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Epilogue Death and Dying

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Page 1: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

Epilogue

Death and Dying

Page 2: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

The Dying Person’s Emotions

•Kubler-Ross’s Five Stages•Denial

•Anger

•Bargaining

•Depression

•Acceptance

Page 3: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•Five Stages appear and reappear throughout process

•Age of dying person affects feeling about death

Page 4: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

Deciding How to Die

•For older people preparation for death is seen as normal

•Pain at the end - what to do about it?

•The Patient and the Family•Living will - indicates what medical

intervention should occur

Page 5: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•Medical Personnel•Double effect- relieves pain, but could

hasten death

•Palliative care- designed mainly to treat pain and suffering

•Hospice - place where terminally ill patients receive palliative care

Page 6: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

The Social Context of Dying

•Death Around the World•rite of passage

•biological event

•natural occurrence

Page 7: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•Many cultures share death in a community spirit

•An accepted, familiar event that happened at home

•20th century Western cultures withdrew death from everyday life

Page 8: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•More and more people died alone in hospitals than at home among family

•This denial of death permeated the medical profession•Doctors and nurses avoided the truth

•People became socially isolated even before death

Page 9: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

Bereavement

•Mourning = the ways of expressing grief at the death of a loved one•Mourning period - less likely today

•Mummification = bereaved leave intact belongings of dead

•Death of mourners over bereavement, not uncommon for elderly couples

Page 10: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•Phases of Mourning•Shock

•Longing

•Depression and despair

•Recovery

•Can last many months or years (2 years average)

•Do not follow a schedule

Page 11: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

•Later anniversary reactions -expected and accepted

•Bereavement overload = new deaths occurring before mourning another death has finished

•Anticipatory grief

Page 12: Epilogue Death and Dying. The Dying Person’s Emotions Kubler-Ross’s Five Stages Denial Anger Bargaining Depression Acceptance

Recovery

•What can others do•Be aware of emotions that are likely to

occur

•Understand bereavement is a long process

•Working through the emotions can help the person have a deeper appreciation of him/herself and life, including human relationships