavioral medicine. Nevertheless, advances in public health, medicine, and emergency care have significantly changed the way many people die, and patients are often faced with end of life experiences that can be lengthy and decisions that can be difficult and based on uncertainty. Increased opportunities to access both palliative and hospice care are also changing the end of life experience and provide behavioral medicine practitioners and investigators with important opportunities. Areas of intervention include management of physical symptoms, especially pain, and treatment of emotional complications including depression and anxiety. Issues somewhat unique to end of life including loss of dignity, fear of being a burden to others, and focus on spiritual and existential concerns may prove challenging to behavioral medicine providers not trained in these areas. Patient caregivers face many similar and some unique issues; they too are the proper focus of behavioral medicine intervention. Finally, advanced care directives and the growing body of research addressing this important practice are considered along with future directions to improve end of life care.

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Authors and Affiliations

  1. Department of Psychology, University of Colorado Denver, Denver, CO, 80217-3364, USA

    Kevin S. Masters, Kristin M. Kilbourn & Chad E. Barrett

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Correspondence to Kevin S. Masters .

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Editors and Affiliations

  1. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Edwin B. Fisher

  2. Psychological Sciences, University of California, Merced, Merced, CA, USA

    Linda D. Cameron

  3. Department of Psychological and Brain Sciences and Department of Internal Medicine, The University of Iowa, Iowa City, IA, USA

    Alan J. Christensen

  4. Department of Clinical Psychology and Psychotherapy, University of Zurich, Zürich, Switzerland

    Ulrike Ehlert

  5. School of Public Health, Peking University Health Science Center, Beijing, China

    Yan Guo

  6. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia

    Brian Oldenburg

  7. Departments of Medical Psychology, Academic Medical Center (AMC) and VU University Medical Center (VUMC), Amsterdam, The Netherlands

    Frank J. Snoek

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Masters, K.S., Kilbourn, K.M., Barrett, C.E. (2018). End of Life Issues in Behavioral Medicine. In: Fisher, E., et al. Principles and Concepts of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93826-4_34

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