The Art of Dying by Rob Moll

There may be more than meets the eye. Sometime it takes time to talk about the issue to really come out and understand our client. From reading this editorial, I think I will always keep it at the back of my head every time I visit a client. I believe I will ask myself the question: What do you notice? And minutes later, I will asked myself again: What are you noticing now? Perception changes as you continue to talk to your client. Client may be open to you or they may cut you off, but it is important to understand the client. As the clients and their family interact, notice their interactions, and pick up on some of the things they say and things that are happening around the room. Working under hospice, the more we talk to the patient or the family, the more comfortable it become to adjust to them because we are seeing more eye to eye and we are knowing them more than before through the stories they tell us.

This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role

In “ How Doctor Die,” Ken Murry explains the choice of doctors when they have a terminal illness. From the beginning, Ken gives an example of an orthopedist who was diagnosed with stomach cancer. He quit his job and spent the rest of his day with his family. A doctor is a person who treats disease and saves patients; however, when they have an illness, they are also like other patients. They meet difficult situations with their patients but also feel for them. They tend to be fair because they know about medicine and its limits. They do not want to die. Surely, each doctor has the preparation for death, and they want to find a way to die in peace. On the other hand, some patients try to find a method to overcome their illness although they have to bear pain. What I take from Murray’s essay is that patients have a right to chose how they die . Every one dies, eventually, but I agree with Murray that the choice needs to be an informed decision.

It is inevitable that we will all die it is a fact that everyone must come to terms with. There comes a time in everyone’s life that they must face death; a friend’s tragic accident, a family member’s passing or their own battles with diseases. When faced with the idea of death people will act in different ways some may find it therapeutic to apologize for the negative they have done, some may want to spend time with loved ones to ease the future pain, and others may decide that their life was not what they believed. The story Death Constant Beyond Love tells us about a man named Senator Sanchez who is living a happy life with his wife and five kids. That is until he is told by doctors that he only has a short time to live. Death is

James Rachels claims that morality is absolute. In his article Mortality is Not Relative, he discusses the fallacies of Cultural Relativism as well as the Cultural Differences Argument. Rachels believes that all cultures have some values in common and that there is way less disagreement between them than it seems. He brings up the example of the Eskimo’s and how they choose to kill the infants that they cannot take care of, “The Eskimo’s values are not all that different from our values. It is only that life forces upon them choices that we do not have to make” (Rachels). Another example of this would be how in some cultures it is wrong to eat cows because they believe that the souls of their ancestors and deceased are reincarnated into the cow. In our culture we would not eat our grandparents either, the only difference is we do not believe that they become cows, thus we would have no problem eating cows. “Now do we want to say that their values are different than ours? No, the difference lies elsewhere. The difference is in our belief systems, not in our values” (Rachels).

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

“You don’t get to choose how you’re going to die and when, you can only decide how you are going to live”. (Joan Baez). In the novel A Lesson Before Dying, written by Ernest J. Gaines, Jefferson doesn’t get to choose how and when he’s going to die, but he learns valuable lessons from Grant about how to live the rest of his life. This novel takes place in Bayonne, Louisiana, in the late 1940s. Jefferson is a twenty-one-year-old uneducated black man, who is accused of a robbery and murder that he did not commit. Unfortunately, the conviction led to his death by execution. While he is in jail, Jefferson’s grandmother wants him to die a hero, so she turns to Grant Wiggins, a black teacher at the local plantation school. During his time in

In the novel A Lesson Before Dying by Ernest J. Gaines, racism and prejudice are clearly evident and talked about throughout the novel. The novel expresses the oppression of the blacks under a white-ruled society through the narrator, Grant. Grant is a well-educated black man who struggles to free himself from the oppression he has felt from the white community. Despite the fact that he is educated and a teacher, he initially lacks the vigor needed to take the first step against black discrimination. He has all this intellect, but does not realize until later on that it is not only intelligence he needs to overcome the oppression, but self-assertion, too. Education does not prove your intellectual worth in society; rather, it is what you do during difficult times that define your intelligence and strong character not just to yourself, but to the world.

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

A hero is not only someone with superpowers but can be anyone. It can be anyone like you or me. A hero is someone who is willing to stand up for other people. The book, A Lesson Before Dying, takes place in Louisiana and is about an innocent Black man convicted and sent to the electric chair. In the story there are real people that Ernest Gaines alludes to. Ernest Gaines makes an allusion to Joe Louis and Jackie Robinson. Beside these two, Mamie Till also stepped up and was audacious. They were all fearless and gave hope to many other people because of what they were doing. These heroes took a stand against society and changed the world for everyone.

Everybody processes the ideas of death and dying differently. On pp.42-44, Christopher discusses his rabbit’s death, his mother’s death, and the idea of dying.

The book The Angel of Death by Alane Ferguson is an intense and gripping story due to its mystery and action in the book. The book is mainly about a mysterious death surrounding the main character’s favorite teacher with no leads or cause of death. The book keeps you engaged by adding things that you least expect about the case as the book goes on.

The definition of what it means to be a human or a man, is a topic that is has been and is often discussed all over the world today. In the novel A Lesson Before Dying by Ernest J. Gaines, Gaines breaks down the meaning of what it means to be a man thought a character named Grant Wiggins. Grant Wiggins is the main character of the novel and is a very educated African-American man who is also a teacher at a local church in the town. He is trying to define and understand the concept of what it means to be human. He does this to help a wrongly accused man by the name of Jefferson and also to help himself with understanding who he is. Jefferson was, as many say, at the wrong place at the wrong time. He was in a liquor store with two other African-American men. Things got out of control and shots were fired. Jefferson was the only person live at the crime scene when police arrived and he was then accused of the murder of the three dead men. Grant, in the process of trying to help Jefferson, is trying to overcome an internal conflict with himself and also to find his identity as a human being. Ernest J. Gaines has done a marvelous job of incorporating his own past, great plot elements, meaningful themes, and numerous symbols into the novel A Lesson Before Dying.

By biological logic, we human beings will face death sooner or later in our life and death has its very own ways to approach us - a sudden deadly strike, a critical sickness, a tragic accident, a prolonged endurance of brutal treatment, or just an aging biological end. To deal with the prospect of death come different passive or active reactions; some may be scared and anxious to see death, some try to run away from it, and some by their own choice make death come faster. But Viktor Frankl, through his work Man’s Search for Meaning, and Bryan Doyle; in his essay “His Last Game” show us choices to confront the death, bring it to our deepest feelings, meaningful satisfaction. To me, the spirit of the prisoners at deadly concentration camps, Frankl’s Logotherapy theory of “. . . striving to find a meaning in one’s life is the primary motivational force in man.” (99), as well as the calmness of Doyle’s brother on his last ride, like an awaken bell, remind us of how precious life is, how we should find the significance in every act of living, determine to live a meaningful life at any circumstances; hence, when death comes, we can accept it without anxiety nor regrets.

Elizabeth Kübler-Ross was a Swiss-born psychiatrist who spent two years of her professional career gathering information from terminally ill patients to create the premise for On Death and Dying. “It is not meant to be a textbook on how to manage dying patients, nor is it intended as a complete study of the psychology of dying.” (Kübler-Ross, 1969). This book was written as a call-to-action; to raise awareness of the voice of the dying. Not only is there stigma surrounding the topic, but also numerous misconceptions concerning the emotional journey of the terminally ill. The Kübler-Ross Model creates a framework for those interacting with dying persons, to help caretakers better understand the transitions that are taking place, resulting in higher-quality care. This model is comprised of five stages, which can be experienced in a variety of combinations. Prior to the first stage, the patient must be delivered the news of their illness or the severity of their illness, which usually results in shock. Denial is the first stage noted by Kübler-Ross. Denial and isolation are normal responses to overwhelming emotions and serve as a temporary response until the individual is ready to accept reality. Although this defense mechanism is normative, it is important to note that it isn’t necessarily healthy, and that some never move past this stage. As reality sets in, pain beings to emerge and manifests itself in the next stage: anger. Rationality takes a