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Denial
The grieving person cannot or will not believe that the loss is happening or has happened. They might deny the existence of the illness and refuse to discuss therapeutic interventions.
Anger
The grieving person might aim feelings of hostility at others, including health care staff (because they can’t fix or cure the disease.
Bargaining
The grieving person attempts to avoid the loss of making a deal, such as wanting to live long enough to attend a particular family occasion. The pt might also be searching for alternative solutions. They are still hoping for their previous life, or life itself, at least a postponement of death.
Repression
The reality of the situation takes hold, and the grieving person feels sad, lonely, and helpless. For example, they might have feelings of regret and self-blame for not taking better care of themselves. They might talk openly about it or might withdraw and say nothing about it.
Acceptance
The grieving person comes to terms with the loss and starts making plans for moving on with life despite the loss or impending loss. They are willing to try to make the best of it and formulate new goals and enjoy new relationships. If death is imminent, they will start making funeral and burial arrangements and might reach out to friends and family who have not been a part of their recent years of life. There might still be some depression, but there might also be humor and friendly interaction.