Transcript DEATH & DYING

DEATH & DYING
5 STAGES OF GREIVING
2 PURPOSES OF HOSPICE
CARE
“RIGHT TO DIE”
DEATH
FINAL STAGE OF GROWTH
Terminal illness
Disease that cannot be cured that will
result in death
Reactions to death
Fear of pain
Fear of unknown
abandonment
loneliness
Anxious about loved ones
anxious about unfinished work or dreams
Final peace
full life
strong religious beliefs regarding life after
death
know death will bring an end to
loneliness, pain and/or suffering
Dr. Elisabeth Kubler-Ross
extensive research on the process of
death & dying
Results of research
patient should be told of his/her
approaching death
patients should be left with some
hope and knowledge they will not be
left alone
Five stages of grieving
patient & family may experience these
stages
stages don’t have to occur in order
stages may overlap or be repeated several
times
may not progress through all of the
stages
may be going through several stages at
the same time
STAGES OF DEATH &
DYING
Denial
anger
bargaining
depression
acceptance
DENIAL
First stage
first told of terminal illness
make statements such as
“The doctor does not know what he/she is
talking about”
“The tests have to be wrong”
ANGER
patient no longer able to deny death
Common statements
“Why me”
“It’s your fault”
may strike at at anyone who comes in
contact with them
Hostile and bitter
blame themselves and their loved ones or
health care professional
BARGAINING
accept death but wat more time to live
frequently turn to religion and spiritual
beliefs
will to live is strong
DEPRESSION
occurs when the patient realizes death
will come soon
no longer be with families
unable to complete their goals
may express these regrets or withdraw
and become quiet
ACCEPTANCE
understand and accept the fact that they
are going to die
complete unfinished business
help those around them deal with death
Care of the dying patients
very difficult
great satisfactions
understand own personal feelings about
death and come to terms with these
feelings
learn to provide supportive care the dying
need
HOSPICE CARE
meeting needs of the dying patient
care offered in hospitals, medical centers
and special facilities
patient’s home
allow the patient to die with dignity and
comfort
pain is controlled so patient can remain
active as long as possible
psychological, spiritual, social, and
RIGHT TO DIE
HCW are ethically concerned with
promoting life but HCW has to come to
terms with right to die
allowing patients to die can cause conflict
patient able to refuse treatment
laws allow right to die
LAWS
allow adults with terminal illness to
instruct their doctors in writing to
whithold treatments that might prolong
life
Living will
specific actions cannot be taken
SUMMARY
Death is part of life
HCW will deal with death and dying
patients
must understand the process of death
and think about the needs of dying
patients
provide special care these individuals
need