The Phases of Anticipatory Grief

Phase I
The individual realizes that death is inevitable. There is no expectation for a cure. Sadness and depression is often associated with this first stage of grief. Loved ones and the person dying may demonstrate signs of denial, anger, or calmness and acceptance.

Phase II
During this phase there is concern for the dying person. Loved ones may feel the need to reconcile differences or past arguments. Family members may be concerned for the dying persons fear of death. The dying person may become withdrawn, preferring to keep thoughts to themselves. Being close to the person dying is important and provides great comfort and support.

Phase III
In this phase the actual death is "rehearsed". They dying person may request their wants and preferences for funeral plans. Loved ones may feel the need to say good-bye or to be close to the dying person as part of anticipatory grief.

Phase IV
This last phase family members and loved ones may start to imagine what their lives will be like without the person that is dying. Siblings may begin wondering what it's like to lose a brother or sister. Loved ones may begin thinking about family events such holidays, birthdays, weddings, and births of babies without the presence of the dying person.

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