5 STAGES OF GREIVING 2 PURPOSES OF HOSPICE CARE “RIGHT TO DIE” DEATH & DYING 5 STAGES OF GREIVING 2 PURPOSES OF HOSPICE CARE “RIGHT TO DIE”

DEATH FINAL STAGE OF GROWTH

Terminal illness Disease that cannot be cured that will result in death

Reactions to death Fear of pain Fear of unknown abandonment loneliness Anxious about loved ones anxious about unfinished work or dreams

Final peace full life strong religious beliefs regarding life after death know death will bring an end to loneliness, pain and/or suffering

Dr. Elisabeth Kubler-Ross extensive research on the process of death & dying

Results of research patient should be told of his/her approaching death patients should be left with some hope and knowledge they will not be left alone

Five stages of grieving patient & family may experience these stages stages don’t have to occur in order stages may overlap or be repeated several times may not progress through all of the stages may be going through several stages at the same time

STAGES OF DEATH & DYING Denial anger bargaining depression acceptance

DENIAL First stage first told of terminal illness make statements such as “The doctor does not know what he/she is talking about” “The tests have to be wrong”

ANGER patient no longer able to deny death Common statements “Why me” “It’s your fault” may strike at at anyone who comes in contact with them Hostile and bitter blame themselves and their loved ones or health care professional

BARGAINING accept death but wat more time to live frequently turn to religion and spiritual beliefs will to live is strong

DEPRESSION occurs when the patient realizes death will come soon no longer be with families unable to complete their goals may express these regrets or withdraw and become quiet

ACCEPTANCE understand and accept the fact that they are going to die complete unfinished business help those around them deal with death

Care of the dying patients very difficult great satisfactions understand own personal feelings about death and come to terms with these feelings learn to provide supportive care the dying need

HOSPICE CARE meeting needs of the dying patient care offered in hospitals, medical centers and special facilities patient’s home allow the patient to die with dignity and comfort pain is controlled so patient can remain active as long as possible psychological, spiritual, social, and financial counseling

RIGHT TO DIE HCW are ethically concerned with promoting life but HCW has to come to terms with right to die allowing patients to die can cause conflict patient able to refuse treatment laws allow right to die

LAWS allow adults with terminal illness to instruct their doctors in writing to whithold treatments that might prolong life Living will specific actions cannot be taken

SUMMARY Death is part of life HCW will deal with death and dying patients must understand the process of death and think about the needs of dying patients provide special care these individuals need