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Anticipatory Grief: An Evidence-Based Approach

Shore, Julia Carl FNP-BC, ACHPN; Gelber, Marianne Wientzen GNP-BC, ACHPN; Koch, Lauren M. ANP-BC, ACHPN; Sower, Emily ANP-C, ACHPN

Journal of Hospice & Palliative Nursing: February 2016 - Volume 18 - Issue 1 - p 15–19
doi: 10.1097/NJH.0000000000000208
Symptom Management Series

Anticipatory grief is a symptom that can be experienced by caregivers and patients, especially those coping with advanced disease. Frequently, symptoms of anticipatory grief are disguised as depression, anxiety, or pain. This article reviews the concept of anticipatory grief, explores various assessment tools, and offers communication-based management strategies. Key nursing implications are also discussed.

Julia Carl Shore, FNP-BC, ACHPN, is senior nurse practitioner, Lilian and Benjamin Hertzberg Palliative Care Institute, Mount Sinai Hospital, New York.

Marianne Wientzen Gelber, GNP-BC, ACHPN, is senior nurse practitioner, Lilian and Benjamin Hertzberg Palliative Care Institute, Mount Sinai Hospital, New York.

Lauren M. Koch, ANP-BC, ACHPN, is nurse practitioner, Palliative Care Department, Overlook Medical Center, Summit, New Jersey.

Emily Sower, ANP-C, ACHPN, is nurse practitioner, Palliative Care Department, Sibley Memorial Hospital, Washington, DC.

Address correspondence to Lauren M. Koch, ANP-BC, ACHPN, Overlook Medical Center, 99 Beauvoir Ave, Summit, NJ 07901 (lauren.koch@atlantichealth.org).

The authors have no conflicts of interest to disclose.

© 2016 by The Hospice and Palliative Nurses Association.