What drives us to resolve unfinished business before dying?
In a recent Case Western Reserve release, the university announced that researchers from the Frances Payne Bolton School of Nursing and the College of Arts and Sciences at Case Western will begin groundbreaking studies to understand what drives the dying to live long enough to personal and interpersonal issues.
With the research data, they will design interventions to help patients in hospice care and families before and after the person passes.
Before now, end of life research primarily focused on making the patient comfortable by easing suffering or discomfort from the illness.
But, the approach of Barbara Daly and Mary Jo Prince-Paul from the School of Nursing and Julie Exline from Arts and Sciences is to relieve psychological distress by marshaling the patient’s inner strengths and social connections.
These qualities include the resilient feelings of hope, optimism and connectedness that they mustered to make it through difficult and even life-threatening situations before their terminal illnesses. Marshaling these inner resources has been shown to improve the psychological outlook of healthy people, and the researchers want to find out the benefits for those severely ill.
Forgiveness will also be a focus of the study, which is partially funded by the Fetzer Institute. Exline, who has studied forgiving oneself, others and God over the past decade, will survey family members before and after the death of the loved one to see how hospice workers can help them as they undergo the emotional stress of caring for this seriously ill family member and then the challenges of bereavement.
Submitted by: Roselle Kovitz












