Editing Terminal illness (section)

=== Impact on family ===
Terminal patients' families often also suffer psychological consequences. If not well equipped to face the reality of their loved one's illness, family members may develop depressive symptoms and even have increased mortality. Taking care of sick family members may also cause stress, grief, and worry. Additionally, financial burden from medical treatment may be a source of stress.<ref name="Lima-2016b">{{Cite journal |last1=Lima |first1=Liliana De |last2=Pastrana |first2=Tania |year=2016 |title=Opportunities for Palliative Care in Public Health |journal=Annual Review of Public Health |volume=37 |issue=1 |pages=357–374 |doi=10.1146/annurev-publhealth-032315-021448 |pmid=26989831 |doi-access=free}}</ref> Parents of terminally ill children also face additional challenges in addition to mental health stressors including difficulty balancing caregiving and maintaining employment. Many report feeling as if they have to "do it all" by balancing caring for their chronically ill child, limiting absence from work, and supporting their family members.<ref>{{Cite journal |last1=Kish |first1=A. M. |last2=Newcombe |first2=P. A. |last3=Haslam |first3=D. M. |date=May 2018 |title=Working and caring for a child with chronic illness: A review of current literature |url=https://onlinelibrary.wiley.com/doi/10.1111/cch.12546 |journal=Child: Care, Health and Development |language=en |volume=44 |issue=3 |pages=343–354 |doi=10.1111/cch.12546|pmid=29341191 |s2cid=4754378 |url-access=subscription }}</ref> Children of terminally ill parents often experience a role reversal in which they become the caretakers of their adult parents. In taking on the burden of caring for their sick parent and assuming the responsibilities they can no longer accomplish, many children also experience significant declines in academic performance. <ref>{{Cite journal |last=Chen |first=Cliff Yung-Chi |date=June 2017 |title=Effects of Parental Chronic Illness on Children's Psychosocial and Educational Functioning: a Literature Review |url=http://link.springer.com/10.1007/s40688-016-0109-7 |journal=Contemporary School Psychology |language=en |volume=21 |issue=2 |pages=166–176 |doi=10.1007/s40688-016-0109-7 |s2cid=256432947 |issn=2159-2020|url-access=subscription }}</ref>