death, society, and human experience - faculty.rio.edu.pptVIP

Copyright ? Allyn Bacon 2007 Death, Society, and Human Experience 9th Edition Robert Kastenbaum This multimedia product and its contents are protected under copyright law. The following are prohibited by law: Any public performance or display, including transmission of any image over a network; Preparation of any derivative work, including the extraction, in whole or in part, or any images; Any rental, lease, or lending of the program. Chapter Four:Dying:Transition From Life This multimedia product and its contents are protected under copyright law. The following are prohibited by law: Any public performance or display, including transmission of any image over a network; Preparation of any derivative work, including the extraction, in whole or in part, or any images; Any rental, lease, or lending of the program. The Slipping Away Rather than a momentous event, most American die by slipping away alone. Why? Medical advances allow patients to survive longer with terminal illnesses A tendency for physicians to see death as their own failure (so they avoid the patient) Dementias often take awareness away Use of pre-terminal and terminal sedation Not enough staff to sit with all dying patients Dying begins… As a psychosocial event In terms of personal and social life Dying may begin when: The facts are recognized by the physician The facts are communicated to the patient The patient realizes or accepts the facts Nothing more can be done to preserve life Advice to Physicians on “Breaking the Bad News” to a Patient Take the time to establish a relationship with the patient and family Share a fact and let it digest before moving on Keep it simple, ask questions Explain and educate Allow for pauses and reflection Respect what seems like denial Do not say anything that isn’t true Make it clear that you will be with the patient all the way Trajectories of Dying(Glaser, Strauss, Benoleil (1966, 1968) Considered caregivers predictions of certaint