1 - Decision-making towards the end of life Most people die...

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Decision-making towards the end of life Most people die in institutions, facilities Up until the 1930s/40s, most people died at home, surrounded by loved ones in familiar surroundings with limited interferences/distractions; it was about keeping the patient comfortable rather than alive. o The notion of a “good death” entailed death at home, where one could make one’s peace with one’s maker surrounded by loved ones, eased into death without aggressive measures to prolong the dying process. Today we don’t have that in practice. How do we define “the good death” today? It is no longer clear. ICU psychosis: detachment from reality from being in this womb like environment, filled with people all listening to your every need hallucinations, confusion. ICU is meant to provide the most high-tech, aggressive interventions to PROLONG YOUR LIFE because you have a critical illness. o
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This note was uploaded on 04/21/2008 for the course D s taught by Professor F during the Spring '08 term at Columbia.

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