Death & Dying

Death & Dying Objectives This unit is intended to be informative. Topics will include: Leading causes of death (in the US) Hospice Will & Living will Power of Attorney Obituaries Stages of Grief Denial, anger, bargaining, depression, acceptance Suicide

Death & Dying Discussion Questions 1. Have you ever been to a wake/visitation or funeral? Share your experiences with the group if you feel comfortable. 2. What factors determine the mood of a funeral? What makes some funerals more difficult or some more easy to cope with? 3. Do you know if your parents have a will? Do you know if they have a living will? (It is okay if you don’t know what these are. We will learn about them in this unit.) 4. Which of the following do you want? Burial, cremation, become an organ donor, donate your body to science or other Why? 5. _____ years of age is old to me. 6. Has your family ever had a problem with a person’s death? (No will, dispute of some sort, paperwork/taxes) 7. Why is it important to discuss death & dying with your family members? How might it help be helpful if a loved one knows what you would like done when you pass away? 8. Guess what the leading cause of death is for: a.) teens? b.) all ages? Group #

Leading Causes of Death USA 2010 Compiled by: the Centers for Disease Control 1. Accidents 2. Homicide 3. Suicide 4. Cancer 5. Heart Disease 1. Heart Disease 2. Cancer 3. Chronic Lower Respiratory Disease (emphysema, chronic obstructive pulmonary disease, chronic bronchitis, cystic fibrosis) 4. Stroke 5. Accidents Ages 15-24All Ages

Leading Causes of Death USA 2010 These are the actual numbers. You don’t need to know them for testing purposes! 1. Accidents 12, Homicide 4, Suicide 4, Cancer 1, Heart Disease 1, Heart Disease 597, Cancer 574, Chronic Lower Respiratory Disease (emphysema, chronic obstructive pulmonary disease, chronic bronchitis, cystic fibrosis) 138, Stroke 129, Accidents 120,859 Ages 15-24All Ages

1. Accidents 2. Homicide 3. Suicide 4. Cancer 5. Heart Disease 6. Congenital Anomalies 7. Cerebovascular 8. Influenza & Pheumonia 9. Diabetes Mellitus 10. Complicated Pregnancy 1. Heart Disease 2. Cancer 3. Chronic Lower Respiratory Disease 4. Stroke 5. Accidents 6. Alzheimer’s Disease 7. Diabetes 8. Nephritis 9. Influenza & Pneumonia 10. Suicide Ages 15-24All Ages

Dealing with the Terminally I ll Terminal illness: fatal, no hope for recovery Spend time Help, when necessary Resolve conflicts, say you’re sorry Be + and realistic Fulfill wishes Vacations… Contact Hospice Holistic health care service Encourage false hope “You’ll get better” Ignore Pretend its not happening Start packing up their stuff

Hospice An organization that supplies a caring environment for people with a terminal illness Physical needs Medicine & pain control Medical supplies Social/Emotional needs Support for patient & family Our Mission We enhance life by providing dignified and compassionate care and guidance coping with the loss and end-of-life. Hospice is a holistic approach because it addresses emotional, social, spiritual and practical aspects of life, in addition to physical and medical issues. Hospice is available for people with any life-limiting illness or condition.

Living Will Document that you desire to die a natural death when there is no reasonable hope for recovery (terminal illness, accidents) Don’t want: Extraordinary medical treatment Artificial nutrition/hydration Gives Dr. permission to withhold/withdraw life support systems under certain conditions

Terri Schiavo Case Timeline: to years from collapse to death Parents “Terri would have wanted to live” 1990 before her collapse Husband “Terri wouldn’t have wanted to live on life support.” Basic Info: She did not have a living will. Her husband and parents fought over her guardianship for years in the court system. They each felt they had the right to make the decision of whether or not she should die. Terri with her mother in the hospital.

Will (Last Will & Testament ) Legal document in which a person declares to whom his/her possessions are to go after his death You’re not required to have one Costs $ Meet with an attorney Why have one? May prevent family disputes Make sure your wishes are carried out Parts of a Will: 1.)How your final bills will be paid 2.) Cost of settling your estate and estate/inheritance taxes 3.) Who will oversee the settling of your estate (representative/executor) 4.) How, when & who will get the remaining balance of your estate.

Power of Attorney Document that allows you to name someone who would speak and make decisions on your behalf about your health if a situation arose when you could not do this for yourself. Medical decisions such as surgery, treatments, medicines… Financial & legal decisions Situations: Alzheimer's, old age Health Care Surrogate Act Who makes your decisions if you don’t have any paperwork? 1. Court appointed guardian (most people don’t have this) 2. Your wife or husband 3. Any of your adult children 4. Either one of your parents 5. Any of your adult brothers or sisters…

Obituaries Public notice of death in a newspaper/online Brief biography of the deceased Wake & funeral information

1. Found in a newspaper 2. Used when you desire NOT to live on machines 3. Assigning possessions to be distributed after death 4. Holistic organization to help the terminally ill 5. Document stating that you do not want to delay a natural death 6. Giving medical decisions over to someone else 7. Gives wake & funeral arrangement information to the public 8. Due to a loss of memory and judgment, Alzheimer's patients may sign this document A. Obituaries D. Last will & testament B. Power of AttorneyE. Hospice C. Living Will 1.A 2.C 3.D 4.E 5.C 6.B 7.A 8.B

Extra Slides

Bell Work Pair Share 1.) Share your answers to the questions you did for homework. 2.) Have you ever been to a wake/visitation or funeral? Share your experiences. 3.) Do you know if your parents have a will/living will? 4.) Has your family ever had a problem with a person’s death? (No will, dispute, paperwork/taxes)

Cremation According to the Cremation Association of North America, 25 percent of Americans are currently cremated when they die. The group expects that percentage to double by Prices can range from (average) $ to $ Urn vaults in some states can cost on an average $ and up.

Mausoleums Definitions A stately and magnificent tomb A burial place for the bodies or remains of many individuals, often of a single family, usually in the form of a small building The Paramore family mausoleum in the Bellefontaine Cemetery, St. Louis, Missouri St. Joseph's Chapel Mausoleum at Mount Olivet Cemetery in Key West (rural Dubuque), Iowa. This mausoleum has traditional mausoleum burial vault as well as columbarium style niches for cremated remains.

Euthanasia “Assisted Suicide” Painlessly putting to death an individual that is suffering from an incurable/chronic disease Preventing death from natural causes/terminal illness Jack Kevorkian Michigan doctor who assisted people in committing suicides Info

Living Will Example The following documents are provided only as conceptual examples and are not intended to represent legally valid documents. One should always consult with an attorney to determine the legal requirements in each state. LIVING WILL OF PRINCIPAL NAME If I should ever have a terminal condition, I do not want my life to be artificially or unnaturally prolonged, and I do not want to receive any life- sustaining treatments beyond pain relief and comfort care that would only serve to artificially delay the moment of my death. Specifically, I do not want to receive either of the following: a) cardiopulmonary resuscitation by the use of drugs, electric shock, and/or artificial breathing. b) artificially administered food and fluids. If I should ever be in a terminal condition or an irreversible coma or a persistent vegetative state which attending doctors reasonably feel to be irreversible or incurable, then I do want to receive only such medical treatments as may be necessary to minimize pain and keep me comfortable. Notwithstanding my other directions, I do want to receive all medical care necessary to treat my condition until doctors reasonably conclude that my condition is terminal or is irreversible and incurable or I am in a persistent vegetative state. At such time as doctors conclude that my condition is terminal, irreversible, incurable, and advanced to a point that it causes a hardship on my family, it is my desire is to be placed in Hospice care. At such time as I expire, it is my desire to be sent to the nearest crematorium to be cremated as promptly as possible, without any funeral, viewing, or ceremony, in order to minimize difficult decisions, expense, and hardship to my surviving family members. I have attached a Health Care power of Attorney which is to be honored in the absence of my being able to give health care directions. Date: __________________________ State of ___________STATE________ County of___________ Subscribed, sworn to and acknowledged before me by _____________ this _______day of _______, ________________________ ________________________ Notary Seal Signature of Notary

Bell Work Directions: Use your own piece of paper to complete the question below. Use complete sentences and proper spelling & grammar. Need Help? Refer to pages 229 in the textbook. Explain how you or someone you know has experienced 1 or more of the stages of grief when coping with the loss of a loved one. (identify the stage(s), describe situation)

Death & Dying Homework – 10 points Directions: Pick 5 of the following terms and find the definition using internet, dictionary, or by asking an adult (make sure they’re right). Write your answers down on your own paper. Eulogy Advance directives Inquest Coroner DNR Bucket List (Not the movie) Life Insurance Autopsy Estate Trust (Ever heard of a “trust fund baby?”)