no one in her family knows what happened 40 yrs prior?
i've had pts such as yours, and yes, the 'fighting death' was r/t unresolved issues in life, and pt feared going to hell.
this one pt fought tooth and nail...no medications touched him.
you could hear this man, just yell and scream, 24/7....i had never seen anything like this in my life before.
our sw went through every word in his chart, and discovered he had abandoned his sons many yrs before.
long story short, pt got word that his sons had moved on and had happy lives...
and all was forgiven.
upon hearing that, pt died within minutes.
if no one can get to what this pt is fighting, i'd consider terminal sedation.
she's in her own version of hell right now.