Dealing with Death & Dying in Medical Education and Practice © 2001 Kirsti A. Dyer, MD, MS Email:griefdoc@kirstimd.com AMSA Convention March 30, 2001

Supporting Transcendence & Meaning What will help you feel that you have been a hero to yourself/your family in the way you’ve deal with your illness/your death? How do you want to be remembered by people you care about? What are some of the ways you have found yourself growing or changing, or hoped that you could grow or change in this last phase of your life? What are some of the moments when you’ve felt most discouraged and downhearted as you’ve faced your illness? Life Review What are your goals for this last phase? What remains unfinished? How do you want to be remembered? What do you want to leave behind? How would you like to say good-bye to people who have been important? Are there relationships in your life that need healing? Source Block SD. The Physician as Healer. Presented at UCSF’s "End of Life Care for the Hospitalized Patient, October 2000. Related Articles Strategies for Clinicians to Help Patients Who Suffer  Rabow MW, McPhee SJ. Beyond breaking bad news: how to help patients who suffer. WJM 1999;171: 260-263. Available as PDF file at: http://www.ewjm.com/cgi/reprint/171/4/260

Compilation of resources for this presentation and Website © 2001 Kirsti A. Dyer, MD, MS. Journey of Hearts, www.journeyofhearts.org