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Death and Dying

Death and Dying. Death. “The final stage of growth” Experienced by everyone and cannot be avoided Young- ignore its existence Elderly- start thinking about their own death. Death and Dying. Terminal Illness Cannot be cured and will result in death How will the patient react?.

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Death and Dying

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  1. Death and Dying

  2. Death • “The final stage of growth” • Experienced by everyone and cannot be avoided • Young- ignore its existence • Elderly- start thinking about their own death

  3. Death and Dying Terminal Illness • Cannot be cured and will result in death How will the patient react?

  4. Death and Dying Fear: • Pain • Abandonment • Loneliness • Unknown

  5. Death and Dying: Terminal Illness Anxiety: • About their loved ones • Unfinished work or dreams Anxiety diminishes in patients who feel they have had full lives and who have strong religious beliefs regarding life after death

  6. Decision Making at the End of Life • Decision making related to end of life issues must consider all aspects of care. It involves the patient’s perception of: • Death • Psychological aspects of culture and spirituality • All components of treatment and expected outcome

  7. Decision Making at the End of Life • Value the patient and families respect for independence and dignity. • Without the support on an individual’s right to decision making, there is the risk that the patient will be treated as an object rather than as a person

  8. Decision Making at the End of Life Patients need to know and be informed of the following: • Their condition • The proposed treatment • Expected results • Alternative treatment options • Potential risks, complications, and anticipated benefits.

  9. Pain Management • When a terminally ill patient decides jointly with health care providers and the family that prolonging life with therapy is no longer possible, then comfort and pain relief becomes the treatment goal.

  10. Pain Management • Most patients with a terminal illness fear physical pain much more than they fear death itself. • Pain that is undertreated can have an extreme effect on the patient.

  11. Pain Management Healthcare workers work as a team to address: • Emotional • Physical • Spiritual • Psychological

  12. Pain Management Relieving pain includes maintaining the patients: • Personal hygiene • Body alignment • Speaking gently and clearly even if he or she is not able to respond to you.

  13. Pain Management Constantly monitoring pain medication. • Restlessness • Excessive sweating • Rapid respirations

  14. Hospice Care • Terminally ill Philosophy: • To help patients nearing the end of life live each day to the fullest.

  15. Hospice Care • Provides at home or in a hospice facility • Comfortable and free from pain • Allowed to die peacefully • Families are counseled and helped to accept the impending death of a loved one. • Following the death, the family has continuing support for at least a year.

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