1. 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”

2. DEATH
FINAL STAGE OF GROWTH

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

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

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

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

7. 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

8. 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

9. STAGES OF DEATH & DYING
Denial
anger
bargaining
depression
acceptance

10. 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”

11. 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

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

13. 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

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

15. 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

16. 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

17. 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

18. 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

19. 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