The issue of death and dying in healthcare

Senthil P Kumar; E-mail: According to Penson et al. For too long, medicine has ignored this primeval fear.

The issue of death and dying in healthcare

Alison Palmer, BSN The nurse who experiences the loss of a patient can go through many emotional responses. These responses can be magnified for those who deal more closely with death and dying.

The nurse may experience feelings of anxiety and grief as well as cumulative loss when he or she is unable to cope effectively with each loss. Ineffective coping mechanisms may include avoidance and emotional distance. Additional stressors may result from circumstances requiring the nurse to either withhold or express personal emotions appropriately and portray empathy toward the patient and family.

Losses may be compounded beyond the aspects of the death of a patient. It may include the loss of a close relationship with the patient, losses of professional boundaries and unmet goals and expectations. The nurse may also experience a compromised personal belief system or assumptions about death that make it difficult to overcome a loss.

The caregiver needs to be able to recognize symptoms of unhealthy stress. Practicing good nutrition, exercise and meditation help control symptoms. Establish a spiritual belief system and allow yourself time to grieve losses both personally and as a member of the care team.

Maintain a connection with nature, a sense of humor, and an appreciation for music as therapy. Maintain a healthy balance between work, home and leisure time and stay connected with family and friends. Find a confidant who can understand your work related stresses, be open to new ideas and solutions and don't be afraid to seek help when it is needed.

Occupational Responsibilities, Perceived Stressors, Coping Strategies, and Work Relationships Nurses have long been identified as a group that works very hard under trying conditions and often experiences burnout over time.

There are many accounts in the literature where nurses lose interest in their jobs, lack satisfaction, and dislike the pressure and stress associated with caring for critically ill patients under less than ideal conditions.

Some of the coping mechanisms that the nurses used to combat these stressors were staying focused on patient care, the use of humor, verbalization and internalization of concerns, and adopting personal hobbies.

Production pressure and workload were handled through close teamwork. Role blurring was evident under some stressful conditions. How relationships among different healthcare professionals developed and whether "politics" were involved could either decrease or increase stress. Six major themes surfaced as part of the analysis of data using the constant comparative method.

These major themes include: The role of being an attentive, reliable coworker alleviates antagonism found within operating room relationships. Maintaining open lines of communication is an effective way to address concerns and prevent staff conflict. Among the CRNAs, occupation-related stressors create concern for patient safety.

The issue of death and dying in healthcare

Interpersonal work relations cause more stress than any of the other perceived job stressors. Engaging in personal hobbies assists the CRNA in coping with work-related stress.In some ways, the ethics of death is the fight for who will have control over the dying process -- the person, a doctor, a supreme being.

The dying person can plan for a lot -- from the clothes he or she wants to be buried in to the inscription on the tombstone -- but most of us don't get to pick our cause of death.

Healthcare Professionals’ Fear of Death and Dying: Implications for Palliative Care. (May-August issue) on “who is really afraid of death?” by Bhatnagar. This letter was aimed to throw light on the fear of death among healthcare professionals, with implications for palliative care assessment and intervention in the developing.

The interventions aimed at reducing the fear of death in healthcare professionals may include a contemplative care approach (training program on yoga) for hospice care volunteers, which fosters better emotional well-being and spiritual growth, with training emphasis on philosophy and goals of palliative care, spiritual issues from a multi-cultural and multi-faith perspective, communication, the dying .


Healthcare Professionals’ Fear of Death and Dying: Implications for Palliative Care

5, (HealthDay News) -- Already-strong public support for right-to-die legislation has grown even stronger in the days since the planned death of year-old brain cancer patient Brittany Maynard, a new HealthDay/Harris Poll has found.

There are many issues raised by life and death choices in healthcare. Advance directives are a set of directions you give about the healthcare you want if you ever . Our 32, members play a key role in breaking down taboos around death and dying. Joining is free! Home» Information» Legal and Ethical Issues.

Legal and Ethical Issues. In this section we provide information about some key issues affecting care in illness and at the end of life. The National Council for Palliative Care have.

End of Life Issues: MedlinePlus