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3. Literature review of palliative care
Five stages of grief
Five stages of grief
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The subject of death and dying can cause many controversies for health care providers. Not only can it cause legal issues for them, but it also brings about many ethical issues as well. Nearly every health care professional has experienced a situation dealing with death or dying. This tends to be a tough topic for many people, so health care professionals should take caution when handling these matters. Healthcare professionals not only deal with patient issues but also those of the family. Some of the controversies of death and dying many include; stages of death and dying, quality of life issues, use of medications and advanced directives. The stages of death are known to be a process of mourning that is experienced by individuals from all phases of life. This mourning ensues from an individual’s own death or the death of a loved one. Dr. Elisabeth Kubler-Ross dedicated much of her career to studying this dying process and in turn created the five stages of death. The five stages are; denial, anger, bargaining, depression and acceptance. These stages may not occur in sequence and sometimes may intersect with one another (Axelrod, 2006). The reality of death many times causes a feeling of denial; this is known as the first stage. In this stage, people have many emotions and have a tendency to hide from reality. This reaction is momentary, but should not be rushed. The patient or loved one needs time to adjust to the awaiting death. This adjustment helps bring them through to the next stage; anger. Anger is a common feeling and many times routes from a feeling of not being ready. This emotion may be directed toward God, strangers, friends, family or even healthcare professionals (Purcell, 2006). In some cases, it can be targeted... ... middle of paper ... ...re are many options for a patient regarding their health care and it is important that they are knowledgeable in all aspects. 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.
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
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
In 1969 Elisabeth Kübler-Ross, a psychiatrist, published the Pioneering book On Death and Dying. The work acquainted the world with the grieving process, called the five stages of grief. Kübler-Ross gathered her research from studying individuals with terminal cancer (Johnson, 2007). The first stage of the grieving process is denial. In this stage the person refuses to believe that their loved one is deceased, a common thought during this period is, “This can’t be happening to me” (Johnson, 2007).The second stage of the grieving process is anger. In this level the person becomes frustrated with their circumstances, a customary complaint is “Why is this happening to me?” (Johnson, 2007). The third stage of the grieving process is bargaining. At this point the individual hopes that they can prevent their grief, this typically involves bartering with a higher power, and an ordinary observance during this time is “I will do anything to have them back” (Johnson, 2007). The fourth and most identifiable stage of grief is depression. This phase is habitually the lengthiest as...
For some, coping with death is the end of a journey, but to others, it is the beginning of change. The novel, The Hero's Walk, explores the meaning of this statement through the death of Maya. Because of her death, the people who are close to her, such as her father, Sripathi, begin to suffer. However, he eventually experiences a positive change after coping with her death. In Anita Rau Badami's novel, The Hero's Walk, Maya's death is a major turning point which affects the life of Sripathi; ultimately, this loss contributes to his major character development.
Nurses take an active role in advocacy and policy development regarding assisted death and other end of life choices. Through the help of advance care planning, nurses has helped patient think about what gives their life a meaning, learn about medical procedure offered at end-of-life care, help them communicate about their future health care wishes, choosing a person who would speak for them when they cannot speak for themselves and recording goals and wishes. The role of the nurse in end-of-life care is very crucial, they might be getting more queries on physician-assisted death. So, it is significant for nurses to understand the law and professional standard for better continuity of care and also to protect themselves against potential
It is common for those experiencing grief to deny the death altogether. Many people do this by avoiding situations and places that remind them of the deceased (Leming & Dickinson, 2016). However, by simply avoiding the topic of death and pain, the mourner only achieves temporary relief while in turn creating more permanent lasting agony (Rich, 2005). In this stage, mourners will begin to feel the full weight of the circumstance. Whether the death of a loved one was sudden or long-term, survivors will feel a full range of emotions, such as sadness, guilt, anger, frustration, hopelessness, or grief. While many of these emotions can cause serious suffering, it is important for the survivor to feel whatever emotions come up and deal with those feelings, rather than trying to suppress any
Switzerland has an unusual position on assisted suicide as it is legally condoned and can be performed by non-physicians. The involvement of a physician is usually considered a necessary safeguard in assisted suicide and euthanasia. Physicians are trusted not to misuse these practices and they are believed to know how to make sure a painless death. Besides, the law has explicitly separated the issue of whether or not assisting death should be allowed in some circumstances and, whether physicians should do it. This splitting up has not resulted in moral desensitization of assisted suicide and euthanasia.
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
Death is a natural part of life that we all have to face one day. The way in which friends and love ones cope during this time is based on their culture or religious belief and their support system. Different religion or culture has different mourning customs which are unique to their own believes. For this project, three religious practices: Christianity, Muslim and Catholic were examined along with their own unique customs and believes. Despite the wide array of differences between each culture, they all believe in life after death and that there is a heaven and a hell.
Why do always assume what someone is from when we first hear about them? A lot of us end up assuming what someone looks like as well as what they might be like. We always do this and it just isn't right to do that. We do the exact same with Death. Though not everyone will do this, there are some who will. Death is not all that his name says, but were blind to see past that.
Death is the one great certainty in life. Some of us will die in ways out of our control, and most of us will be unaware of the moment of death itself. Still, death and dying well can be approached in a healthy way. Understanding that people differ in how they think about death and dying, and respecting those differences, can promote a peaceful death and a healthy manner of dying.
I was very excited to take Death and Dying as a college level course. Firstly, because I have always had a huge interest in death, but it coincides with a fear surrounding it. I love the opportunity to write this paper because I can delve into my own experiences and beliefs around death and dying and perhaps really establish a clear personal perspective and how I can relate to others in a professional setting.
In letter 534 of Yann Martel’s short story Manners of Dying, Martel portrays Kevin as an impatient and disrespectful individual with barely, if not any regrets about his crime. Through his incredibly fancy last order of “caviar, champagne and cigarillos” (Martel, 123), Kevin seems to be trying to fully enjoy what little time he has left in this world. This shows that he does not have many regrets about the crime he has committed, as most people would want to have their last meal as something humbling. Kevin instead chooses to have something flamboyant. He also eats this meal as quick as possible, “gobbled down the caviar” (123) and chugs down the champagne “in a single draft” (123). He then goes on to ask for even more champagne, and drinks
Death is something that causes fear in many peoples lives. People will typically try to avoid the conversation of death at all cost. The word itself tends to freak people out. The thought of death is far beyond any living person’s grasp. When people that are living think about the concept of death, their minds go to many different places. Death is a thing that causes pain in peoples lives, but can also be a blessing.
face, and it was not a bitter smile. Not bitter at all"; this is the