Top Ten Tips Palliative Care Clinicians Should Know About Attending to the Existential Experience
Elise C. Tarbi, Caitlyn M. Moore, Cara Wallace, Yvan Beaussant, Elizabeth G. Broden, Danielle Chammas, Paul Galchutt, Danielle Gilchrist, Adam Hayden, Brianna Morgan, Leah Rosenberg, Zachary Sager, Sheldon Solomon, William E. Rosa, Harvey Max Chochinov
Abstract
Identifying and attending to the existential needs of persons with serious illness and their care partners are integral to whole-person palliative care (PC). Yet, many PC clinicians, due to individual factors and wider systemic barriers, are ill-prepared and under-resourced to navigate the existential dimension. In this article, written from clinical, research, and lived experiences, we offer tips to empower PC clinicians to understand, recognize, and respond to patients' and care partners' existential experiences by leveraging their existing skills, collaborating closely with colleagues, exploring their own existential experience, and implementing evidence-based interventions. We propose that by prioritizing existential care within PC, we can shift the culture of health care to better affirm the humanity of both patients and clinicians.