Death Is Very Close Death

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 part of human experience, which is often associated with fear of unknown, separation, and spiritual connection. Death is an individual experience, which is based on unique perceptions and beliefs. Fear of death and dying seems to be a universal phenomenon, which is closely associated with apprehension and uneasiness. Death is allied with permanent loss, thus personal experiences of grief are similar in many different cultures. There are different mourning ceremonies, traditions, and behaviors to express grief, but the concept of permanent loss remains unchanged in cross cultural setting. With this paper I will identify cross-cultural perspectives on death and dying, and will analyze

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

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.

Facing Death is a compelling documentary on, oftentimes, the final journey patients and their families will venture through together in life. The documentary seeks to capture how the patients and their families respond to the inevitability of death. The film includes families who respond to the issue by allowing their family member, the patient, to pass through the door of death without aggressive care, while there are yet other families who insist on everything being done to delay the moment of death. This topic of fighting death is attributed with producing much debate. On one hand are those who do not see the point of fighting death, however, on the other hand, there are those who believe that delaying death and staying alive is what ought to be done. Personally, from what I understand of either party, I think that I am a part of the later party. In addition, this issue naturally delves into what one believes occurs after death, as it is an issue dealing directly with death. This also compels me to view this topic from the viewpoint of the later party.

The beginning of life is celebrated. Books and resources are shared among friends and family in preparation for becoming a new parent. So, what happens as one approaches the end of life? Unfortunately, the same care and sharing rarely occurs in those circumstances and many face the prospect of dying unprepared. Though most people state they would prefer to die at home, this is often not where death occurs. Many Americans spend their last days attached to medical apparatus that keeps the body alive, but it does not allow for communication with family and often requires heavy sedation. Additionally, this level of treatment comes at a high price. As a society, we must become as comfortable in addressing the end of life process as we

Many terminally-ill patients give up hope when treatments are no longer available to help them and hospice care is given to them as an option. However, hospice care has proven itself to provide the best quality care for the last six months of the dying. The purpose of hospice is to provide the best care for terminally-ill patients at the end stage of their lives. Hospice offer services to support too many aspects a patient’s life such as medical, legal, spiritual care. Hospice includes art therapists, music therapists, and certified chaplains on the palliative team.

When we get older and when we deal with someone else who is nearing death we misunderstand what happens and how to understand the death process, we do not know what to expect and how to handle the process.

This article can be used as a way to further support my argument about how most patients don’t utilize all of the benefits that hospice has to offer. There are some cases where people choose not to receive spiritual support due to

Paulus, (2008) discusses in her thesis that patients with chronic diseases need symptom control and pain management but are often referred to palliative care services too late and do not receive the care and support they need. Late decision making reduces patient autonomy; patients may become too unwell to participate in formulating their plan of care (Al-Qurainy, Collis, & Feuer, 2009). In a study carried out by evaluating the notes of patients that had died it was concluded that physicians did not feel confident giving an end of life diagnosis; this can cause a delay in care (Gibbins, McCoubrie, Alexander, Kinzel, & Forbes, 2009). Palliative care in hospitals would improve the quality of end of life care. Paulus (2008) believes it is an

People die everyday all over the world. In United States, people use hundreds of different words to describe death. Generally, people that grow up in the United States tend to view death as a taboo subject and are seen as a topic that should be kept behind closed doors and contracted with an individual or family. A belief system that so many individuals hold to be true has been shaped over the past century. In this culture, death has become something that is enormously feared and as a result, some people stop living their lives to his or her highest potential because of their fear of dying. The effect that death has pertains to individuals of all ages, gender and ethnicities. But unfortunately, how death is viewed it has become more and

Dr. Ira Byock’s latest book, The Best Care Possible: A Physician’s Quest to transform Care Through the End of Life, is a remarkable book written from a personal perspective as one of the foremost palliative-care physicians in the country. Dr. Byock shares stories of his experience with patients in his clinical experience to illustrate how end-of-life care affects each person. He explains what palliative care really is and how to make humane choices in a world obsessed with conquering death. Byock presents an agenda for end-of-life care that stresses compassion, dignity, and each patient being viewed as a unique case with the opportunity to partake in shared decisions amongst a team of professionals and family members. Dr. Byock is an advocate of dying well in a society marked by a fear of death; his highly personal account provides thought-provoking vignettes of how people struggle to make the right decisions in the winter of their lives. Byock urges society to embrace the reality of death and transform the medical community into an environment that will allow patients to live the last of their days in comfort with dignity and peace. This book is a vitally important piece of literature for everyone to devour with fervor. Everyone needs to understand the inevitability of death and the environment end-of-life care can present in what will be the final moments of life.

Palliative care is a relatively new concept. Palliative care programs have become more numerous and better utilized since 2000 and continue to grow. It is now accepted that the palliative care model is appropriate for patients with life-limiting illnesses. Chan et al. (2013) stated that the ultimate goal of palliative care is to relieve suffering and to maximize the quality of life for dying patients and their families, regardless of the stage of illness or the need for other medical treatments (p. 133). As life-expectancy increases, there is a growing need for these services. People are living longer with chronic diseases and palliative care services can provide an extra layer of support to patients and their families. Evidence has shown that 13% - 36% of hospital inpatients qualify for palliative care services (Robinson, Gott, & Ingleton, 2014).

Thinking about death and dying is a very difficult subject to approach. There are movies, television shows, songs, books, and real life situations that basically force us to think about death and dying daily in one way or another. When we consider real life situations either involving our loved ones or ourselves, we must think about the ways in which we may be treated and how this treatment may affect our understanding of death and our role in the process. I am going to address this as well as how the ways in which people treat those who were dying many years ago compared to in our modern time is significantly different. There is also a phrase that is commonly being used in the United States known as the “medicalization of death”. I am going

Our society finds it difficult to talk about dying and euphemisms are the norm. It is typical for both doctors and patients to be hesitant to initiate a discussion on dying. Focus instead is often more often placed on interventions and actions for managing symptoms. This avoidance can leave patients and their families unprepared for the inevitable death. (Schapira, 2010) It also often results in requests for therapies which may be excessive, costly and even painful in the hopes for a cure. One study demonstrates that when patients are aware that they are terminally ill, the majority are able to reach a state of peacefulness and also exhibit lower levels of distress. (Ray, Block, Friedlander, Zhang, Maciejewski & Prigerson, 2006) It is also important that family members are willing to discuss end-of-life options with their loved ones. According to elderly patients, they are most often the ones who initiate these conversations with their