Death is the termination of lie and its related clinical signs and has been defined in several ways. Death has various stages, signs, and actors affect it that has physiological and ethical responses. It is the nurse’s responsibility to facilitate coping to the dying and the family members, friends and significant other of that person dying. Death is defined in various ways such as Heart-Lung Death, Whole Brain Death and Higher Brain Death. Taylor, Lillis in her book states that Heart-Lung Death is : “The irreversible cessation of spontaneous respiration and circulation”, this definition emerged from the historical idea that the flow o body fluids was essential or lie. Whole Brain Death is defined as “The irreversible cessation o all functions of the entire brain, including the brain stem”. Higher Brain Death is defined as “The irreversible loss of all ‘higher’ brain functions, of cognitive function and emerged from the belief that the brain is more important than the spinal cord and critical functions are the individuals personality, conscious life, uniqueness, capacity, judging, reasoning, acting, enjoying, and worrying”. The clinical signs of impending or approaching death includes the following: inability to swallow; pitting edema; decreased gastrointestinal and urinary tract activity; bowel and bladder incontinence; loss of motion, sensation, and reflexes; elevated temperature but cold or clammy skin; cyanosis; lowered blood pressure; and noisy or irregular respiration. The client may or may not loss consciousness. The indicators o imminent death is outlined by authors Black, Hawks and Keene states that, “Certain physical, cognitive, and behavioural changes occurs as a person enters the active dying process. The human body, like any other living organism, seeks survival; in doing so, it oten alters normal physiology. As the body begins to dieblood is commonly shunted to the brain and the heart, the two most common important organs. Thus, peripheral circulation is limited, leading to mottling of cyanosis. Because the kidneys are no longer perfused adequately, there is a decrease in urine output. Slowly, all body systems become involved in the dying process. Tachycardia and diminished dodo pressure are observed in acute phase of decompensation of the cardiovascular system. The respiratory system... ... middle of paper ... ... The middle-aged often become preoccupied with death as age approaches whereas older adults ear lingering, incapacitating illness and realizes the imminence e death. While the individual is suffering the primary loss, the family and/or significant other must deal with not only the individual reactions, but also with the current loss. The family con provide a support system for the way in which the individual may deal with the loss. They mutually share feelings and openly communicate both negative and positive emotions related to death. In contrast the family in some way is responsible for the death and may thus eel guilty. They may express feeling of anger, shame, overprotection, withdrawal, and identify with the loss or they may feel helpless or hopeless. In assessing the family reaction the nurse should identify the prior interaction style of the system”. Although socio-economic status does not influence the degree of emotion experienced, the support system available to channel the emotions is affected. Financial resources – including insurance policies, pensions and saving may provide the dying individual with more options to deal with the death.
In the United States and worldwide people have different culture, beliefs and attitude about death. Over the past years, death is an emotional and controversy topic that is not easy to talk about. Everyone have a different definition of what is death and when do you know that a person is really dead. In the book Death, Society, and Human Experiences by Robert J. Kastenbaum demonstrates that you are alive, even when doctors pronounce you dead.
The preface focuses on the type of care Hospice provides for the patient and family, while the section entitled "Hospice is..." provides a detailed definition of hospice.Chapter One demonstrates the sensitivity a hospice nurse must use when dealing with new patients and how the nurse must remain unbiased at all times. Chapter Two reviews the family emotional strains and stresses which can be experienced when a loved one is dying within the home and how different people deal with the change. In Chapter Three we can develop a deeper understanding of an individual's strength and acceptance through the story of Karen, a seven year old who is dying from cancer. The different coping mechanisms expressed by Karen's parents are very contrast dramatically as the needs of survivors vary.Chapter Four highlights patients' need for control and decision making over his or her own life. In Chapter Five, Henrietta, the patient had very little control over her treatment and pain because her husband refused to accept her dying, until Janice (hospice nurse) promised her dignity during death. In Chapter Six, William tries a new method of pain control and his spirits are lifted as he once again has some control in his life as expressed in his statement, "I can't believe the power I have"(1, p.194).
Dealing with someone dying is not something that is going to be fun or enjoyable. Death comes to everyone, none of us can duck and dodge it. Death of natural causes is not something that can be controlled by anyone, but it is important for people to be with those that are dying. When someone you know is dying, whether they are friends or family it’s very important for them to feel loved and not alone. It is also important that the opinions and thoughts of the patient be taken into consideration because they are going through something that no one can say they relate to. In dealing with death, there are many emotions that are felt by the sick patient and their friends and family. In A Very Easy Death
The age of exploration, discovery and expansion between 1500th thru 1600th had people eager to traverse the world and find new adventures. The Spanish and British motivation for exploration into the New World were similar; both were seeking wealth, wanted to discover new trade routes, and identify locations for settlement (Troolin). Although, both countries had similar motives each had specific agendas that would later influence North, South and Central Americas future.
The American Nurses Association (ANA) thinks that nurses should stay away from doing euthanasia, or assisting in doing euthanasia because it is against the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001; herein referred to as The Code). Overall, nurses are also advised to deliver a quality of care what include respect compassion and dignity to all their patients. For people in end-of-life, nursing care should also focus on the patient’s comfort, when possible the dying patient should be pain free. Nurses have also the obligation to support the patient but also the patient’s family members during these difficult moments. We must work to make sure that patients and family members are well informed about every option that is
Granted, textbooks and nursing classes deal with death, but Marks explains that you do not really understand it until it is right in front of you. Overtime it becomes something that nurse’s become accustom to. To clarify the subject of death never becomes easy, it just becomes bearable. After 31 years of experience Marks explained to me that nurses have to learn how to distance themselves, yet still be caring at the same time; a trait that does not come easily to most. In the same way treating someone with a terminal illness is just as hard. In these cases nurses must step into the role of councillors. They must learn how to comfort their patient, yet not become too attached. As well they must learn how to explain to them what is happening, which can become especially hard when dealing with
It is important that patients and family members understand the conditions under which the patient is suffering from. People have an obligation of preparing themselves for end of live. This can be done by writing a will or an Advance Directive to guide the medical personnel and family members on what the patient wants. It can also be done by assigning a medical care proxy to decide on the patients behalf (Groopman and Hartzband, 2011). Medical personnel need to consider the patients wish and act as per the law when deciding on end-life options. Most of the decisions made by terminally ill patients are biased and compromised.
There are two ways in which a person dies: cardiopulmonary death or brain death. Both are formal and legal definitions of death. Cardiopulmonary death is the irreversible loss of function in the heart and lungs. People who have suffered irreparable brain damage (such as head trauma or stroke) are diagnosed with brain death, which is “the irreversible cessation of all brain functions," according to Health System University of Miami.
The nursing profession is formed upon the Hippocratic practice of "do no harm" and an ethic of moral opposition to ending another human’s life. The Code of Ethics for nurses prohibits intentionally terminating any human life. Nurses are compelled to provide ease of suffering, comfort and ideally a death that is coherent with the values and wishes of the dying patient, however; it is essential that nurses uphold the ethical obligations of the profession and not partake in assisted suicide. (King, 2003)
It is found that nurses report that their most uncomfortable situations come with prolonging the dying process and some struggle with ethical issues by doing so (Seal, 2007). Studies have shown that implementation of the RPC program and educating nurses have increased the nurses’ confidence in discussing end-of-life plans (Austin, 2006). With confidence, the nurse is able to ask the right questions of the patient and make sure that the patient’s wishes are upheld in the manner that they had wanted, such as to not resuscitate or to make sure their spiritual leader is present when passing (Austin,
The criteria or definition of brain death was re-examined in 1968 by a committee at Harvard Medical School and is part of the criteria used today. They defined it as when a patient; is unresponsive to stimulus; cannot move or breathe without the aid of a ventilator and has no brain stem reflexes. Several tests are done in order to determine if a patient meets these criteria and this can be done by physicians and neurologists. A brain dead patient is legally dead and a death cer...
The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion are all mentioned in the abstract. Statement of the Problem The problem explored in the article was stated as a problem statement. In this article, the authors explain the stressful situations of families having loved ones die in the intensive care unit. They also state that this problem is very important because there is poor communication between staff, physicians, and surrogates in the plan of care for end-of-life measures (Lautrette et al., 2007).
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.