The Art of Dying Mt Hawthorn Community Church 19 June 2011

1. The Art of Dying Mt Hawthorn Community Church 19 June 2011 Dr Doug Bridge, Palliative Care Physician, Royal Perth Hospital Bangladesh 1979

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12. Nude, Green Leaves and Bust Nude, Green Leaves and Bust is one of a series of portraits that Picasso painted of his mistress Marie-Thérèse Walter from 1932. The vibrant blue and lilac canvas is more than five feet tall. On May 4, 2010, the painting was sold for US$106.5 million, a record for an art work sold at auction http://en.wikipedia.org/wiki/Nude,_Green_Leaves_and_Bust

13. Pablo Picasso 1881-1973 Science and Charity 1897, aged 16

18. car travel house health Healthy person’s world work family money status power spirituality

19. Sick person’s world work family health spirituality

20. Dying person’s world work family spirituality health

21. Dying person’s world work family spirituality = human relationships = transcendent relationships health

22. Psalm 23: God is closer in times of trouble PS 23:1The LORD is my shepherd, I shall not be in want. 2 He makes me lie down in green pastures, he leads me beside quiet waters, 3 he restores my soul. He guides me in paths of righteousness for his name's sake.

23. 4Even though I walk through the valley of the shadow of death, I will fear no evil, for you are with me; your rod and your staff, they comfort me. 5You prepare a table before me in the presence of my enemies. You anoint my head with oil; my cup overflows. 6 Surely goodness and love will follow me all the days of my life, and I will dwell in the house of the LORD forever.

24. Choose your place of death: Hospital Hospice Home

25. Choose your death: sudden or predictable ? If you could choose the way you will die, would you rather die: Suddenly, without warning, or slowly and predictably? Darwin 2008

26. Cure or heal? Diseases can be cured Suffering persons need healing

28. dyspnoea lethargy pain nausea constipation

29. physical psychological spiritual

30. Healing - Prof Balfour Mount Healing is a relational process involving movement towards an experience of integrity and wholeness, which may be facilitated by a caregiver’s interventions but is dependent on an innate potential within the patient. It is not dependent on the presence of, or the capacity for, physical well being. Indeed, it is possible to die healed. Palliative Medicine 2003; 17: 657-658

31. Nurse/ social worker/ doctor Cicely Saunders The Founder of the Modern Hospice Movement

32. St Christopher’s Hospice, London

33. St Christopher’s Hospice chapel

34. St Christopher’s Hospice, London Triptych by Dame Cicely Saunder’s husband

35. Palliative Care • affirms life and regards dying as a normal process; • neither hastens nor postpones death; • provides relief from pain and other distressing symptoms; • integrates the psychological and spiritual aspects of patient care; • offers a support system to help patients live as actively as possible until death; • offer a support system to help the family cope during the patient’s illness and during their own bereavement. (WHO 1990)

36. Rev Dr Michael WrightUK chaplain, researcher, educator “Hospices arose in a Christian context. But non-religious patients demonstrate similar needs to their religious counterparts: for love, for meaning, for forgiveness and for transcendence” Spirituality: a developing concept within Palliative Care Progress in Palliative Care 2001; 9: 143-148

37. Prof Chantal Chou 趙可式博士 Taiwan 台湾

38. A model of spirituality in terminally ill patients (Chantal Chao) Communion with a higher being faithfulness, hope gratitude I Communion with others Love, reconciliation Communion with self Self-identity, wholeness, inner peace Communion with nature Inspiration from the beauty of nature, creativity

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43. The wall

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46. The window

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48. The door

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