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Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part E Psychological, Social, and Spiritual Issues
Chapter 26. Adolescent Grief: “It Never Really Hit Me … Until It Actually Happened”
Grace H. Christ, DSW, Karolynn Siegel, PhD, Adolph E. Christ, MD, DrMSc

Sections:  The Patient's Story, Perspectives, Conclusion, Methods to Update This Chapter, Resources, References, Chapter Glossary Terms

Topics Discussed: adolescent, grief

Excerpt: "Robert is a bright, engaging, forthright 14-year-old. His brother is 8 years younger. His parents had been married a long time and had a close circle of friends and family in their community. Robert is healthy, a good student, and athletic, competing in a variety of sports at school. When Robert was 7 years old, his mother was diagnosed as having breast cancer metastatic to the liver. Mrs S initially underwent a bilateral mastectomy followed by a regimen of chemotherapy. She was disease free for 2 years. At recurrence, she had an oophorectomy and received 2 chemoembolizations to the liver for new hepatic lesions, followed with cycles of chemotherapy. Three years after initial diagnosis, skull metastases were discovered. A few months later Mrs S was treated for congestive heart failure but continued chemotherapy...."
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