Dying DEATH

Number of deaths for leading causes of death:

1. Heart disease: 616,067

2. Cancer: 562,875

3. Stroke (cerebrovascular diseases): 135,952

4. Chronic lower respiratory diseases: 127,924

5. Accidents (unintentional injuries): 123,706

6. Alzheimer's disease: 74,632

7. Diabetes: 71,382

8. Influenza and Pneumonia: 52,717

9. Nephritis, nephrotic syndrome, and nephrosis: 46,448

10. Septicemia: 34,828

CDC 2007

CAUSES OF DEATH

Do you notice

anything?

•The five leading causes of death among teenagers are

1.Accidents (unintentional injuries) Accidents account for nearly one-half of

all teenage deaths

2. Homicide

3. Suicide

4. Cancer

5. Heart disease

•Homicide is the leading cause of death for non-Hispanic black male teenagers. For all other groups, accident is the leading cause.

TEEN AGE DEATH

ttp://gosset.wharton.upenn.edu/mortality/perl/CalcForm.html

http://calculator.livingto100.com/calculator

LIFE EXPECTANCY: 77.9 YEARS

Up to 6 months, a loss brings no response due to undeveloped memory capacity for specific personal relationships

Up to 6months, there is not ability to conceptualize death

From 6 months to 1 year, a loss like separation, may be felt, if at all as a vague absence or experimental sense of something different

DEATHBIRTH TO 1 YEAR

Main concern is separation fear (less alive)

Death of the primary caregiver will usually result in displeasure and depression

Do not really understand or attribute meaning to it

Influenced by the parent's tense and emotional response to a death in the immediate family

DEATH1 TO 2 YEARS

Pre-school , children are concerned with getting hurt and the pain associated with it. Are concerned about punishment or wrong doings

They have seen death portrayed on TV or movies; they have a vivid imagination and can dream or become frightened of what they believe

May see death as temporary and happens to other people

4-6 year olds may want to talk about it

DEATH 2-6 YEARS

6-8 years an understanding of death is developing. There is an interest in the physical and biological aspects of death. Magical thinking – thoughts can make things happen

By 9 the concept of death is similar to an adult, but only happens to other people. Ghost figures

9-12 see death as final . Awareness of personal death,

but a distant possibility for adolescents

because they think they are invincible

DEATH6-12 YEARS

Teens struggle with finding the meaning of life. Death is now viewed abstractly.

They think of themselves as immortal. (Still happens to others)

Death is romanticized as beautiful and tragic; paradoxically a gesture that will endure.

DEATH12 - ADOLESCENCE

View death according to their perspective on life

They are building their life. May think of death if someone their age dies.

Middle age focus on their changing body. They think about their own mortality. Their parents are dying, evaluation of their values and priorities.

The older adult they will die and talk about death and their final wishes.

Culture and religion influence it.

DEATH ADULTS

DenialAngerBargainingDepressionAcceptance

http://www.youtube.com/user/kenrossaz

FEELINGS OF DEATH AND DYING

DR. ELIZABETH KUBLER-ROSS

By studying the child’s reaction to separation from the mother compared this to patterns of adult grief.

Child’s initial reaction is to

Stage I protest (angry, crying)

Stage II is despair (quiet, sad and subdued)

Stage III is detachment (the child is not interested

when the mother returns)

With an adult (4 stages)

1.Numbing stage (protective mechanism)

2. Painful stage (magnitude of the loss)

3. Disorganization and despair (anger)

4. Reorganize and adapt (requires support and encouragement from friends)

JOHN BOWLBY’S STAGES OF SEPARATION

GriefAnticipatory GriefMaladaptive GriefMourning (natural process)Bereavement (having the loss)

GRIEF VS MALADAPTIVE GRIEF

Live Promise

www.stelizabeth.com/Hospice

www.hospicebg.org/

www.hospicenet.org

RIGHT TO DIE HOSPICE - PAGE 249

The longer I live, the more I realize the impact of attitude on life.

Attitude, to me, is more important than facts. It is more important than the past, than education, than money, than circumstances,

than failures, than successes, than what other people think or say or do. It is more important than appearance, giftedness or skill. It

will make or break a company... a church... a home.

The remarkable thing is we have a choice every day regarding the attitude we will embrace for that day. We cannot change our past... we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is play on the one string we have, and that is our attitude... I am convinced that life is 10% what happens to me and 90% how I react to it.

And so it is with you... we are in charge of our Attitudes

ATTITUDE BY CHARLES SWINDOLL