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unit 7 - lesson 3 - Death Dying and Bereavement Bereavement...

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Death, Dying and Death, Dying and Bereavement Bereavement
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Death, dying and bereavement Death, dying and bereavement Now we are going to move onto our final lesson of the semester. Here we are dealing with a topic that many people do not like to think about or talk about, death. We will also be discussing the process of dying and the process of grieving, also known as bereavement. Specifically we will focus on: Treatment issues Hospice care Euthanasia Psychological responses to death: Kubler-Ross The concept of death and experience of grief Cultural influences Legal and medical definitions Lifespan differences The grieving process Normal grief reactions The 4-component model The dual process model
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Treatment issues: Hospice Treatment issues: Hospice care care First we are going to examine several treatment issues related to terminal illness, hospice care and euthanasia. Although individuals used to have to live out their final days in a hospital or a nursing home, there is now another option, hospice care. Hospice care is different from traditional hospital care because the focus is different. The focus is on palliative care (care focused on comfort) rather than on curative care (care focused on trying to make the person well again). In the traditional medical model, the focus has been on curing the person and getting the person better. Death was always viewed as the enemy. However in hospice care, death is not seen as something to be overcome or something to be avoided. It is seen as a natural part of the process. Please listen to the following story on hospice care: http://www.npr.org/templates/story/story.php?storyId=3613700 (18 minutes) This is a nice introduction to hospice care through a personal story. Discussion board question 1: (a) What was the primary advantage for Kitty of getting help from hospice early? Then describe another advantage of hospice care. (b) When someone decides to turn to hospice care, explain what this means for the how they view their disease and treatment. Explain what goes into a decision to turn to hospice care. (c) Explain how the job of a hospice nurse is different from the job of a nurse at a hospital. Take a look at the next slide for some of the points of focus for hospice care.
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Treatment issues: Hospice care Treatment issues: Hospice care Achieving a “good death” In hospice the focus is on helping the person to feel comfortable. Death is dealt with in a more positive manner. The emphasis is placed on having death with dignity. Palliative care Physical and psychological In hospice physical and psychological comfort are stressed. Pain management is usually at the top of the list of priorities. Being kept free of pain is the goal.
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