near death awareness during end of life apr 21 2014
DESCRIPTION
Understanding the special awareness, needs, and communications of the dying An impending death sends ripples through all relationships in the life of the dyingTRANSCRIPT
© Copyright John M. Cachat
Near Death Awareness
during End of Life
John M. [email protected] When someone we love is terminally ill, we are
often unprepared to deal with the experience
© Copyright John M. Cachat
Housekeeping
Phones are muted
Use the question
block for questions Copy of presentation
available upon request
3© Copyright John M. Cachat
Agenda
� Introduction
� The Caregiver’s Stress
� The Near Death Experience
� Summary
� Q&A
4© Copyright John M. Cachat
Introduction
�Understanding the special
awareness, needs, and
communications of the
dying
�An impending death sends
ripples through all
relationships in the life of
the dying
5© Copyright John M. Cachat
Introduction
We can begin to
understand messages by
keeping open minds and
listening carefully
Two issues
� Attempt to describe what is going on
� Request for something
6© Copyright John M. Cachat
Near Death…..
� Near Death Experience –
happens suddenly, for
example drowning, a
traffic accident, or heart
attack
� Near Death Awareness –
develops slowly during
progressive illness
7© Copyright John M. Cachat
Yesterday versus Today
� Being born and dying used to
be done in the home
� Then they became managed
by hospital protocol
� Fathers banned from delivery
� Dying patients placed in out of
the way rooms
8© Copyright John M. Cachat
Today versus Tomorrow
There is a change underway, back
to yesterday….
� Birth is now a part of life, where to deliver, how to deliver, who they want present, etc.
� Dying patients are now seen as individuals that want control over their dying and it should be as peaceful and comfortable as possible for them and their family / friends
9© Copyright John M. Cachat
Best Care Possible
Physical Emotional
Social Spiritual
End of Life
10© Copyright John M. Cachat
The Caregiver’s Stress
� People react in different ways to the impending death of someone they love
� Old ways – grandparents died at home
� Today – death is not integral part of life, but a fearsome and unwelcome experience� We become spectators
� State of uncertainty
� Not sure what to do or how to do it or when to do it
11© Copyright John M. Cachat
The Caregiver’s Stress
� What should I say?
� Just listen an accept
� What should I do?
� How deeply do you want to be involved?
� Why are they doing this?
� Just listen and learn and assist
� Why have they given up?
12© Copyright John M. Cachat
Stages of Dying
Denial Anger Bargaining Depression Acceptance
13© Copyright John M. Cachat
The Near Death Experience
� I know I am dying…
� I am going to travel somewhere…
� There are some changes underway…
� I have seen someone / spoke with someone…
� I have some things to take care of…
� It is going to happen soon…
14© Copyright John M. Cachat
When Death is Close
� Sleep more and, at times be difficult to awaken
� Lose his or her appetite
� Become confused about time
� Experience impaired hearing and vision
� Become restless
� Breathe irregularly
� Pulse may also get faster and more irregular
� Collect secretions at the back of the throat
� Have cool arms or legs, a pale face
15© Copyright John M. Cachat
Summary
� Provide information on
person’s background,
thoughts, life experiences
� Improve communication
so that stories can be
explained
� Document what is going
on – for now and for later
16© Copyright John M. Cachat
Near Death Awareness during End of Life
&
Contact:
John Cachat
Copy of Presentation
&
Request a Demo