In the clinical study of palliative care and hospice, particularly from psychological and spiritual perspectives, the Sense of Self is often seen as a core issue. However, another closely related concept essential for understanding terminal psychology, the Sense of Life Chronology, has rarely been explored in depth. The potential interaction between these two concepts and their possible disorders during the terminal phase offers a unique analytical framework for studying changes in psychological and spiritual states at the end of life. Drawing on years of observation and experience in palliative care and hospice clinical practice, this paper examines the interrelation between terminal patient's Sense of Self and Sense of Life Chronology. It further proposes a clinical adjustment model to address disarray in the terminal Sense of Life Chronology. The aim is to help patients reconstruct the coherence and fluidity of their life history perception through narrative psycho-spiritual interventions, thereby restoring psycho-spiritual balance and enhancing the quality of life and well-being of terminal patients.