Deathbed Visions: Hospice Palliative Care Volunteers' Experiences, Perspectives, and Responses.

Abstract

11 female hospice palliative care volunteers who had either witnessed and/or had patients or patients' family members tell them about deathbed visions (DBVs) were interviewed about their experiences, perspectives, and responses. The volunteers responded to a series of guiding questions and shared stories about their patients' DBVs. During the interviews, the volunteers talked about, among other things, the impact of DBVs on their patients and themselves, how they responded to their patients' DBVs, and their explanations for them. The most common visitors appearing in the deathbed vision stories shared by the volunteers were their patients' deceased family members (parents, siblings). The volunteers described their patients' visions as having largely positive (e.g., comforting) effects on the patients as well as having a positive impact on themselves (e.g., lessening their own fear of death). The volunteers did not initiate conversations about DBVs with their patients, but responded appropriately by listening, asking questions, and not being dismissive if the patient brought it up first. All volunteers provided spiritual as opposed to medical or scientific explanations for DBVs. The implications and limitations of the findings are discussed.