which of Kübler-Ross’s stages of grief are most applicable to Jackie’s situation?
Jackie, a 75-year-old Thai female who has recently been diagnosed with terminal (stage 4) breast cancer. Jackie is divorced and lives with her 50-year old daughter. Jackie’s daughter has been very supportive throughout her cancer diagnosis, transporting Jackie to her medical appointments and helping with her personal care needs. Since her divorce, Jackie has not been in an intimate relationship because she did not feel confident that she would ever find a suitable partner. As a practicing Buddhist, Jackie believes that her divorce was necessary in order for her to live her remaining years in peace, a decision that she feels has significantly improved her sense of life satisfaction.
Scenario
Up until her diagnosis, Jackie worked part-time as a teacher’s aide in her granddaughters’ elementary school; however, she stopped working six months ago due to feeling exhausted by her chemotherapy. As she prepares to enter hospice care with only months to live, Jackie feels full of despair about her lack of mobility and independence. As she reflects on her life, Jackie is proud that she raised a good daughter and that she left a dysfunctional marriage; however, she feels some degree of regret for not having given back to society in a meaningful way. Lastly, although she practices Buddhism, Jackie is now questioning the idea that death leads to rebirth. As Jackie increasingly believes in the finality of death, she views life as short, fleeting, precious, and something that no one should ever take for granted.
As a valued member of the multidisciplinary health care team, Jamie is on a mission to apply the following theories, models, and concepts to support Jackie and her daughter throughout Jackie’s end-of-life experience: Kübler-Ross’s stages of grief, Erik Erikson’s stages of psychosocial development, and the Model of Transcultural Health and Cultural Competence (Papadopoulos, Tilki, & Taylor, 1998).
which of Kübler-Ross’s stages of grief are most applicable to Jackie’s situation?
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