Death is an inevitable part of life. “Just as we are all deserving of a joyous and harmonious life, we are also deserving of a peaceful, meaningful death” (Scannon, 2015 , para. 1). Many healthcare providers have not received training to properly care for patients nearing EOL processes and not all healthcare providers are comfortable caring for dying patients (Field & Cassell, 1997; Gillan, Jeong, &, van der Riet, 2014a; Gillan, van der Riet, & Jeong, 2014b; Paice, Ferrell, Coyle, Coyne, & Callaway, 2008). Inadequate training and poor comfort levels in caring for the dying pose a problem in providing adequate care at this delicate time in a person’s life (Field & Cassell, 1997). Knowledge of EOL processes and comfort levels with these processes can be enhanced with proper education, which should initially take place in undergraduate educational programs. Benner, Sutphen, Leonard, and Day (2010) identified national educational shortfalls in nursing education programs as one of the problems in the profession in nursing. In 2001, the End-of-Life Nursing Education Consortium (ELNEC) was created by the AACN and staff from the City of Hope Medical Center to educate healthcare providers on the following eight competencies: introduction to palliative nursing; pain management; symptom management; communication; cultural considerations; ethics; loss, grief and bereavement; and care during final hours of life (Ferrell et al., 2016), yet, one shortfall in nursing education
“Tuesdays with Morrie” and “The Death of Ivan Ilych” both portray a character who is dealing with a serious terminal illness and advance knowledge of their deaths. One story is based on the realistic life of an American professor with the story’s characteristics tone from the 1990’s while the other is set during nineteenth century Russia. Even though Morrie Schwartz and Ivan Ilych both suffered from the illness, their dissimilar lifestyles and beliefs led to different perspective on facing death. One views the knowledge as a blessing and an opportunity to share his life experiences before making his final good-byes, the other agonizes in pain and begs for an
Hospice exists in the hope and belief that, through proper care and the encouragement of a caring and sensitive team, patients and their families may be free to achieve some level of mental and spiritual preparation for death that is comfortable to them. The goal is to help
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
This case surrounds the controversy brought about by the Arizona state legislature defunding life-saving organ transplant operations. In 1987, the Arizona state legislature voted to eliminate funding for most organ transplants for the indigent through the Arizona Health Care Cost Containment System (AHCCCS). At the same time of this decision, the legislature voted to extend health coverage to pregnant women and children in a “notch group.” The public controversy began when Dianna Brown died after being denied coverage for a liver transplant that would have saved her life. After her death, there was wide spread
1.1 Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Caring for patients at the end of life is a challenging task that requires not only the consideration of the individual as a whole but also an understanding of the
Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
Nurses: Assist the patients and families to cope with the end-of-life process such as assessing and
It is important to remember that care of the patient does not end when the patient dies. After the death there is still work to be done in the form of comforting the bereaved family members. It has been reported that some
This paper will explore what would entail “A good Death”. I will discuss Pain Control, No Excessive Treatment, Retention Of Decision Making By The Patient, Support For The Dying Patient And His/Her Family And Friends, Communication Among All Parties And Acts Done Out Of Love That Make Dying More Difficult.
Ernest Hemingway has been greatly criticized for a supposed hatred of women that some feel is evident in his writings. One of the primary books that critics believe shows this misogynistic attitude is A Farewell To Arms. It is counterproductive to interpret the book using such a narrow focus because the author is dealing with much more profound themes. Hemingway is not concerned with the theme of gender equality, but rather with the greater themes of the inherent struggle of life and the inevitability of death.
On Death and Dying By Elisabeth Kubler-Ross For my book review, I read On Death and Dying, by Elisabeth Kubler-Ross. Dr. Kubler-Ross was the first person in her field to discuss the topic of death. Before 1969, death was considered a taboo. On Death and Dying is one of the most important psychological studies of the late twentieth century. The work grew out of her famous interdisciplinary seminar on death, life, and transition. In this paper, I give a comprehensive book review as well as integrate topics learned in class with Dr. Kubler-Ross' work. Like Piaget's look at developmental stages in children, there are also stages a person experiences on the journey toward death. These five stages are denial/isolation, anger, bargaining,
1.) Explain how the answers to the self-inventories in the text concerning facts, attitudes, beliefs and feelings about death reflect our societal understanding or lack of understanding of death. I think that the self- inventory question reflected on both our understanding and lack of understanding about death related topics. Some of the answers to the questions on the inventory I knew without look at the answers, but some of the answers actually surprised me. The question about the death certificate was one of the questions that actually surprised me. I assumed before I did the inventory that every death certificate had a specific cause of death that was given on the certificate. Another answer that
What would you do if you were caring for a child whose condition would eventually kill them, but the parents wanted you to try every treatment? In the article “When Living Is a Fate Worse Than Death” by Christine Mitchell, the main point consists of this very question. The choice that hospital staff sometimes must make between keeping a child alive knowing that their condition will eventually take over or trying every procedure in an attempt to keep them alive. I believe that Mitchell does a great job in stating her claim favoring the side that a child with an illness that would, in time, take their life should be allowed to die peacefully rather than enduring painful procedures and bouncing between home and hospitals.
The abstract idea of life cannot be explained by such simple ideas as being animated, breathing, or speaking. Ordinary machines in this century can perform all of these basic functions. The quandary with defining death is not as abstract and elusive as that of life. The problem of defining life and death has plagued philosophers and the religious bodies for thousands of years for one reason; each philosophy or religion has tried to define the meaning of life and death from only their certain perspective. The seemingly appropriate approach to this problem would be to understand the ideas presented in various philosophies and religions and through this knowledge create a new definition for each idea of life