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End-of-life dreams and visions: A systematic integrative review

Published online by Cambridge University Press:  01 August 2022

Alison Hession*
Affiliation:
Supportive and Palliative Care Network, Northern Sydney Local Health District, Hornsby Kuringai Hospital, Hornsby, NSW, Australia IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
Tim Luckett
Affiliation:
IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
Sungwon Chang
Affiliation:
IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
David Currow
Affiliation:
Faculty of Science and Medicine, University of Wollongong, Wollongong, NSW, Australia
Michael Barbato
Affiliation:
Department of Palliative Care, Port Kembla Hospital, Port Kembla, NSW, Australia
*
Author for correspondence: Alison Hession, Supportive and Palliative Care Network, Northern Sydney Local Health District, Level 5 Hornsby Kuringai Hospital, Palmerston Rd, Hornsby, NSW 2077, Australia. E-mail: alison.hession@health.nsw.gov.au

Abstract

Objectives

End-of-life dreams and visions (ELDVs) have been reported throughout history. We aimed to synthesize the research literature on ELDVs to determine the proportions of patients, bereaved families, healthcare professionals, and volunteers reporting ELDVs; ELDV content, timing, and interpretation; and any evidence-based approaches to ELDV-related care.

Methods

A systematic review protocol was registered with PROSPERO (CRD4021282929). CINAHL, Medline, Embase, Emcare, and APA PsycInfo were searched for peer-reviewed English language articles reporting qualitative, quantitative, or mixed methods studies that explored reports of ELDVs by patients, bereaved families, healthcare professionals, or volunteers. Synthesis used both meta-analysis and a narrative approach.

Results

Of 2,045 papers identified by searches, 22 were included, describing 18 studies in a variety of settings. Meta-analyses indicated that 77% (95% confidence intervals [CIs] 69–84%) of patients (n = 119) reported an ELDV compared with 32% (95% CIs 21–44%) of bereaved relatives (n = 2,444) and that 80% (95% CIs 59–94%) of healthcare professionals (n = 171) reported either witnessing or being told of an ELDV in the preceding 5 years. Studies of volunteers reported 34% (95% CIs 20–48%) (n = 45) either witnessing or being told of an ELDV over their entire period of service, with 49% of volunteers (95% CIs 33–64%) (n = 39) reporting events occurring in the preceding year. ELDVs reported by patients, bereaved families, healthcare professionals, and volunteers were perceived as being a source of comfort. Healthcare professionals and volunteers expressed a need for further education on how to support patients experiencing ELDVs and their families.

Significance of results

ELDVs are experienced by the majority of dying patients and need consideration in delivering holistic end-of-life care. Little if any research has been conducted in acute care facilities.

Type
Review Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

REFERENCES

Alvarado, CS (2014) “Visions of the Dying”, by James H Hyslop (1907): With an introduction by. History of Psychiatry 25(2), 237252.CrossRefGoogle Scholar
Alvarardo, CS (2006) Neglected near-death phenomenon. Journal of Near-Death Studies 24(3), 131151.Google Scholar
Barbato, M (2009) Reflections of a Setting Sun: Healing Experiences Around Death, 1st ed. Adelaide: Griffin Press.Google Scholar
Barbato, M, Blunden, A, Reid, K, et al. (1999) Parapsychological phenomena near the time of death. Journal of Palliative Care 152, 3037.CrossRefGoogle Scholar
Brayne, S, Farnham, C and Fenwick, P (2006) Deathbed phenomena and their effect on a palliative care team: A pilot study. American Journal of Hospice and Palliative Medicine 23(1), 1724.CrossRefGoogle ScholarPubMed
Brayne, S, Lovelace, H and Fenwick, P (2008) End-of-life experiences and the dying process in a Gloucestershire nursing home as reported by nurses and care assistants. American Journal of Hospice and Palliative Medicine 25(3), 195205.CrossRefGoogle Scholar
Broad, JB, Gott, M, Kim, H, et al. (2013) Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics. International Journal of Public Health 58(2), 257267.CrossRefGoogle Scholar
Broadhurst, K and Harrington, A (2016) A thematic literature review. American Journal of Hospice and Palliative Medicine 33(9), 881893.CrossRefGoogle ScholarPubMed
Callanan, M and Kelley, P (1992) Final Gifts. New York: Simon and Schuster.Google Scholar
Chang, SO, Ahn, SY, Cho, M-O, et al. (2017) Identifying perceptions of health professionals regarding deathbed visions and spiritual care in end-of-life care. Journal of Hospice & Palliative Nursing 19(2), 177184.CrossRefGoogle Scholar
Claxton-Oldfield, S and Dunnett, A (2018) Hospice palliative care volunteers’ experiences with unusual end-of-life phenomena. Omega: Journal of Death & Dying 77(1), 314.CrossRefGoogle Scholar
Claxton-Oldfield, S, Gallant, M and Claxton-Oldfield, J (2020) The impact of unusual end-of-life phenomena on hospice palliative care volunteers and their perceived needs for training to respond to them. Omega: Journal of Death & Dying 81(4), 577591.CrossRefGoogle Scholar
Corless, IB (2014) Transitions: Exploring the frontier. Omega (Westport) 70(1), 5765.CrossRefGoogle ScholarPubMed
Dam, AK (2016) Significance of end-of-life dreams and visions experienced by the terminally Ill in rural and urban India. Indian Journal of Palliative Care 22(2), 130134.CrossRefGoogle ScholarPubMed
Depner, RM, Grant, PC, Byrwa, DJ, et al. (2020) Expanding the understanding of content of end-of-life dreams and visions: A consensual qualitative research analysis. Palliative Medicine Reports 1(1), 103110.CrossRefGoogle ScholarPubMed
Devery, K, Rawlings, D, Tieman, J, et al. (2015) Deathbed phenomena reported by patients in palliative care: Clinical opportunities and responses. International Journal of Palliative Nursing 21(3), 117125.CrossRefGoogle ScholarPubMed
Doka, KJ (2020) When We Die: Extraordinary Experiences at Life's End. Woodbury, Minnesota: Llewellyn Publications.Google Scholar
Dong, Y and Fu, D (2014) Near death experiences in end of life conditions: Need for nursing perspectives. NeuroQuantology 12(4), 395397.CrossRefGoogle Scholar
Ethier, AM (2005) Continuing education credit article. Journal of Pediatric Oncology Nursing 22(2), 104111.CrossRefGoogle Scholar
Fenwick, P and Brayne, S (2011) End-of-life experiences: Reaching out for compassion, communication, and connection-meaning of deathbed visions and coincidences. American Journal of Hospice and Palliative Medicine 28(1), 715.CrossRefGoogle ScholarPubMed
Fenwick, P, Lovelace, H and Brayne, S (2007) End of life experiences and their implications for palliative care. International Journal of Environmental Studies 64(3), 315323.CrossRefGoogle Scholar
Fenwick, P, Lovelace, H and Brayne, S (2010) Comfort for the dying: Five year retrospective and one year prospective studies of end of life experiences. Archives of Gerontology and Geriatrics 51(2), 173179.CrossRefGoogle ScholarPubMed
Garner, P, Hopewell, S, Chandler, J, et al. (2016) When and how to update systematic reviews: Consensus and checklist. BMJ, 354, i3507.CrossRefGoogle ScholarPubMed
Grant, P, Wright, S, Depner, R, et al. (2014) The significance of end-of-life dreams and visions. Nursing Times 110(28), 2224.Google ScholarPubMed
Grant, PC, Depner, RM, Levy, K, et al. (2020) Family caregiver perspectives on end-of-life dreams and visions during bereavement: A mixed methods approach. Journal of Palliative Medicine 23(1), 4853.CrossRefGoogle ScholarPubMed
Grant, PC, Levy, K, Lattimer, TA, et al. (2021) Attitudes and perceptions of end-of-life dreams and visions and their implication to the bereaved family caregiver experience. American Journal of Hospice & Palliative Medicine 38(7), 778784.CrossRefGoogle Scholar
Grover, S, Ghosh, A and Ghormode, D (2015) Experience in delirium: Is it distressing? The Journal of Neuropsychiatry and Clinical Neurosciences 27(2), 139146.CrossRefGoogle ScholarPubMed
Heyen, MJ (2019) The healing medicine in the dreams and visions of the dying. Journal of Palliative Medicine 22(4), 456458.CrossRefGoogle ScholarPubMed
Higgins, TJ, Chandler, J, Cumpston, M, et al. (2019) Cochrane Handbook for Systematic Reviews of Interventions. Chichester, UK: The Cochrane Collaboration.CrossRefGoogle Scholar
Janssen, S (2015) Letting patients and families interpret deathbed phenomena for themselves. The American Journal of Nursing 115(9), 11.CrossRefGoogle ScholarPubMed
Kellehear, A (2020) Visitors and the End of Life: Finding Meaning and Purpose in Near-Death Phenomenon. New York: Columbia University Press.Google Scholar
Kellehear, A, Pogonet, V, Mindruta-Stratan, R, et al. (2011) Deathbed visions from the Republic of Moldova: A content analysis of family observations. Omega: Journal of Death & Dying 64(4), 303317.CrossRefGoogle ScholarPubMed
Kelley, K, Clark, B, Brown, V, et al. (2003) Good practice in the conduct and reporting of survey research. International Journal for Quality in Health Research 15(3), 261266.CrossRefGoogle ScholarPubMed
Kerr, CW and Mardrossian, C (2020) Death is but a Dream, Finding Hope and Meaning at Life's End. London: Quercus Editions Ltd.Google Scholar
Kerr, CW, Donnelly, JP, Wright, ST, et al. (2014) End-of-life dreams and visions: A longitudinal study of hospice patients’ experiences. Journal of Palliative Medicine 17(3), 296303.CrossRefGoogle ScholarPubMed
Koenig, HG and Büssing, A (2010) The Duke University Religion Index (DUREL): A five-item measure for use in epidemiological studies. Religions 1(1), 7885.CrossRefGoogle Scholar
Lawrence, M and Repede, E (2012) The incidence of deathbed communications and their impact on the dying process. The American Journal of Hospice & Palliative Medicine 30(7), 632639.CrossRefGoogle ScholarPubMed
Lockwood, C, Munn, Z and Porritt, K (2015) Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence Based Healthcare 13(3), 179187.CrossRefGoogle ScholarPubMed
Lukovsky, J, McGrath, E, Sun, C, et al. (2021) A survey of hospice and palliative care nurses’ and holistic nurses’ perceptions of spirituality and spiritual care. Journal of Hospice & Palliative Nursing 23(1), 2837.CrossRefGoogle ScholarPubMed
Mazzarino-Willett, A (2010) Deathbed phenomena: Its role in peaceful death and terminal restlessness. American Journal of Hospice & Palliative Medicine 27(2), 127133.CrossRefGoogle ScholarPubMed
McDonald, C, Murray, C and Atkin, H (2014) Palliative-care professionals’ experiences of unusual spiritual phenomena at the end of life. Mental Health, Religion & Culture 17(5), 479493.CrossRefGoogle Scholar
Morita, T, Miyashita, M, Shibagaki, M, et al. (2006) Knowledge and beliefs about end-of-life care and the effects of specialized palliative care: A population-based survey in Japan. Journal of Pain & Symptom Management 31(4), 306316.CrossRefGoogle ScholarPubMed
Morita, T, Naito, AS, Aoyama, M, et al. (2016) Nationwide Japanese survey about deathbed visions: “My deceased mother took me to heaven”. Journal of Pain & Symptom Management 52(5), 646654 e645.CrossRefGoogle Scholar
Munn, Z, Peters, MDJ, Stern, C, et al. (2018) Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology 18(1), 17.CrossRefGoogle ScholarPubMed
Muthumana, SP, Kumari, M, Kellehear, A, et al. (2010) Deathbed visions from India: A study of family observations in Northern Kerala. Omega: Journal of Death & Dying 62(2), 97109.CrossRefGoogle ScholarPubMed
Nosek, CL, Kerr, CW, Woodworth, J, et al. (2015) End-of-life dreams and visions. American Journal of Hospice and Palliative Medicine 32(3), 269274.CrossRefGoogle ScholarPubMed
Nyblom, S, Arnby, M, Molander, U, et al. (2020) End-of-life experiences (ELEs) of spiritual nature are reported directly by patients receiving palliative care in a highly secular country: A qualitative study. American Journal of Hospice and Palliative Medicine, 16. 1049909120969133.Google Scholar
O'Malley, G, Leonard, M, Meagher, D, et al. (2008) The delirium experience: A review. Journal of Psychosomatic Research 65(3), 223228.CrossRefGoogle ScholarPubMed
Pan, CX, Thomson, K, Costa, BA, et al. (2021) Questioning capacity in an elderly Jamaican man with terminal cancer exhibiting near-death awareness: A case report and review of literature. Journal of Palliative Medicine 24, 14131417.CrossRefGoogle Scholar
Popay, J, Roberts, H, Snowden, A, et al. (2006) Guidance on the Conduct of Narrative Synthesis in Systematic Reviews: A Product from the ESRC Methods Program. Lancaster, UK: Lancaster University.Google Scholar
Santos, CSD, Paiva, BSR, Lucchetti, ALG, et al. (2017) End-of-life experiences and deathbed phenomena as reported by Brazilian healthcare professionals in different healthcare settings. Palliative & Supportive Care 15(4), 425433.CrossRefGoogle ScholarPubMed
Sartori, P (2010) Understanding the subjective experiences and needs of patients as they approach death. Nursing Times 106(37), 1416.Google ScholarPubMed
Scarpelli, S, Bartolacci, C, D'Atri, A, et al. (2019) Mental sleep activity and disturbing dreams in the lifespan. International Journal of Environmental Research and Public Health 16(19), 3658.CrossRefGoogle ScholarPubMed
Schwarz, B and Benson, JJ (2018) The “medicalized death”: Dying in the hospital. Journal of Housing for the Elderly 32(3–4), 379430.CrossRefGoogle Scholar
Shinar, YR and Marks, AD (2015) Distressing visions at the end of life: Case report and review of the literature. Journal of Pastoral Care & Counselling 69(4), 251253.CrossRefGoogle ScholarPubMed
Wallace, CL (2016) Communication beyond the living: Incorporating signs that death is approaching. J Palliat Med 19(7), 788789.CrossRefGoogle ScholarPubMed
WHO (2020) Palliative Care. World Health Organisation. Retrieved October 4, 2021, from https://www.who.int/news-room/fact-sheets/detail/palliative-care.Google Scholar
Wholihan, D (2016) Seeing the light: End-of-life experiences-visions, energy surges, and other death bed phenomena. Nursing Clinics of North America 51(3), 489500.CrossRefGoogle ScholarPubMed
Zanasi, M, De Peris, S, Caporali, M, et al. (2005) Dreams and age. Perceptual and Motor Skills 100(3_Suppl), 925938.CrossRefGoogle ScholarPubMed
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