ABSTRACT
This chapter discusses changing structural conditions may transform the closed awareness context. The principal reasons for the instability of closed awareness require only brief notation, as they have already been adumbrated. First, any breakdown in the structural conditions that make for the closed awareness context may lead to its disappearance. The chapter also discusses the consequences of closed awareness by touching on a contrasting situation. So many discrete consequences seem to flow from this closed awareness context that we must restrict our attention to a few of its consequences for the patient, his family, the hospital personnel, and the hospital itself. The chapter refers to the nursing staff's commitment to work relatively closely with and around patients. Finally, it addresses about the consequences of closed awareness for continued interaction with the patient. Staff members will attempt to establish a mood consonant less with terminality than with "things are not so bad even if not yet better".
