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ELDVs can occur in wakeful or sleep states and typically manifest with clear consciousness, possessing a level of clarity, detail and organisation when reported. Bereaved family members and clinical staff report ELDVs provide personal or spiritual solace for patients at the end of life, helping them to reconcile past life events and accept death. Palliative care workers believe that ELDVs are part of the dying process. The body of research on this topic is limited, and most studies have explored the meaning of patient dreams and visions from the perspective of their hospice clinicians or families (Lawrence and Repede, 2012 Kellehear, 2011 Fenwick et al, 2008 Brayne et al, 2008 2006). It is likely this figure is even higher, as research has shown that patients, families and clinicians knowingly under report these experiences for fear of judgement, ridicule and embarrassment (Barbato et al, 1999). It is estimated that 50-60% of conscious dying patients experience ELDVs (Mazzarino-Willett, 2010). However, there is a growing body of evidence that describes the prevalence and therapeutic value of these experiences. ELDVs are often dismissed as drug-induced hallucinations, dementia or delirium by medical staff with limited understanding of the dying process (Betty, 2006). These experiences can occur months, weeks, days or hours before death (Mazzarino-Willett, 2010) and typically reduce fear of dying, making transition from life to death easier for those experiencing them (Lawrence and Repede, 2012 Wills-Brandon, 2000).Īlthough recognition is growing that ELDVs are psychologically and existentially significant, their value has long been under appreciated by the scientific and medical communities. These end-of-life dreams and visions (ELDVs) are often deeply comforting and profoundly meaningful for patients and their families (Fenwick et al, 2007 Brayne et al, 2006 Lawlor et al, 2000 Barbato et al, 1999). These experiences may involve visual, auditory and/or kinesthetic experiences (Lawrence and Repede, 2012), with visions occurring during a wakeful state or dreams occurring during sleep. Often during these dreams, the dying individual experiences deceased family, friends or religious figures (Fenwick and Brayne, 2011 Kellehear et al, 2011 Houran and Lange, 1997). Since ancient times, people have recorded dreams and visions experienced by individuals at the end of their lives.
#DREAM ABOUT DEAD FAMILY MEMBER COMING BACK TO LIFE PDF#
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Nursing Times 110, 28: 22-24.Īuthors: Pei Grant is director of research Scott Wright and Rachel Depner are clinical research assistants Debra Luczkiewicz is hospice physician all at the Center for Hospice and Palliative Care, Cheektowaga, New York. ELDVs may be a source of meaning and comfort.Ĭitation: Grant P et al (2014) The significance of end-of-life dreams and visions.
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As participants approached death, comforting dreams and visions became more prevalent. Nearly all patients reported that their experience felt real. Most participants reported at least one ELVD and almost half of the ELVDs occurred during sleep. Between January 2011 and July 2012, 66 patients in a hospice inpatient unit were interviewed daily about the content, frequency and level of comfort or distress of their dreams and visions. End-of-life dreams and visions (ELDVs) are well documented through history and across cultures.