Being a Physician and Grieving: On the Experience in Palliative Care
death; grief; palliative care; palliative medicine; humanized care.
Palliative Care (PC) is an approach aimed at improving the quality of life of patients and their families in the context of life-threatening illness, by alleviating physical, psychosocial, and spiritual suffering. Grief is a complex phenomenon, and its experience may be influenced by multiple factors. In PC, the physician-patient relationship is encouraged and valued, and wherever there is a bond, there is the possibility of grief. However, studies addressing the possibility and experience of physicians’ grief following the death of their patients remain scarce. This study aims to understand experiences of loss and grieving processes among palliative care physicians. It is a qualitative study grounded in the hermeneutic perspective of Hans-Georg Gadamer. Data were produced through an open interview with one female physician and two male palliative care physicians, and the researcher also kept a reflexive diary throughout the research process. Through the hermeneutic interpretation of narratives, death and dying emerge, for these physicians, as part of life and as something natural that causes pain, but also as a kind of gift that continually invites transformation. Spirituality appears as an important element in care, both in relation to patients and to oneself, as well as in the construction of meaning in the face of life’s finitude. Participants recognize the importance of being present with those they care for, engaging in a form of practice that goes beyond technical procedures and is carried out through their own embodied humanity, including their frustrations and limitations. Patients are understood as active agents in their own care. Challenges identified in their practices include difficulties in dealing with the taboo surrounding death, resistance among health professionals toward the topic of dying, and limitations in their training. The work also seems to impose, indirectly, the challenge of confronting one’s own existential dimension. Regarding grief, the findings suggest a distinct form of grieving, marked by he particularity of the physician-patient relationship. Even when grief is not explicitly named, it is clear that it is not about not feeling. This points to an understanding that experiences are not always confined to a single term such as grief, but may instead emerge in the margins between different meanings.