Epilogue

1
Epilogue

• Death and Dying

2
The Dying Persons Emotions

• Kubler-Rosss Five Stages
• Denial
• Anger
• Bargaining
• Depression
• Acceptance

3

• Five Stages appear and reappear throughout
  process
• Age of dying person affects feeling about death

4
Deciding How to Die

• For older people preparation for death is seen as
  normal
• Pain at the end - what to do about it?
• The Patient and the Family
• Living will - indicates what medical intervention
  should occur

5

• Medical Personnel
• Double effect- relieves pain, but could hasten
  death
• Palliative care- designed mainly to treat pain
  and suffering
• Hospice - place where terminally ill patients
  receive palliative care

6
The Social Context of Dying

• Death Around the World
• rite of passage
• biological event
• natural occurrence

7

• Many cultures share death in a community spirit
• An accepted, familiar event that happened at home
• 20th century Western cultures withdrew death from
  everyday life

8

• More and more people died alone in hospitals than
  at home among family
• This denial of death permeated the medical
  profession
• Doctors and nurses avoided the truth
• People became socially isolated even before death

9
Bereavement

• Mourning the ways of expressing grief at the
  death of a loved one
• Mourning period - less likely today
• Mummification bereaved leave intact belongings
  of dead
• Death of mourners over bereavement, not uncommon
  for elderly couples

10

• Phases of Mourning
• Shock
• Longing
• Depression and despair
• Recovery
• Can last many months or years (2 years average)
• Do not follow a schedule

11

• Later anniversary reactions -expected and
  accepted
• Bereavement overload new deaths occurring
  before mourning another death has finished
• Anticipatory grief

12
Recovery

• What can others do
• Be aware of emotions that are likely to occur
• Understand bereavement is a long process
• Working through the emotions can help the person
  have a deeper appreciation of him/herself and
  life, including human relationships