Fireproofing the soul: Navigating fear of the afterlife among palliative care patients

07/05/25 at 03:10 AM

Fireproofing the soul: Navigating fear of the afterlife among palliative care patients
Journal of Palliative Medicine; by Ptr Shannon Blower, Jonathan Walker, Lucius Walker, Steven Radwany; 6/25
Among palliative care patients, spiritual uncertainty about what may await them after death is a fairly common but often overlooked source of anxiety. Specifically, patients (especially those from orthodox Christian backgrounds that propound the concept of hell as a literal place) may harbor unexpressed fears about being consigned to hell due to the perceived sins they have committed in life. Such fears can be genuinely debilitating and may result in non-responsiveness to traditional palliative therapy. Here, we discuss our experiences with this phenomenon and propose some possible solutions. We offer readers suggestions for how to best identify potential sufferers, broach the subject with such patients, and reassure them.

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