1. Epilogue
Death and Dying

2. The Dying Person’s Emotions
Kubler-Ross’s Five Stages
Denial
Anger
Bargaining
Depression
Acceptance

3. Five Stages appear and reappear throughout process
Age of dying person affects feeling about death

4. Deciding How to Die The Patient and the Family
For older people preparation for death is seen as normal
Pain at the end - what to do about it?
The Patient and the Family
Living will - indicates what medical intervention should occur

5. Medical Personnel Double effect- relieves pain, but could hasten death
Palliative care- designed mainly to treat pain and suffering
Hospice - place where terminally ill patients receive palliative care

6. The Social Context of Dying
Death Around the World
rite of passage
biological event
natural occurrence

7. Many cultures share death in a community spirit
An accepted, familiar event that happened at home
20th century Western cultures withdrew death from everyday life

8. More and more people died alone in hospitals than at home among family
This denial of death permeated the medical profession
Doctors and nurses avoided the truth
People became socially isolated even before death

9. Bereavement
Mourning = the ways of expressing grief at the death of a loved one
Mourning period - less likely today
Mummification = bereaved leave intact belongings of dead
Death of mourners over bereavement, not uncommon for elderly couples

10. Phases of Mourning Shock Longing Depression and despair Recovery
Can last many months or years (2 years average)
Do not follow a schedule

11. Later anniversary reactions -expected and accepted
Bereavement overload = new deaths occurring before mourning another death has finished
Anticipatory grief

12. Recovery What can others do
Be aware of emotions that are likely to occur
Understand bereavement is a long process
Working through the emotions can help the person have a deeper appreciation of him/herself and life, including human relationships