The first type of ELE seeks final meaning. Near the time of death, people often want to be reconciled with family members who have become estranged, and this desire can be so strong that the moment of death is postponed until the estranged person visits. There is often a desire to put one's affairs in order and to right past wrongs. It is observed that patients who have been semi-conscious will have a moment of sudden lucidity in which they express their dying wishes before lapsing back. This whole category of ELE is psychologically intimate, and a significant number of doctors and nurses feel uncomfortable being present for it. Two inhibitions stand in the way. Doctors spend most of their energy trying to extend life, so learning about dying isn't part of their training. Secondly, it is still considered a sign of weakness for a doctor to feel emotional about death, which leads to distancing himself from the actual experience.
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Source: http://www.huffingtonpost.com/deepak-chopra/end-of-life-experiences_b_868738.html
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