{"id":402,"date":"2014-09-29T21:23:50","date_gmt":"2014-09-29T21:23:50","guid":{"rendered":"https:\/\/courses.candelalearning.com\/lifespandevelopment1x1\/?post_type=chapter&p=402"},"modified":"2016-03-17T02:45:10","modified_gmt":"2016-03-17T02:45:10","slug":"introduction-to-death-and-dying","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-lifespandevelopment2\/chapter\/introduction-to-death-and-dying\/","title":{"raw":"Introduction to Death and Dying","rendered":"Introduction to Death and Dying"},"content":{"raw":"
\r\n

Learning Objectives<\/h3>\r\nObjectives:\u00a0At the end of this lesson, you will be able to\r\n
    \r\n\t
  1. Compare the leading causes of death in the United States with those of developing countries.<\/li>\r\n\t
  2. Compare physiological, social, and psychic death.<\/li>\r\n\t
  3. List and describe the stages of loss based on various models including that of Kubler-Ross.<\/li>\r\n\t
  4. Explain the philosophy and practice of palliative care.<\/li>\r\n\t
  5. Describe hospice care.<\/li>\r\n\t
  6. Differentiate attitudes toward hospice care based on race and ethnicity.<\/li>\r\n\t
  7. Summarize Dame Cicely Saunders' writings about total pain of the dying.<\/li>\r\n\t
  8. Compare euthanasia, passive-euthanasia, and physician-assisted suicide.<\/li>\r\n\t
  9. Characterize bereavement and grief.<\/li>\r\n\t
  10. Express your own ideas about death and dying.<\/li>\r\n<\/ol>\r\n<\/div>\r\n

    \"Everything has to die,\" he told her during a telephone conversation. \u00a0<\/span><\/em><\/p>\r\n

    \"I want you to know how much I have enjoyed being with you, having you as my friend, and\u00a0confidant and what a good father you have been to me.\u00a0Thank you so much.\" she told him.\u00a0<\/span><\/em><\/p>\r\n

    \"You are entirely welcome.\" he replied.\u00a0<\/span><\/em><\/p>\r\n

    He had known for years that smoking will eventually kill him.\u00a0But he never expected that lung cancer would take his life so quickly or be so painful.\u00a0A diagnosis in late summer was followed with radiation and chemotherapy during which time there were moments of hope interspersed with discussions about where his wife might want to live after his death and whether or not he would have a blood count adequate to let him precede with his next treatment.\u00a0Hope and despair exist side by side.\u00a0After a few months, depression and quiet sadness preoccupied him although he was always willing to relieve others by reporting that he 'felt a little better' if they asked.\u00a0He returned home in January after one of his many hospital stays and soon grew worse.\u00a0Back in the hospital, he was told of possible treatment options to delay his death.\u00a0He asked his family members what they wanted him to do and then announced that he wanted to go home.\u00a0He was ready to die.\u00a0He returned home.\u00a0Sitting in his favorite chair and being fed his favorite food gave way to lying in the hospital bed in his room and rejecting all food.\u00a0Eyes closed and no longer talking, he surprised everyone by joining in and singing \"Happy birthday\" to his wife, son, and daughter-in-law who all had birthdays close together.\u00a0A pearl necklace he had purchased 2 months earlier in case he died before his wife's birthday was retrieved and she told him how proud she would be as she wore it.\u00a0He kissed her once and then again as she said goodbye.\u00a0He died a few days later (Author's not<\/em>es).<\/p>\r\n\r\n\r\n[caption id=\"attachment_545\" align=\"aligncenter\" width=\"200\"]\"image<\/a> Photo Courtesy Robert Paul Young[\/caption]\r\n\r\nA dying process that allows an individual to make choices about treatment, to say goodbyes and to take care of final arrangements is what many people hope for.\u00a0Such a death might be considered a \"good death.\" But of course, many deaths do not occur in this way.\u00a0Not all deaths include such a dialogue with family members or being able to die in familiar surroundings.\u00a0People die suddenly and alone.\u00a0People leave home and never return.\u00a0Children precede parents in death; wives precede husbands, and the homeless are bereaved by strangers.\r\n\r\nIn this lesson, we look at death and dying, grief and bereavement.\u00a0We explore palliative care and hospice.\u00a0And we explore funeral rites and the right to die.\r\n

    REFERENCES:<\/h2>\r\nAlmost one million dying receive hospice care last year: New record. (2004).\u00a0Senior Journal, (November 3, 2004). Retrieved from http:\/\/www.seniorjournal.com\/NEWS\/Eldercare\/4-11-03HospiceMonth.htm\r\n\r\nAttorney General vs. State of Oregon, Ruling of Supreme Court of the United States, \u00a7 No. 04-623 (2007).\r\n\r\nBerger, K. S. (2005).\u00a0The developing person through the life span\u00a0(6th\u00a0ed.). New York: Worth.\r\n\r\nEnd of Life Issues and Care \u2014 Brochure.\u00a0(n.d.).\u00a0American Psychological Association (APA).\u00a0Retrieved May 07, 2011, from http:\/\/www.apa.org\/topics\/death\/end-of-life.aspx\r\n\r\nKu\u0308bler-Ross, E. (1969).\u00a0On death and dying.\u00a0[New York]: Macmillan.\r\n\r\nKu\u0308bler-Ross, E. (1975).\u00a0Death; The final stage of growth.\u00a0Englewood Cliffs, N. J.: Prentice-Hall.\r\n\r\nKu\u0308bler-Ross, E., & Kessler, D. (n.d.).\u00a0On grief and grieving.\u00a0New York: Schribner.\r\n\r\nLiving with grief: Diverstiy and end of life care.\u00a0(2009). Hospital Foundation of America.\r\n\r\nNCHS Pressroom - 2003 Fact Sheet - Hospice Care in the United States.\u00a0(2003, August 21).\u00a0Centers for Disease Control and Prevention.\u00a0Retrieved May 07, 2011, from http:\/\/www.cdc.gov\/nchs\/pressroom\/03facts\/hospicecare.htm\r\n\r\nPattison, E. M. (1977).\u00a0The experience of dying.\u00a0Englewood Cliffs, N. J.: Prentice-Hall.\r\n\r\nStein, W. R. (2005, October 05).\u00a0GONZALES V. OREGON.\u00a0LII | Legal Information Institute at Cornell Law School.\u00a0Retrieved May 07, 2011, from http:\/\/www.law.cornell.edu\/supct\/html\/04-623.ZS.html\r\n\r\nSurvivor's Fact Sheet.\u00a0(n.d.).\u00a0American Association of Suicidology.\u00a0Retrieved January 12, 2007, from http:\/\/www.suicidology.org\/associations\/1045\/files\/SurvivorsFactSheet.pdf\r\n\r\nUnited States, Center for Disease Control. (2006, June 26).\u00a0National Vital Statistics Reports, 54(19).\u00a0Retrieved February 24, 2007, from\u00a0http:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr54\/nvsr54_19.pdf\r\n\r\nUnited States, National Institute on Health.\u00a0(2007, January 7).\u00a0Hospitals Embrace the Hospice Model. Retrieved February 25, 2007, from http:\/\/www.nlm.nih.gov\/medlineplus\/news\/fullstory_43523.html\r\n\r\nWeitz, R. (2007).\u00a0The sociology of health, illness, and health care: A critical approach\u00a0(4th\u00a0ed.). Belmont, CA: Thomson\/Wadsworth.\r\n\r\nWHO |\u00a0What\u00a0is the deadliest disease in the world?\u00a0(n.d.).\u00a0Retrieved May 07, 2011, from http:\/\/www.who.int\/features\/qa\/18\/en\/","rendered":"
    \n

    Learning Objectives<\/h3>\n

    Objectives:\u00a0At the end of this lesson, you will be able to<\/p>\n

      \n
    1. Compare the leading causes of death in the United States with those of developing countries.<\/li>\n
    2. Compare physiological, social, and psychic death.<\/li>\n
    3. List and describe the stages of loss based on various models including that of Kubler-Ross.<\/li>\n
    4. Explain the philosophy and practice of palliative care.<\/li>\n
    5. Describe hospice care.<\/li>\n
    6. Differentiate attitudes toward hospice care based on race and ethnicity.<\/li>\n
    7. Summarize Dame Cicely Saunders’ writings about total pain of the dying.<\/li>\n
    8. Compare euthanasia, passive-euthanasia, and physician-assisted suicide.<\/li>\n
    9. Characterize bereavement and grief.<\/li>\n
    10. Express your own ideas about death and dying.<\/li>\n<\/ol>\n<\/div>\n

      “Everything has to die,” he told her during a telephone conversation. \u00a0<\/span><\/em><\/p>\n

      “I want you to know how much I have enjoyed being with you, having you as my friend, and\u00a0confidant and what a good father you have been to me.\u00a0Thank you so much.” she told him.\u00a0<\/span><\/em><\/p>\n

      “You are entirely welcome.” he replied.\u00a0<\/span><\/em><\/p>\n

      He had known for years that smoking will eventually kill him.\u00a0But he never expected that lung cancer would take his life so quickly or be so painful.\u00a0A diagnosis in late summer was followed with radiation and chemotherapy during which time there were moments of hope interspersed with discussions about where his wife might want to live after his death and whether or not he would have a blood count adequate to let him precede with his next treatment.\u00a0Hope and despair exist side by side.\u00a0After a few months, depression and quiet sadness preoccupied him although he was always willing to relieve others by reporting that he ‘felt a little better’ if they asked.\u00a0He returned home in January after one of his many hospital stays and soon grew worse.\u00a0Back in the hospital, he was told of possible treatment options to delay his death.\u00a0He asked his family members what they wanted him to do and then announced that he wanted to go home.\u00a0He was ready to die.\u00a0He returned home.\u00a0Sitting in his favorite chair and being fed his favorite food gave way to lying in the hospital bed in his room and rejecting all food.\u00a0Eyes closed and no longer talking, he surprised everyone by joining in and singing “Happy birthday” to his wife, son, and daughter-in-law who all had birthdays close together.\u00a0A pearl necklace he had purchased 2 months earlier in case he died before his wife’s birthday was retrieved and she told him how proud she would be as she wore it.\u00a0He kissed her once and then again as she said goodbye.\u00a0He died a few days later (Author’s not<\/em>es).<\/p>\n

      \"image<\/a><\/p>\n

      Photo Courtesy Robert Paul Young<\/p>\n<\/div>\n

      A dying process that allows an individual to make choices about treatment, to say goodbyes and to take care of final arrangements is what many people hope for.\u00a0Such a death might be considered a “good death.” But of course, many deaths do not occur in this way.\u00a0Not all deaths include such a dialogue with family members or being able to die in familiar surroundings.\u00a0People die suddenly and alone.\u00a0People leave home and never return.\u00a0Children precede parents in death; wives precede husbands, and the homeless are bereaved by strangers.<\/p>\n

      In this lesson, we look at death and dying, grief and bereavement.\u00a0We explore palliative care and hospice.\u00a0And we explore funeral rites and the right to die.<\/p>\n

      REFERENCES:<\/h2>\n

      Almost one million dying receive hospice care last year: New record. (2004).\u00a0Senior Journal, (November 3, 2004). Retrieved from http:\/\/www.seniorjournal.com\/NEWS\/Eldercare\/4-11-03HospiceMonth.htm<\/p>\n

      Attorney General vs. State of Oregon, Ruling of Supreme Court of the United States, \u00a7 No. 04-623 (2007).<\/p>\n

      Berger, K. S. (2005).\u00a0The developing person through the life span\u00a0(6th\u00a0ed.). New York: Worth.<\/p>\n

      End of Life Issues and Care \u2014 Brochure.\u00a0(n.d.).\u00a0American Psychological Association (APA).\u00a0Retrieved May 07, 2011, from http:\/\/www.apa.org\/topics\/death\/end-of-life.aspx<\/p>\n

      Ku\u0308bler-Ross, E. (1969).\u00a0On death and dying.\u00a0[New York]: Macmillan.<\/p>\n

      Ku\u0308bler-Ross, E. (1975).\u00a0Death; The final stage of growth.\u00a0Englewood Cliffs, N. J.: Prentice-Hall.<\/p>\n

      Ku\u0308bler-Ross, E., & Kessler, D. (n.d.).\u00a0On grief and grieving.\u00a0New York: Schribner.<\/p>\n

      Living with grief: Diverstiy and end of life care.\u00a0(2009). Hospital Foundation of America.<\/p>\n

      NCHS Pressroom – 2003 Fact Sheet – Hospice Care in the United States.\u00a0(2003, August 21).\u00a0Centers for Disease Control and Prevention.\u00a0Retrieved May 07, 2011, from http:\/\/www.cdc.gov\/nchs\/pressroom\/03facts\/hospicecare.htm<\/p>\n

      Pattison, E. M. (1977).\u00a0The experience of dying.\u00a0Englewood Cliffs, N. J.: Prentice-Hall.<\/p>\n

      Stein, W. R. (2005, October 05).\u00a0GONZALES V. OREGON.\u00a0LII | Legal Information Institute at Cornell Law School.\u00a0Retrieved May 07, 2011, from http:\/\/www.law.cornell.edu\/supct\/html\/04-623.ZS.html<\/p>\n

      Survivor’s Fact Sheet.\u00a0(n.d.).\u00a0American Association of Suicidology.\u00a0Retrieved January 12, 2007, from http:\/\/www.suicidology.org\/associations\/1045\/files\/SurvivorsFactSheet.pdf<\/p>\n

      United States, Center for Disease Control. (2006, June 26).\u00a0National Vital Statistics Reports, 54(19).\u00a0Retrieved February 24, 2007, from\u00a0http:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr54\/nvsr54_19.pdf<\/p>\n

      United States, National Institute on Health.\u00a0(2007, January 7).\u00a0Hospitals Embrace the Hospice Model. Retrieved February 25, 2007, from http:\/\/www.nlm.nih.gov\/medlineplus\/news\/fullstory_43523.html<\/p>\n

      Weitz, R. (2007).\u00a0The sociology of health, illness, and health care: A critical approach\u00a0(4th\u00a0ed.). Belmont, CA: Thomson\/Wadsworth.<\/p>\n

      WHO |\u00a0What\u00a0is the deadliest disease in the world?\u00a0(n.d.).\u00a0Retrieved May 07, 2011, from http:\/\/www.who.int\/features\/qa\/18\/en\/<\/p>\n\n\t\t\t

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      Candela Citations<\/h3>\n\t\t\t\t\t
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