|
Modules:
Introduction
1. Advance Care Planning
2. Communicating Bad News
3. Whole Patient Assessment
4. Pain Management
5. Assisted Suicide Debate
6. Anxiety, Delirium
7. Goals of Care
8. Sudden Illness
9. Medical Futility
10. Common Symptoms
11. Withholding Treatment
12. Last Hours of Living
13. Cultural Issues
14. Religion, Spirituality
15. Legal Issues
16. Social and Psychological
More About:
Hospice Care
Clergy and Faith Communities
|
Significance of the Last Hours of Living
- A few of us (<10%) will die suddenly
- Most of us (>90%) will die after a long period of illness with gradual deterioration until an active dying phase at the end
-
The last hours of our lives may be some of our most significant. They provide the last opportunity to:
-
Those who provide care have one opportunity to get it right. There is no second chance
- If managed well, the last hours can lead to significant personal and family growth
- Life closure may be incomplete
- Suffering may occur unnecessarily
- Family distress may continue long after the patient’s death
- Those who watch may worry that their death will be similar
-
Experience with the dying process or death is uncommon
- While many professionals have seen a dead body, lay people rarely have
- Most of us have neither watched someone die nor provided care during the last hours of life
- Based on media dramatization and our vivid imaginations, most people have developed an exaggerated sense of what dying and death are like
- However, with appropriate management, it is possible to provide smooth passage and comfort for the patient and all onlookers
|