Caring for the dying patient

An ongoing reality in the lives of most practicing physicians is a regular confrontation with death, dying and grief. In most medical training programs, that reality is often inadequately addressed as a result, the treatment of dying patients is often unnecessarily painful for all involved. Death and the dying patient may become equated with failure and may thus reflect the doctor's inadequacy and limitations. When this occurs, it is no surprise that the dying patient is avoided or is experienced as a source of irritation, impatience and fear. The major task of physicians caring for dying patients is to provide compassionate concern and continuing support. This is not an easy task when medical training focuses almost entirely on the control and the eradication of disease. Dealing with death and dying patients cannot be acquired in a single day workshop. It is an ongoing process which involves exposure to dying patients and support by tutors in this emotional, cultural and psychological painful experience.