From: The death of a patient: a model for reflection in GP training
A.Good death (or not) | B.Professional values and experiences | C.Personal values and experiences |
---|---|---|
1. Good farewell* | 1. Being a backstage director* | 1. Feelings of guilt, responsibility and powerlessness* |
2. Holding on and letting go by the patient; balance in autonomy* | 2. Nearness and distance; the doctor as a person in the relationship* | 2. Purpose and meaning of life, death and suffering* |
3. Orientation of patient towards expressing and sharing feelings and thoughts* | 3. Guidance (not steering); being available for patients* | 3. View on suffering: how much is a patient allowed to suffer, to what extent does suffering belong to life* |
4. Peace | 4. Typical tasks of the GP* | 4. (Hidden) mission* |
5. Beautiful | 5. Helpful | 5. Closure of life* |
6. Effect of stage of life; degree of prematurity | 6. Giving room and paying attention | 6. Personal experiences with death; relation with one's own death* |
7. Fits into a person's life | 7. Professional responsibility | 7. Religion |
8. Availability and accessibility of the GP | 8. GP as privileged partner with privileged knowledge | 8. Partner in intimacy; admiration and amazement |
9. Nature and intensity of disease | 9. Showing and experiencing respect | 9. Leaving one's own norms behind |
10. Environment | 10. Carefulness | 10. Grief |
11. Religion or world view | 11. Self-care | 11. Internalization of norms |
12. Feeling that one is part of a larger entity | 12. Doctor as a professional in the relationship | 12. Sharing with colleagues or at home as a way of dealing with experiences |
 | 13. Medicine as an art | 13. Experiences in life and in the profession |
 | 14. Euthanasia | 14. Identification with patients |
 |  | 15. Influence of doctor-patient relationship |
 |  | 16. Pleasure in recognizing and identifying the patient as a person |
 |  | 17. Learning from the death of others; absorbing experiences |