May affect one's concept of God or other constructs of meaning, resulting Prompt the need to explore aspects of the afterlife, reinforcing presentīeliefs, or fostering hope that something exists beyond the grave.
In it's future are radically changed (Rando, 2000). Meaning and purpose areĬhallenged as the assumptions and expectations of one's world and place On which one’s life has rested (Yalom, 1980). Issues of an existential nature relate to four ultimate apprehensions:ĭeath or existential obliteration freedom as it relates to the absence ofĮxternal structure isolation, in that the journey of both entering andĭeparting existence is ultimately alone and meaninglessness, in that theĭissolution of meaning can equate to the dissolution of the foundations Their past and present experiences (Conrad, 1985 Puchalski, Dorff, & The meaning of life and death, as they strive to seek value and purpose in Need to reflect upon their lives, questioning their human existence and Sense of their situation (Rando, 2000 Rousseau, 2000). Questions pondered by persons with a terminal illness as they try to make People facing a terminal illness have the opportunity to exploreĮxistential and spiritual factors. Of the aforementioned psychosocial, spiritual, and existential issues willīe demonstrated through the case study of a forty-seven year old palliativeĬare cancer patient in her last eight months of life. Lastly, the efficacy of this method in addressing several It will then review the existingīonny Method of Guided Imagery and Music (BMGIM) literature Patients as they prepare for end of life. Psychological, social and physical challenges experienced by terminalĢ Journal of the Association for Music and Imagery (2005-2006), Vol. This paper will begin by profiling frequent spiritual, existential, On patient care rather than treatment of disease, and recognizes thatĪlthough there is no hope of cure, there is opportunity to address andĪlleviate patient symptoms and the psychosocial and spiritual andĮxistential issues experienced by both patient and family members. (Sanders, 1988 Twycross, 2002) that emphases quality of life until death In hospice/palliative care (HPC) dying is viewed as a natural process Key words: Guided Imagery and Music, terminal illness, palliative care Introduction
Written by the patient as a further means of expressing and understanding her Imagery and imagery that reflects the dying process, augmented by poetry Lastly, this case study demonstrates both archetypal It shows how sheĭrew insight from the sessions to direct her own course of treatment, resulting inĪn increased sense of control. Prior to death, as well as acknowledge her part in this conflict. Itĭemonstrates how she was able to reconcile relationships with family members The patient’s willingness to explore her emotions of shame related to havingĬancer, fears of the cancer metastasizing, and the grief and sadness common toĪnticipatory grief and to a traumatic incident that she experienced as a youth. In reviewing her final 8 months of life, the case study demonstrates Life, and in the subsequent peaceful death experience of a 47 year old palliativeĬancer patient. This case study demonstrates the role of The Bonny Method inĪddressing psychosocial, spiritual, and existential issues particular to end of Dying Well The Bonny Method of Guided Imagery and Music at End of Life