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T*
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[(nicantly)-196.8(higher)-186.4(scores)-192.8(on)-186.5(all)-194.8(subscales)-191.5(than)-190(participants)-189.8(who)]TJ
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T*
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(p)Tj
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[(experience)-351(was)-345(to)-342.1(their)-341(loved)-346.6(one,)-342(the)-344.4(lower)-341.7(their)-346.7(subscale)]TJ
T*
[(scores.)-225.1(Table)-216.5(3)-220(reports)-221.9(correlation)-223.3(values)-222(with)-218.6(signicance)-224(at)]TJ
T*
[(0.05)-283.2(and)-280.9(0.005)-278.5(levels.)]TJ
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[(Comfort)-442.9(of)-437.7(ELDV)-446.9(experiences)-438.5(and)-445.7(perceived)-442.3(impact)]TJ
-1.1128 -1.2266 TD
[(on)-555.1(tasks)-557.2(of)-557.9(mourning.)]TJ
/F5 1 Tf
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[(There)-487.1(were)-485.6(signicant)-485.7(positive)]TJ
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[(correlations)-437.3(between)-438.4(perceived)-435.1(comfort)-436.4(and)-430.7(accepting)-435.3(the)]TJ
T*
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(=-)Tj
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(0.551,)Tj
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(<)Tj
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[(0.001\),)-398.2(working)-394.6(through)-399.5(the)]TJ
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[(pain)-455(of)-445.7(grief)-456(\()]TJ
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[(0.001\),)-450.1(adjusting)-454.8(to)-451.6(the)-448.1(new)]TJ
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(0.405,)Tj
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(=-)Tj
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(p)Tj
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T*
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[(ended)-629.9(responses:)]TJ
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7.8159 0 TD
(comfort)Tj
/F5 1 Tf
3.116 0 TD
(,)Tj
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[(reection)-635.5(and)-625.3(emotions)]TJ
/F5 1 Tf
10.1601 0 TD
[(,)-631.2(and)]TJ
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(sense-making)Tj
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[(\(Table)-286.7(5\).)]TJ
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(Comfort.)Tj
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[(Participants)-638.9(commonly)-634.6(noted)]TJ
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13.1609 0 TD
(comfort)Tj
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(pro-)Tj
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T*
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T*
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T*
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[(Reection)-266.3(and)-268.6(emotions.)]TJ
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[(Upon)-218.4(reecting)-220.8(about)-219.9(ELDV)]TJ
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[(experience)-11.2(s,)-459.4(a)-457.3(variety)-465.3(of)-457.2(feelings)-466.2(and)-459.5(emotions)-460.5(emerged,)]TJ
T*
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4.1297 0 TD
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/F5 1 Tf
3.1275 0 TD
(,)Tj
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(negative)Tj
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3.404 0 TD
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[(,o)337.5(r)]TJ
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1.7567 0 TD
0 Tc
(mixed/contrasting)Tj
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7.24 0 TD
[(.)-337.5(The)-339.7(ma-)]TJ
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[(jority)-300.7(of)-295.9(emotions)-293.5(were)-301.3(traditionally)-299.6(positive.)-295.8()50.8()0(I)-295.9(was)-298.9(happy)]TJ
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T*
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T*
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14.1862 0 TD
(negative)Tj
/F5 1 Tf
3.404 0 TD
[(.)-251.1(One)-247.2(said,)-250.8()50.8(The)]TJ
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[(fact)-444.6(that)-437.8(he)-435.3(was)-442.9(fearful)-442(of)-434.1(some)-438.6(things)-438.7(troubled)-442.2(me.)-434.2(Not)]TJ
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T*
[(times)-8(.)53.1()-294.8(A)-295.7(handful)-297(of)-290.1(participants)-299.2(expressed)-301(mixed)-296(feelings,)]TJ
ET
62.022 699.534 239.131 .28345 re
f
62.022 622.205 239.131 .28345 re
f
62.022 680.882 239.131 .22681 re
f
BT
/F9 1 Tf
9.845 0 0 9.845 91.6157 725.1588 Tm
(Table)Tj
/F5 1 Tf
3.0002 0 TD
(3.)Tj
/F9 1 Tf
1.2496 0 TD
[(Pearsons)-331.7(Correlation)-335.2(Matrix)]TJ
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[(of)-331.2(End-of-Life)-339(Dreams)-335.6(and)-332(Vision)-336.2(Comfort)]TJ
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[(and)-332(Core)-333(Bereavement)-336.2(Instrument)-336.7(Subscales)]TJ
/F6 1 Tf
-1.6239 -1.8427 TD
[(Variable)-17447.3(Comfort)]TJ
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[(Comfort)-18724.5()]TJ
0 -1.0135 TD
[(Images)-337.5(and)-332.4(thoughts)-12786.3(0.259*)]TJ
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[(Acute)-336.5(separation)-14392.7(0.224*)]TJ
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T*
[(Total)-335.9(CBI)-17119.4(0.224*)]TJ
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(*)Tj
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(p)Tj
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(0.05.)Tj
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[(CBI,)-333(core)-333.1(bereavement)-331.3(instrument.)]TJ
ET
62.022 175.635 239.131 .28348 re
f
62.022 68.428 239.131 .28348 re
f
62.022 156.983 239.131 .22676 re
f
BT
/F9 1 Tf
9.845 0 0 9.845 91.6157 201.2598 Tm
(Table)Tj
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3.0002 0 TD
(4.)Tj
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[(Pearsons)-331.7(Correlation)-335.2(Matrix)]TJ
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5.2288 -1.0077 TD
[(and)-332(Wordens)-339(Tasks)]TJ
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[(Variable)-17211.2(Comfort)]TJ
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[(Comfort)-18494.2()]TJ
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[(Overall)-338.7(grieving)-331.9(process)]TJ
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20.4831 0 TD
(-)Tj
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(0.196)Tj
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[(Accepting)-336.1(the)-338.3(reality)-332.3(of)-336(the)-332.6(loss)-337.8(\(task)-334.4(1\))]TJ
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20.4831 0 TD
(-)Tj
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(-)Tj
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[(Adjusting)-338.3(to)-330.4(an)-337.1(environment)-331.5(without)-336.5(their)]TJ
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[(loved)-334.5(one)-338.1(\(task)-334.4(3\))]TJ
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19.4927 1.0077 TD
(-)Tj
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(0.405**)Tj
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[(Remaining)-336.2(connected)-336.2(with)-333.4(their)-334.7(loved)-334.5(one)]TJ
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[(\(task)-334.4(4\))]TJ
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(-)Tj
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(0.538**)Tj
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(**)Tj
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(0.005.)Tj
ET
313.058 431.15 239.131 .28345 re
f
313.058 68.939 239.131 .22681 re
f
313.058 412.498 239.131 .22678 re
f
BT
/F9 1 Tf
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(Table)Tj
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3.0002 0 TD
(5.)Tj
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1.2496 0 TD
[(List)-333.4(of)-337(Themes)-337.3(and)-332(Subthemes)]TJ
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-7.2961 -1.8427 TD
[(Theme)-10569.1(Subtheme)]TJ
/F5 1 Tf
0 -1.9003 TD
[(Comfort)-2681.2(Comfort)-331.7(for)-337(patient)]TJ
7.0773 -1.0077 TD
[(ELDVs)-331.2(provided)-337.5(feelings)-332.9(of)-336(consolation,)]TJ
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[(reassurance,)-342.3(or)-330.2(solace)-337.7(to)-330.4(the)-338.3(dreamer)]TJ
T*
(\(patient\))Tj
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1.002 -1.0077 TD
[(ELDVs)-331.2(directly)-339(provided)-331.7(comfort)]TJ
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[(\(consolation,)-282.8(reassurance,)-284.7(or)-284.1(solace\))-281.1(to)-284.3(the)]TJ
T*
[(caregiver,)-339.6(or)-330.2(the)-338.3(mere)-335.7(observation)-335.9(of)-330.2(the)]TJ
T*
[(ELDV)-290.1(being)-288.5(comforting)-289(to)-290.1(the)-286.5(patient)-292(can)]TJ
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[(result)-335.5(in)-336.2(comfort)-331.9(for)-337(caregiver)-336.2(before)-336.5(or)]TJ
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[(feelings)-338.7(and)-332.4(emotions)-332.9(were)-335.4(afrmative)]TJ
T*
[(and)-332.4(favorable)]TJ
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[(Feelings)-332.7(and)-332.4(emotions)-338.7(upon)-332.2(reection)]TJ
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T*
[(regretful,)-337.5(and)-332.4(unfavorable)]TJ
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1.002 -1.0135 TD
[(Caregiver)-336.1(experience)-338.4(feelings)-332.9(that)-333.7(were)]TJ
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[(contradictory)-339.4(or)-330.2(conictual)]TJ
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(Sense-)Tj
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(making)Tj
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[(Religious/spiritual)-339.9(process)]TJ
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[(Caregiver)-336.1(made)-335.7(sense)-335.2(of)-330.2(ELDVs)-337(to)-336.2(be)]TJ
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[(Caregivers)-337.9(understanding)-332.1(of)-336(ELDVs)-337(was)]TJ
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[(part)-333.6(of)-336(progression)-334.4(or)-336(trajectory)-336.4(of)-330.2(dying)]TJ
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[(Caregiver)-336.1(attributed)-335.4(ELDVs)-337(to)-330.4(be)-337.2(part)-333.5(of)]TJ
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[(side)-333.4(effect)-337.9(of)-336(drugs,)-330.6(impairments)-338.4(from)]TJ
T*
[(serious)-336.2(illness,)-334.1(or)-336(cognitive)-334.3(decline)]TJ
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[(ELDVs,)-335.4(end-of-life)-331.1(dreams)-333.2(and)-334.6(visions.)]TJ
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(4)Tj
47.5546 0 TD
[(GRANT)-333.3(ET)-338.7(AL.)]TJ
ET
endstream
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[(negative)-398.5(feelings)-397.1(\(sadness\),)-400.9(largely)-396.2(because)-398.1(of)-393.8(recognition)]TJ
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T*
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[(In)-820(sharing)-820.9(ELDV)-826.4(experiences,)-821.9(the)]TJ
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[(theme)-475.7(of)-468.7(sense-making)-478.4(emerged,)-470.9(including)-472.2(responses)-472.4(de-)]TJ
T*
[(scribing)-562.9(how)-557.1(caregivers)-562.7(tried)-559.8(to)-561(understand,)-558.1(explain,)-560.9(or)]TJ
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[(worldview.)-206.6(The)-207.3(subtheme)-202.4(of)]TJ
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11.5828 0 TD
[(Religious/Spiritu)-10.1(al)-198.2(Process)]TJ
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11.1566 0 TD
(was)Tj
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[(the)-252.3(most)-253.2(apparent.)-252(Many)-254.1(felt)-247.7(that)-253.5(ELDVs)-251.4(were)-255.2(an)-251(indication)]TJ
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[(volvement)-422.7(of)-422.6()50.8(God)45.5()-415.8(and)-424.9(other)-421.5(religious)-420.2(gures)-422.1(was)-425.6(also)]TJ
T*
[(common.)-388.1(One)-379.7(respon)-7.5(dent)-380.1(said,)-383.3()50.8(It)-383.5(gave)-386.9(me)-384.7(great)-382.3(comfort)]TJ
0 -1.1174 TD
[(to)-365.2(know)-368.1(that)-362.9(angels)-371.7(were)-364.7(waiting)-367.2(for)-366.1(him)-361.8(to)-365.2(escort)-371.7(him)-361.8(to)]TJ
0 -1.1116 TD
[(heaven.)43()-260.2(Others)-262(considered)-267.8(ELDVs)-262.9(to)-261.5(be)-262.5(medically)-268.4(related,)]TJ
T*
[(due)-396.1(to)-394(either)-389.3(cognitive)-398.5(decline)-397.4(or)-388.1(medication:)-397.5()50.8(It)-395(was)-391(the)]TJ
T*
[(pain)-224.6(medication)-229.2(alone)-221.1(causing)-228.8(these)-220.9(visions)-226.4(and)-223.3(had)-223.3(no)-221.1(more)]TJ
0 -1.1174 TD
[(signicance)-345(other)-340.8(than)-345.5(being)-340.9(a)-336.3(side)-339.6(effect)-344.2(of)-342(the)-338.7(drugs)-340.4(af-)]TJ
0 -1.1116 TD
[(fecting)-286.7(her)-280.9(brain)-283.2(chemically.)47.3()]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 489.4298 Tm
(Discussion)Tj
/F5 1 Tf
9.843 0 0 9.843 69.7323 472.9889 Tm
[(This)-477.8(study)-477.7(explored)-477.8(relationships)-477.5(between)-478.7(ELDVs)-476(and)]TJ
-1.0137 -1.1116 TD
[(bereavement)-399.4(from)-391.5(the)-396.3(perspective)-396.9(of)-388.1(FCGs.)-395.3(There)-394.9(is)-393.8(little)]TJ
T*
[(literature)-331.7(on)-330.5(the)-327.1(effects)-327.9(of)-324.7(ELDVs)-332(on)-324.7(FCG)-327.6(grief)-329.3(outcomes,)]TJ
0 -1.1174 TD
[(although)-321.3(supporting)-316.3(literature)-320.2(indicates)-318.9(great)-319(comfort)-315.4(to)-313.3(in-)]TJ
0 -1.1116 TD
[(dividuals)-310.8(having)-307.4(ELDVs.)]TJ
7.3823 0 0 6.5614 161.4047 433.5306 Tm
(1,39)Tj
9.843 0 0 9.843 181.0204 429.1653 Tm
[(To)-308.7(our)-308.5(knowledge,)-310.4(this)-304(is)-307.4(the)]TJ
-12.32 -1.1116 TD
[(rst)-355.5(study)-345.3(examining)-353.6(the)-350.2(relationship)-355.7(between)-352(the)-350.2(grieving)]TJ
T*
[(process)-268.8(and)-269.4(exposure)-270.1(to)-261.5(a)-267.2(dying)-264.8(loved)-271.7(ones)-265.6(ELDVs)-268.6(using)-264.6(a)]TJ
0 -1.1174 TD
[(mixed-methods)-284.1(approach.)]TJ
1.0137 -1.1116 TD
[(The)-282.1(main)-277.6(nding)-277.3(of)-278.6(this)-275.2(study)-281.9(is)-278.6(that)-276.5(bereaved)-284.1(caregivers)]TJ
-1.0137 -1.1116 TD
[(who)-441.9(reported)-443.2(that)-443.6(their)-438.9(deceased)-446.4(loved)-444.5(ones)-438.4(ELDVs)-441.4(ap-)]TJ
0 -1.1174 TD
[(peared)-367.2(comforting)-364.9(also)-362.6(reported)-362.5(signicant)-364.7(positive)-361.5(effects)]TJ
0 -1.1116 TD
[(on)-439.9(their)-444.6(grief)-438.7(process.)-445(This)-443.3(study)-437.4(extends)-442(what)-444.3(is)-439.9(known)]TJ
T*
[(about)-433(the)-430.8(relationship)-436.3(between)-438.4(ELDVs)-429.9(and)-430.7(the)-436.6(impact)-430.9(of)]TJ
0 -1.1174 TD
[(comfort)-447.9(beyond)-445.5(the)-442.3(dying)-449.1(individual)-444.7(to)-440.1(loved)-450.3(ones.)]TJ
7.3823 0 0 6.5614 275.4141 334.9417 Tm
(3)Tj
9.843 0 0 9.843 283.5212 330.5196 Tm
(The)Tj
-22.7336 -1.1116 TD
[(more)-248.7(comforting)-244(caregivers)-251.7(perceived)-245.1(ELDVs)-245.6(to)-244.2(be)-245.3(for)-245.1(their)]TJ
T*
[(loved)-289(one,)-284.4(the)-286.8(better)-285.6(their)-283.4(overall)-292.5(CBI)-281.8(scores.)-288.4(This)-287.8(was)-281.6(also)]TJ
T*
[(true)-443.4(for)-441(CBI)-443.1(subscales)-444.9(of)-439.9(images)-447.8(and)-442.2(thoughts)-440.9(and)-442.2(acute)]TJ
0 -1.1174 TD
[(separation.)-300.2(Likewise,)-298.9(there)-295.9(was)-298.9(an)-297.1(association)-297.8(between)-300.2(per-)]TJ
0 -1.1116 TD
[(ceived)-200.3(ELDV)-192.9(comfort)-200.2(and)-194.5(working)-193(through)-197.9(the)-194.7(grief)-196.8(process.)]TJ
T*
[(Perceived)-429.2(ELDV)-429(comfort)-424.9(and)-424.9(its)-423.8(role)-420.4(in)-422.8(bereavement)-428.2(are)]TJ
0 -1.1174 TD
[(further)-492.7(substantiated)-490.2(by)-491.8(the)-488.4(qualitative)-494.3(ndings,)-489(and)-488.3(that)]TJ
0 -1.1116 TD
[(comfort)-424.9(for)-417.9(the)-419.3(dying)-420.3(patient)-419.4(can)-420.3(translate)-428.3(to)-417(comfort)-419.1(for)]TJ
T*
(caregivers.)Tj
1.0137 -1.1174 TD
[(Positive)-626.3(reections)-624.9(on)-624.2(ELDVs)-625.7(allowed)-627.5(caregivers)-626.1(to)]TJ
-1.0137 -1.1116 TD
[(construct)-323.3(and)-315.5(make)-319(sense)-318.5(of)-313.2(ELDV)-319.6(experiences)-323.1(in)-313.3(a)-319(mean-)]TJ
T*
[(ingful)-300.6(way.)-296.8(Even)-300.5(those)-294.6(who)-297.9(experienced)-306(mixed)-296(or)-295.9(contrast-)]TJ
0 -1.1174 TD
[(ing)-291.4(feelings)-293.4(were)-289.8(able)-289.1(to)-290.3(make)-290.2(meaning.)-291.3(Sense-)-8.5(making)-285.6(was)]TJ
0 -1.1116 TD
[(often)-237.2(through)-232.4(religious)-235.9(and)-234.9(spiritual)-236(lenses,)-236.7(wherein)-235.6(belief)-233.8(in)]TJ
T*
[(an)-193.4(afterlife,)-195.7(God,)-191.9(angels,)-196.6(or)-192.2(heaven)-194.4(helped)-193.4(caregivers)-194.1(through)]TJ
T*
[(their)-231.5(grief)-225.6(experience.)-233.5(Furthermore,)-232.1(faith)-225.8(that)-230.5(their)-225.8(loved)-225.7(one)]TJ
0 -1.1174 TD
[(will)-184.2(not)-182(be)-181.9(alone)-180.8(in)-180.9(afterlife)-186.5(and)-183(hope)-178.4(of)-186.5(being)-179.6(reunited)-184.2(allows)]TJ
0 -1.1116 TD
[(caregivers)-303.5(to)-301.8(adjust)-295.8(to)-301.8(a)-296(world)-300.2(without)-297(the)-304.1(loved)-294.8(one,)-301.6(while)]TJ
T*
[(maintaining)-286.9(a)-278.7(continuing)-283.3(bond.)]TJ
1.0137 -1.1174 TD
[(Participants)-535.2(who)-528.3(reected)-531.8(on)-532.1(ELDVs)-533.6(negatively)-533.3(were)]TJ
-1.0137 -1.1116 TD
[(typically)-220.1(caregivers)-222.9(whose)-214.7(loved)-219.9(one)-217.6(had)-211.8(distressing)-220.4(dreams/)]TJ
T*
[(visions.)-345.1(ELDVs)-349.3(are)-339.7(not)-343.3(strictly)-350.1(comforting)-341.9(and)-344.3(can)-345.4(elicit)-343.5(a)]TJ
0 -1.1174 TD
[(range)-192.1(of)-180.7(emotions,)-193.3(including)-184.3(those)-190.9(associated)-188.3(with)-184.1(distress.)]TJ
7.3823 0 0 6.5614 289.644 82.885 Tm
(3,4)Tj
9.843 0 0 9.843 59.7543 67.5212 Tm
[(In)-232.6(this)-234.9(study,)-233.5(distressing)-231.9(dreams)-234.6(left)-236.2(caregivers)-234.4(uneasy,)-236.8(often)]TJ
0 -1.1116 TD
[(attributing)-238.5(the)-235(dreams)-234.6(to)-232.7(medication)-235(side)-235.9(effects)-235.7(or)-238.3(cognitive)]TJ
25.5097 67.9242 TD
[(impairment.)-365.2(It)-365.2(is)-359.2(possible)-366.9(that)-362.9(caregivers)-372.7(confused)-362.3(ELDVs)]TJ
0 -1.1174 TD
[(with)-385.7(delirium.)-389.4(Others)-388.7(who)-390.1(reected)-387.8(negatively)-395(focused)-389.9(on)]TJ
0 -1.1116 TD
[(their)-231.5(personal)-229.9(reaction)-237.2(to)-232.7(the)-229.2(experience,)-233.5(expressing)-237.7(regret)-233.6(at)]TJ
T*
[(not)-210.8(validating)-209.7(their)-214.2(loved)-208.4(ones)-213.8(experience)-212.8(or)-209.5(remorse)-212.6(for)-210.6(not)]TJ
T*
[(taking)-278.7(the)-281.1(opportunity)-283.2(to)-278.8(ask)-286.5(more)-277.5(questions.)]TJ
1.0137 -1.1174 TD
[(The)-282.1(prevalence)-293.4(of)-284.4(ELDVs)-291.7(reported)-287.7(in)-284.6(this)-286.7(study)-287.7(\(28%\))-288.7(is)]TJ
-1.0137 -1.1116 TD
[(comparable)-305(with)-305(that)-299.6(reported)-304.9(in)-301.8(previous)-303.6(studie)-7.8(s)-300.4(involving)]TJ
T*
[(secondary)-543.1(accounts.)]TJ
7.3823 0 0 6.5614 393.1652 652.8187 Tm
(7,10,15)Tj
9.843 0 0 9.843 420.6613 648.4534 Tm
[(However,)-545.1(over)-535.4(half)-541.3(of)-543.6(the)-540.2(re-)]TJ
-11.1565 -1.1174 TD
[(spondents)-195.1(indicated)-198.1(that)-195.9(they)-201.5(were)-197.6(unsure)-197.6(whether)-195.3(there)-198(were)]TJ
0 -1.1116 TD
[(any)-211.8(ELDVs,)-208.7(suggesting)-213.6(a)-209.6(lack)-214.2(of)-209.5(awareness)-210.8(or)-209.5(unders)-7.5(tanding)]TJ
T*
[(of)-313.2(this)-315.5(phenomenon.)-311.8(This)-316.6(difculty)-316.5(poses)-317.3(a)-313.3(barrier)-315.3(to)-313.4(accu-)]TJ
0 -1.1174 TD
[(rately)-510.2(evaluating)-516(the)-511.4(impact)-511.5(of)-509(ELDVs)-516.3(on)-509.1(bereavement.)]TJ
0 -1.1116 TD
[(O)15.3(w)0(i)19.8(n)0(g)-261.4(t)0(o)-261.5(t)0(h)20.7(e)-273(sa)19.9(li)26.3(en)19.7(ce)-263.7(of)-261.4(EL)24.2(DV)19.1(s)-271.6(t)0(o)-267.3(b)16.2(ot)20.7(h)-271.8(t)0(h)20.7(e)-273(dy)20.8(in)26.5(g)-277.6(i)16.1(nd)20.8(iv)26.5(id)20.7(ua)25.4(l)]TJ
T*
[(a)15(n)0(d)-180.8(t)16.1(he)19.7(ir)-175.1(fa)19.7(m)15(i)0(l)20.6(i)16(es)19.9(,)-187.7(i)0(t)-175.2(m)0(a)24.2(y)-191.2(be)-176.2(he)25.4(lp)20.7(fu)26.6(l)-191.3(f)0(o)26.6(r)-191.1(di)26.5(sc)19.9(ou)26.6(rs)21.1(e)-186.6(a)0(n)19.7(d)-185.4(op)20.8(e)15(n)0(n)20.8(e)0(s)25.6(s)]TJ
T*
[(to)-255.8(be)-256.8(fa)25.5(ci)19.6(li)26.3(ta)19.5(te)25.3(d)-271.8(b)16.2(y)-271.8(c)15(li)20.6(ni)20.7(c)15(a)0(l)-256.9(s)0(t)20.9(a)0(f)25.5(f)0(.)]TJ
/F10 1 Tf
8.9663 0 0 8.9663 310.8472 547.0298 Tm
(Limitations)Tj
/F5 1 Tf
9.843 0 0 9.843 320.8251 530.5889 Tm
.0187 Tc
[(This)-333.5(st)-5.6(udy)-333.7(inc)-6.6(l).2(uded)-333.7(s)-5.2(everal)-333.9(l)-5.6(i).2(mitation)-5.4(s).5(.)-336.1(F).5(irst)-5.6(,)-330.3(p)-5.4(revious)]TJ
-1.0137 -1.1116 TD
.0194 Tc
[(research)-459.8(has)-459.6(d)1(emonstrated)-459.7(that)-459.9(there)-455.2(i)-4.9(s)-459.6(g)1(eneral)-459.9(lack)-459.7(of)]TJ
0 -1.1174 TD
.0187 Tc
[(awarenes)-5.2(s,)-733.5(under)-5.4(s).5(tandin)-5.4(g).3(,)-733.5(a)-.8(nd)-736.9(education)-736.9(s).5(ur)-5.4(rounding)]TJ
0 -1.1116 TD
.0192 Tc
(ELDVs,)Tj
7.3823 0 0 6.5614 344.466 502.0723 Tm
.0244 Tc
[(2,6)-5.5(,)-2.1(8,1)-5.5(5)]TJ
9.843 0 0 9.843 372.529 497.707 Tm
0 Tc
[(and)-263.7(thus)-263.5(participant)-263.8(interpretation)-261.4(of)-261.3(ELDVs)]TJ
-6.2666 -1.1116 TD
[(may)-385.8(lead)-392.8(to)-388.2(misperceived)-393.5(survey)-387.7(responses,)-389.4(or)-388.1(lack)-392.8(of)-388.1(re-)]TJ
0 -1.1174 TD
[(sponse.)-264.2(An)-268(operationalized)-276.3(denition)-264.7(distinguishing)-269.1(ELDVs)]TJ
0 -1.1116 TD
[(from)-293.5(phenomenologically)-302.7(similar)-298.2(experiences)-300.1(such)-293.4(as)-296.9(delir-)]TJ
T*
[(ium)-194.7(should)-202.4(be)-199.2(used)-195.4(in)-198.2(future)-203.7(studies.)-196.5(Second,)-202.3(this)-200.3(study)-195.5(asked)]TJ
0 -1.1174 TD
[(FCGs)-190.3(retrospectively)-200(about)-191.1(their)-197(loved)-191.1(ones)-196.5(experiences)-196.4(and)]TJ
0 -1.1116 TD
[(consequently)-276(results)-273.7(are)-270.5(subject)-275.1(to)-267.3(recall)-275.3(bias.)-273.9(Third,)-269.4(lack)-277.6(of)]TJ
T*
[(psychometrically)-288.7(validated)-284.5(instruments)-285.2(on)-284.4(this)-286.7(topic)-283.4(limited)]TJ
T*
[(validity)-511.6(of)-514.8(ndings.)-517.8(Future)-514.6(research)-514.3(should)-513.4(address)-516.5(this.)]TJ
0 -1.1174 TD
[(Fourth,)-251.9(no)-249.9(signicant)-249.5(ndings)-249.4(were)-255.2(identied)-254.4(in)-250(overall)-252.2(CBI)]TJ
0 -1.1116 TD
[(and)-459.5(subscale)-461.3(scores)-463.5(between)-461.5(caregiver)-463.9(groups.)-459.1(Grief)-456.9(is)-462.9(a)]TJ
T*
[(multifaceted)-353.6(process)-355.2(inuenced)-347.4(by)-353.5(many)-346.6(factors,)]TJ
7.3823 0 0 6.5614 509.329 381.5432 Tm
(22)Tj
9.843 0 0 9.843 520.1573 377.1779 Tm
[(and)-350(the)]TJ
-21.2648 -1.1174 TD
[(personal)-443(and)-442.2(varied)-441(aspects)-442.9(such)-443.1(as)-440.9(encountering)-443.2(ELDVs)]TJ
0 -1.1116 TD
[(need)-214.1(to)-215.4(be)-216.5(further)-222(studied.)-214(Future)-220.8(studies)-216.1(should)-213.9(look)-217.6(at)-216.6(other)]TJ
T*
[(factors,)-382(such)-379.8(as)-383.3(openness)-385.1(to)-376.7(ELDVs,)-387.3(which)-382(may)-380.1(inuence)]TJ
0 -1.1174 TD
[(grief)-283.2(outcomes.)-286.4(Lastly,)-283.2(there)-284.4(were)-284(a)-284.5(couple)-285.5(of)-284.4(limitations)-285.8(to)]TJ
0 -1.1116 TD
[(the)-407.8(generalizability)-415.8(of)-405.3(the)-407.8(ndings,)-408.3(specically)-414.2(the)-407.8(homo-)]TJ
T*
[(geneity)-281(of)-278.6(the)-281.1(sample)-286.6(and)-280.9(the)-281.1(low)-280.8(survey)-284(response)-281.4(rate.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 310.8472 286.696 Tm
(Conclusions)Tj
/F5 1 Tf
9.843 0 0 9.843 320.8251 270.2551 Tm
[(This)-241.7(study)-241.6(is)-238.3(the)-246.5(rst)-240.3(to)-244.2(suggest)-244.8(that)-242(comfort)-240.6(from)-241.7(ELDVs)]TJ
-1.0137 -1.1116 TD
[(experienced)-346.3(by)-336.3(the)-344.4(dying)-339.7(can)-339.7(positively)-340.8(inuence)-346.3(grief)-340.8(ex-)]TJ
T*
[(periences)-193(of)-192.2(the)-194.7(bereaved.)-195.4(The)-190(importance)-200.3(of)-186.5(ELDVs)-199.5(extends)]TJ
0 -1.1174 TD
[(beyond)-422.5(that)-420.5(of)-416.9(the)-425.1(persons)-417.4(having)-422.6(the)-425.1(experience)-425.9(to)-417(their)]TJ
0 -1.1116 TD
[(loved)-536.7(ones.)-538.7(For)-538.8(this)-534.4(reason,)-542(FCGs,)-539.3(alongside)-542.2(clinicians,)]TJ
T*
[(should)-306(be)-308.6(educated)-313.1(on)-307.5(how)-303.7(to)-307.6(distinguish)-311.8(between)-311.7(delirium)]TJ
0 -1.1174 TD
[(and)-338.5(ELDV)-8.5(s.)-338.4(A)-341.8(greater)-345.3(understanding)-345(and)-344.3(acknowledgment)]TJ
0 -1.1116 TD
[(of)-336.2(ELDVs)-337.8(are)-339.7(necessary)-336.7(within)-336.2(the)-338.7(realms)-338.4(of)-336.2(death,)-339.7(dying,)]TJ
T*
[(and)-390.4(bereavement)-399.4(to)-394(improve)-390.3(patient)-396.3(care)-393.8(and)-390.4(clinical)-398.7(out-)]TJ
0 -1.1174 TD
[(comes.)-467.3(Future)-462.7(research)-468.2(should)-461.6(aim)-466.6(to)-463.1(further)-469.7(expand)-464(the)]TJ
0 -1.1116 TD
[(understanding)-437.1(of)-434.1(the)-430.8(impact)-436.6(of)-434.1(ELDVs)-435.7(beyond)-434(the)-436.6(dying)]TJ
T*
(individual.)Tj
/F3 1 Tf
8.9663 0 0 8.9663 310.8472 127.7858 Tm
(Acknowledgments)Tj
/F5 1 Tf
9.843 0 0 9.843 320.8251 111.3448 Tm
[(The)-184.2(authors)-181.6(express)-188.2(gratitude)-191.1(to)-180.9(the)-183.1(families)-191.1(who)-182.7(took)-183.1(time)]TJ
-1.0137 -1.1116 TD
[(to)-267.3(share)-272.6(their)-271.8(experiences)-271.3(in)-267.3(the)-275.3(midst)-266(of)-272.9(their)-266.1(grief)-271.7(journey.)]TJ
T*
[(Furthermore,)-278.2(we)-280.7(are)-276.3(thankful)-275.2(to)-278.8(the)-275.3(PCI)-274.8(resear)-9.8(ch)-274.1(volunteers)]TJ
0 -1.1174 TD
[(and)-269.4(interns)-273.8(who)-274.9(helped)-274(with)-276.2(survey)-272.5(mailing)-275.4(preparation)-275(and)]TJ
0 -1.1116 TD
[(data)-277.6(entry.)-275.2(We)-276.3(are)-276.3(also)-276.2(grateful)-276.3(to)-273(Debra)-279.4(Luczkiewicz,)-277.1(MD,)]TJ
T*
[(and)-286.7(David)-289.9(Byrwa,)-288.4(MS,)-282.8(for)-291.2(their)-283.4(editorial)-295(comments.)-287.7(Lastly,)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(IMPACT)-336.8(OF)-337.5(EOL)-329.1(DREAMS)-341(AND)-330.9(VISIONS)-341.8(ON)-328.3(BEREAVEMENT)-24806.5(5)]TJ
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endstream
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BT
/F5 1 Tf
9.843 0 0 9.843 62.022 725.1588 Tm
0 0 0 rg
0 Tc
0 Tw
[(the)-344.4(authors)-348.6(thank)-340.9(the)-344.4(Hospice)-350.7(Foundation)-346.3(of)-342(Western)-346.3(New)]TJ
0 -1.1174 TD
[(York)-281.7(and)-280.9(their)-283.4(donors)-282.8(for)-279.7(their)-283.4(ongoing)-278.5(support.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 696.2455 Tm
[(Author)-338.7(Disclosure)-330.4(Statement)]TJ
/F5 1 Tf
9.843 0 0 9.843 72 679.8046 Tm
[(No)-279.5(competing)-284.4(nancial)-283.1(interests)-282.9(exist.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 661.8896 Tm
(References)Tj
/F5 1 Tf
9.2951 0 0 9.2951 66.6708 645.8455 Tm
[(1.)-500.4(Mazzarino-Willett)-583.3(A:)-574.6(Deathbed)-582(phenomena:)-580.3(Its)-574.6(role)-579.9(in)]TJ
1.2503 -1.1284 TD
[(peaceful)-269.8(death)-264.7(and)-266.9(terminal)-265.9(restlessness.)-267.3(Am)-263.7(J)-267.6(Hosp)-263.5(Palliat)]TJ
T*
[(Med)-333.3(2009;27:127133.)]TJ
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