Published on February 20, 2014
Chapter 17 Death, Dying, and Grieving PowerPoints developed by Jenni Fauchier, Professor Carney
Circumstances of Death 200 yrs ago Average life expectancy 47 1900 Most people died at home • Cared for by family (U.S. Census Bureau, 2006) Today Average life expectancy 78 80% deaths occur with professional caregivers • Institutions • Hospitals
Kubler-Ross’ Stages of Dying Five stages denial & isolation anger bargaining depression acceptance
Coping with Death & Loss Best for dying persons & family to know death is immanent Individuals • • • • • • can Close life with own ideas about proper dying Complete some projects & plans Make funeral arrangements Make arrangements for survivors Reminisce Experience physical sensations & medical procedures
Adjustment to Death of a Spouse Optimal adjustment depends on several factors Women do better • Better networks of friends • Care for selves psychologically Older widows do better • Death may be more expected Widowers more likely • Better financial resources • Remarry
Effective Strategies for Communicating with a Dying Person Establish presence at same eye level Don’t be afraid to touch Eliminate distraction, including excessive small talk Keep visits short with frail individuals Don’t prescribe or deny feelings of acceptance Allow & encourage expressions of feeling
Effective Strategies for Communicating with a Dying Person Ask: expected outcome of illness someone like to see or contacted Discuss alternatives & unfinished business Encourage reminiscences Talk to individual when he/she wishes to talk Express your caring, & love
Coping & Type of Death Sudden, untimely, violent, or traumatic deaths More intense & prolonged effects Diverse grieving patterns culturally embedded practices
Making Sense of the World Beneficial aspect of grieving Make sense of world Death caused by accident or disaster Effort to make sense of it is pursued vigorously Bereaved want to put death in a perspective they can understand
Losing a Life Partner Suffer profound grief Financial loss Loneliness Increased physical illness Psychological disorders Major depression Widows outnumber 5 - 1
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