Death and Dying.

Slides:



Advertisements
Similar presentations
Emotional and Physiologic Elements of Death and Dying
Advertisements

23 Death and Dying Define the following term: Terminal illness a disease or condition that will eventually cause death.
1 Good Aging Gerontology Geriatrics. 2 Lecture no. 12 Death & Dying By Dr. Hala Yehia.
Unit 4 Chapter 22: Caring for People who are terminally ill
Advanced Directives. Living Will Living will: a legal document that a person uses to make known his or her wishes regarding life- prolonging medical treatments.
DEATH AND DYING Emotional and Physiologic Elements of Death and Dying.
Death as part of life Inevitable. Death as part of life Loss – Something removed.
Review for death and dying exam
On Death And Dying Emotional and Physiologic Elements of Death and Dying David Plaut Teresa Rogers July, 2013.
5 STAGES OF GREIVING 2 PURPOSES OF HOSPICE CARE “RIGHT TO DIE”
DEATH & DYING. TERMINAL ILLNESS Disease that cannot be cured and will result in death People react in different ways Some patients fear the unknown while.
Death and Dying Principles of Health Science. Rationale Knowledge of the physiological process of death will benefit health care professionals in dealing.
DEATH & DYING Lecture Outline Where we’ve been, Where we are, and Where we are going What is dying like? –Elizabeth Kubler-Ross’s 5 stages Attitudes on.
Nursing Assistant Death & Dying.
Death and Dying Teresa Rogers Butler County ATC Summer 2010 Summer 2010.
Health Science Stressful situations are common in the healthcare field. Healthcare professionals are expected to use effective communication.
Unit A Nurse Aide Workplace Fundamentals Essential Standard NA2.00
Chapter 14 Death and Dying. Death and Society Death as Enemy; Death Welcomed A continuum of societal attitudes and beliefs Attitudes formed by –Religious.
DEATH AND DYING Emotional and Physiologic Elements of Death and Dying.
DEALING WITH DEATH. GRIEF AND DYING Final stage of life is death  Ends unexpectedly  Must come to grips with terminal illness.
Copyright © 2008 Delmar Learning. All rights reserved. Unit 32 Death and Dying.
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 48 End-of-Life Care.
Grieving/Death “It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is.
DEATH AND DYING. INTRODUCTION It is important for CNAs to understand the stages and signs of dying as well as the grieving process so that they may help.
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 41 The Dying Person.
Coping With Loss Mrs. Blackwell W.M.L.M.S Pages in Teen Health
Bellringer: Yesterday, we dealt with our own feelings about death & dying. Today, we will talk about the emotional changes of a patient through the process.
 What physical changes do you think take place as the body begins to die? BELLRINGER.
Unit 7 Human Growth and Development
Death and Dying L / Hanaa Eisa
Dying & Death Death is the final stage of growth!.
Chapter 44 End-of-Life Care All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
Human Growth & Development – Death and Dying
Bell Work 11/5 and 11/6 Why is being willing to learn important in late adulthood? Show fewer signs of decreased mental ability Which life stage is frequently.
Chapter 19: Death and Dying Development Across the Lifespan.
Death and Dying. Objectives 1. Describe the 5 stages terminally ill people generally pass through. 2. List 3 reasons why many people choose hospice care.
Human Growth and Development Death and Dying. Basic Definitions Death=final stage of growth Terminal illness=disease that cannot be cured and will result.
ADVANCED Directives. LIVING WILL A living will is a legal document that a person uses to make known his or her wishes regarding life-prolonging medical.
Chapter 3 NA Understanding Your Residents
Dying, Death, and Hospice
Death and Dying Emotional and Physiologic Elements of Death and Dying.
Chapter Seventeen Accepting Dying and Death
ADVANCE HEALTH CARE DIRECTIVES
A program for family and friends caring for older people at home
Chapter 23: Caring for People who are Dying
Mental and Emotional Health
Healthcare Communication Skills
In this lesson, you will learn to
Death is the final stage of growth!
Section 20.4 Death and Dying Objectives
The End of Life: Death, Dying, Grief, and Loss
DEATH AND DYING Today’s Agenda: 1/6/15
Emotional and Physiologic Elements of Death and Dying
ASSISTING WITH COMFORT
Section 20.4 Death and Dying Objectives
And how they affect the family
Bell Work 11/5 and 11/6 Why is being willing to learn important in late adulthood? Show fewer signs of decreased mental ability Which life stage is frequently.
Human Growth and Development
Geriatric Nursing: End-of-Life Care
The Dying Child Chapter 9.
Chapter 38 End-of-Life Care
Chapter 6 The Therapeutic Approach to the Patient with a Life-threatening Illness.
Death and Dying.
COMMUNICATING BAD NEWS
Emotional and Physiologic Elements of Death and Dying
Emotional and Physiologic Elements of Death and Dying
Communication | Choice | Respect
Emotional and Physiologic Elements of Death and Dying
Chapter Eleven End-of-Life Issues.
Human Growth & Development
Presentation transcript:

Death and Dying

Objectives The student will: Explain the stages of death and dying including the philosophy of hospice care

Contents Stages of Death and Dying Right to Life Issues Advance Directives Living Will Medical Power of Attorney

Terminal Illness Any disease that cannot be cured and will result in death. Everyone reacts differently to news of a terminal illness. Some react with fear and anxiety. Many fear pain, abandonment, loneliness, and the unknown. They may become anxious about their loved ones, unfinished work, or dreams.

Emotional and Physical Reasons People May Fear Death. Helplessness Dependence on others Physical faculties Mutilation by surgery or disease Uncontrollable pain Being unprepared for death

Social Reasons People May Fear Death Fear of separation from family or home Fear of leaving behind unfinished tasks or responsibilities

Dr. Elizabeth Kubler-Russ Identified five stages of grieving that dying patients and their families and friends may experience. They may not be in order and may overlap or repeat a stage at times. Some may not experience all stages. Stages include denial, anger, bargaining, depression, and acceptance.

Denial Usually occurs when the person is first told of the illness. Individual’s may say, “The tests are wrong.” “This can’t be happening to me.” “I don’t believe it.” Others don’t talk about it. Health care workers should listen without confirming or denying it.

Anger This stage occurs when the patient can no longer deny death. The patient may blame themselves, their loved ones, or health care workers for their illness. Health care workers must understand this is not a personal attack.

Bargaining Usually occurs when patient accepts death but wants more time to live. Patients turn to religion and spiritual beliefs during this period. They want to see their child gradate, get married, or hold a grandchild. Making promises to God to try and obtain more time sometimes occurs.

Depression This stage occurs when the patient realizes that death will come soon and they won’t be with their families any longer. They realize that some goals they set will not be met. Health care workers need to let the patient know that depression is “OK”.

Acceptance This is normally the final stage. The patient understands that they are going to die. May complete unfinished business and try to help those around them deal with death. Patients will slowly get farther away from the world and other people. They need emotional support during this stage.

Interventions for Health Care Professionals Talk as needed Avoid superficial answers, i.e. “It’s God’s will.” or “It will be OK.” Provide religious support as appropriate Stay with the patient as needed Work with the family so they might be strong enough to offer support to the dying person.

Physical Changes Of Death

Respiratory System 1.Unable to oxygenate the body enough for adequate gas diffusion 2.Respirations become stridorous or noisy, leading to “death rattle” 3. Cheyne-Stokes respiration sign of pulmonary system failure a. Consists of alternate hyperpneic and apneic phases

Cardiovascular System Heart unable to pump strongly enough to keep blood moving Decreased blood causes decreased circulation to the body Skin becomes cool to the touch, pale Person appears cyanotic, possibly mottled Failure of peripheral circulation frequently results in a drenching sweat cooling the body surface. Pulse becomes weak and thready, ultimately irregular A stronger pulse typically means death is hours away A weak, irregular pulse typically means that death is imminent in the next couple of hours. An apical pulse might be required.

Other Changes Metabolism rates decrease. The person might retain feces or become incontinent. Urinary output decreases. Dying person may turn toward light as sight diminishes. Dying person may hear only what is distinctly spoken. Dying person may remain consciousness or become unconscious/comatose

Other Changes Some dying people rally in clarity and consciousness just prior to their death A person’s eyes might be open even if unconscious Dying people might turn toward or speak to someone who is not visible to anyone else in room Pain might be present Pain medication should not be withheld as person nears death.

Right to Die Most people with terminal illness believe that someone with a terminal illness should be allowed to refuse measures that would prolong their life. This is the right to die. Respirators, pacemakers, and other medical devices can be withheld and the person can die with dignity. DNR – Do Not Resuscitate Order

DNR Do Not Resuscitate Order

Hospice Care This philosophy is to allow the patient to die with dignity and comfort. Pain is controlled so that the patient can remain active as long as possible. Specially trained volunteers are an important part of many hospice programs.

Advance Directives A general term that describes two types of legal documents. Living Will Healthcare (Medical) Power of Attorney

Living Will Allows a person their wishes about medical treatments for the end of life in writing in the event that they cannot communicate those wishes directly. DNR, feedings Different states may use different names.

Healthcare Power of Attorney POA The person you appoint will be authorized to deal with all medical situations when you cannot speak for yourself.