Grief is the emotional response to loss, whether it’s the end of a relationship, the passing of a pet, or the loss of a loved one. Anticipatory grief, however, is the grief experienced before a loss happens. It often occurs when individuals or families expect the death of a loved one, such as in cases of degenerative diseases like Alzheimer’s or during end-of-life care. Feelings of anxiety, sadness, denial, anger, and dread are common.
Anticipatory grief consists of four stages:
- Stage I: Death is inevitable
This stage involves coming to terms with the fact that the loved one will pass away, and that no cure is possible. - Stage II: Concern for the dying individual
In this stage, individuals may feel deep worry for their loved one, reflecting on their relationship and how the person’s illness affects them. - Stage III: Rehearsal of death
This stage includes making arrangements with the dying individual, such as discussing funeral plans, wills, finances, and saying final goodbyes. - Stage IV: Imagining life without the loved one
In this final stage, individuals begin to imagine what life will be like without their loved one’s presence.
While anticipatory grief can be emotionally overwhelming, it can also be a time for healing. During this period, individuals may take the opportunity to express important feelings such as “I love you” or “I forgive you.” It’s also a chance to spend quality time with loved ones, providing both comfort and happiness in their final days. Practicing self-care, building a support network, or seeking counseling are crucial steps for the grieving individual to maintain their own emotional well-being.
Though death is inevitable, anticipatory grief allows individuals to cherish the time they have left with their loved ones, creating moments of closure and emotional healing.
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By: Eren Alvarez
Senior Care Advising Intern at WellPath Partners
Health Care Administration Student, California State University, Long Beach
