Intentional presence and the accompaniment of dying patients

Med Health Care Philos. 2023 Sep;26(3):477-486. doi: 10.1007/s11019-023-10161-z. Epub 2023 Jun 20.

Abstract

In this paper, we offer a phenomenological and hermeneutical perspective on the presence of clinicians who care for the suffering and dying patients in the context of end-of-life care. Clinician presence is described as a way of (1) being present to the patient and to oneself, (2) being in the present moment, and (3) receiving and giving a presence (in the sense of a gift). We discuss how presence is a way of restoring human beings' relational and dialogical nature. To inform a different perspective on relational ethics, we also discuss how accompaniment refers to the clinician's awareness of the human condition and its existential limits.

Keywords: Accompaniment; Dying; End-of-life; End-of-life Care; Healthcare professionals; Hermeneutic phenomenology; Palliative care clinicians; Presence.

MeSH terms

  • Existentialism
  • Humans
  • Palliative Care
  • Patients*
  • Terminal Care*