2DO NOT STAND AT MY GRAVE AND WEEP Mary Elizabeth Frye (1904-2004) Do not stand at my grave and weep, I am not there, I do not sleep. I am a thousand winds that blow, I am the softly falling snow. I am the gentle showers of rain, I am the fields of ripening grain. I am in the morning hush, I am in the graceful rush Of beautiful birds in circling flight. I am the starshine of the night. I am in the flowers that bloom, I am in a quiet room. I am in the birds that sing, I am in each lovely thing. Do not stand at my grave and cry, I am not there -- I do not die
4Views are culture dependent Buddhist’s – reincarnationAmerican’s – sadness and lossHispanics – celebration and encouragement for spirits (don’t celebrate death, but that the spirit lives!!)
5Remember the Terri Schiavo Case? What was your view of this case?
6Clinical death – lack of heart beat and respiration Brain death no spontaneous movementNo spontaneous respirationLack of responsivenessNo eye movementNo postural activityNo motor reflectFlat EEG for at least 10 minutesNo chang ein any criteria after tested again in 24 hours
7EUTHANASIA Dr. Kevorkian Deliberate ending of someone’s life Oregon Drug overdoseDisconnecting life-supportMercy killingOregonDeath by Dignity Act in 1994Makes it legal for people to request a lethal dose of medication if they have a terminal illness and make the request voluntarily
8Active euthanasia – inject with something, smother, etc. Passive euthanasia – involves allowing a person to die by withholding available treatmentChemotherapySurgeryWhat would you want to occur if you were in a situation where you could not make your wishes known?
9Durable power of attourny Living Will – person states his/her wishes about life support and other treatments and makes others aware of their durable power of attorney (person who has legal right to make decisions on your behalf)Basis for DNRDurable power of attourny
11The shift from formal operational to postformal operational thinking impacts contemplation of death Older adults are less anxious and more accepting of death
12Kristy L. Norris January 24, 1980 to September 12, 2063 Died this last Tuesday morning of health complications in her homein Beverly Hills. She is survived by her three children: Lena Rebecca,Samuel Lynn, and Delilah Jane Jones and a multitude of grandchildren. During her life,Ms. Jones was able to touch the lives of many people. Mrs. Norris was a teacherat Western Kentucky University for 10 years prior to moving to California.During her time in California Mrs. Norris was able to bless many families and provide therapy for the underprivileged for over 40 years. After her retirement, Mrs. Norris continuedto touch lives through her charity work and community commitment.Memorial set for Thursday September 14th in California,Saturday and Sunday the 15th and 16th in Columbia, KentuckyMrs. Norris’ ashes will be spread next to her husband inGreen River on Sunday September 16, 2063.Life is short, enjoy the time you have and enjoy it to the fullest.-Kristy L. Jones
13FINAL EXTRA CREDIT OPPORTUNITY Write your obituary FINAL EXTRA CREDIT OPPORTUNITY Write your obituary. Turn it in on Exam day with your final reflection paper.
14Elisabeth Kubler-Ross theory of dying. DenialAngerBargainingDepressionAcceptance
15Most want to control the final part of their lives and contemplate such things as care, choices for ending life, and what their last wishes are.Final Scenario – making these choicesWhen this process is complete, it is a lot easier for survivors to deal with closure.
16Hospice careOnly after doctor and patient feel there is no treatment/cure possibleKept pain freeMaintains dignity
17What about those who are alive? How have you dealt with grief in the past?
18Grief is an active process Acknowledge lossWork through emotionsAdjust to absenceLoosen ties to the deceasedWhat are normal grief reactions?A highly individualized processAnniversary reaction
19Factors impacting grief AgeGenderPersonalityReligionEvidence suggests that church attendance helps people deal with bereavement 13 to 18 months after the loss.Connection to deceased
20Loss across the Life Span ChildrenPreschoolers tend to believe death is temporary3 developmental changes impact grief:Cognitive language ability – ability to talk about what they are experiencing and understand.Psychosocial development – Erikson would say that they are dealing with the initiative v/s guiltCoping Skills – more limited in children, may feel guilty, wish for return of lostMake sure young children understand that it’s ok to feel sad, cry or show emotions.AND ……BE HONEST WITH THEM!!!!!!!!!!
21Adolescents/TeensWhen loss is a sibling child may not want to appear different from peers and bottle up feelings, often times quietSurvivor guiltLoss of a parent is similar to loss of sibling. Will maintain a place for lost parentLittle is known about response to loss of friend/peer
22Adults Often more intense in feelings toward death Young adult widows show levels of grief until 5 to 10 years after the lossBy middle life most have confronted death of parents and foresee their own deathExpressing feelings toward ones parents before their death is important!Worst type of loss if the loss of a child for mostMiscarriage/abortion/ neonatal death is overlooked and grief process not usually explored
23Late AdulthoodAnxious about death their selves and more accepting than other age groupsDue to achievement of ego integrityGrieve for a long time after loss of spouse (up to 30 months)