From a clinical point of view, "death" means that the body stops functioning, ie the person who lost the ability to breathe and maintain a spontaneous heartbeat death of an adverse event for most people died. However, it is also an unavoidable event. Some people die suddenly and tragically in an accident, such as victims of terrorist attacks in the U.S. World Trade Center on 11 September. Some others will die through a period of struggle against the disease, wecall this the death process. We feel uncomfortable talking to us or even think about the death of our loved ones or our own. It seems with many unpleasant meanings are brought together, for example: the day of the judge, ghost, weakness, mystery, and so on.
Although many of us want to live forever echo that life inevitably ends in death. 100 years ago people died simply because the disease is less threatening in the modern medical science, such as tuberculosis, influenzaor pneumonia. Now, these diseases are much less popular because of the significant advances in public health and prevention of medical progress in the 20 century technologies. The promulgation of a disease like instant death sentence to be managed and maintained in the modern medical system, the terminal stage of cancer through the use of radiotherapy, chemotherapy and surgery can be managed to prolong the life or death process, but someare questions about the progress of medicine at the same time, these patients more than the long process of medical treatment and die are not ready with the way the death prolonged pain and suffering, in addition employ to find their family members it so difficult to communicate, or to good care for their love one during the final stages of life. Social workers is one of the professionals that work closely with the psycho-social personWell-being, suggesting ways the problems with dead or dying is one of the most important and difficult task of social workers associated address.
In the following sections, I'll try the death-process issues is dealing with social taboos such as the one who can help in dying, suffering, dying, as a social worker in these processes. Unfortunately, the patient reached the end of dyingProcess is death, as they help their families overcome the sadness event will also be discussed.
What is death?
If we want to offer some help as a consultant for terminally ill patients, you first need a clear picture of their psychological reaction to his death.
Dying is a process in which a terminally ill patient adapts itself to the prospect of death. According to Kubler-Ross Five Stages of Dying theory,Dying is composed of five phases. The first stage is denial, but it is thought to be a person familiar with the first answer may be the answer, that some mistake was made, this shock and denial that something is wrong for a last few days. Denial adjustment early in life-threatening illness is normal and useful defense mechanism because it gives the impression that this is a successful psychological refuge from reality, it is a primitive system of protection for a personand accept the most stressful events or shocking buffer until the person is much more willing to face reality.
The second stage is anger, patients can ask questions in anger, as 'me' cause, you can show the hatred against other people who would get the same disease, but can survive or to obtain a favorable diagnosis. The angry patient may show resentment against the other person is healthy and how their family or friends. Some others may not express their anger in a direct form canshow their displeasure or anger over the death or jokes.
The third stage is the negotiation at this stage, the patients give their anger in favor of other strategies, it often takes the form of a covenant with God, pray for their characters felt superstitious. Some others only develop good behavior in order to achieve good health. The only reason can be understood as a sign that the patient seek a deal for the health and interactionTime.
See depression as the fourth phase, patients in this stage, no matter how difficult to understand them, others say it's not worth it, especially to the physicians paid the truth behind all these efforts in the third stage, sending the cruel messages, for example, the deterioration of liver function, loss of appetite and other symptoms. The patient may feel nauseous, tired and breathless. In addition, they have difficulty eating, controlElimination, to focus attention and to escape the pain or discomfort. Mourn the prospect of his death.
The patient may be too weak to be angry and very depressed at the idea of dying, are used. Some patients begin with the remaining time to prepare themselves to decide how they share their latest personal property and greet old friends and family. The patients in this phase can be described as the fifth stage.
Although not all patientsnecessarily go through these five phases in a predetermined order, and some patients not to go through a certain phase, the model needs the advice of the dying with the psychosocial professional social workers, for example, points can provide assistance to these aspects. In addition, the model has broken the silence and taboos death.
Dying is a process of approaching death, social workers can increase the ability of the patientMastery of information technologies, because patients experiencing die in a stadium or in the process of denial is a strong feeling of losing control, for example, they suddenly said they see the world in three months or shorter period can leave all of their daily lives have already planned out their schedule, it has lost any meaning, can not predict what will happen tomorrow. Can help control the information to them about their illness, their remaining time in managing a solid understandingBasis. Social workers as a compass for the patients when they suddenly seem to lose their direction, help them the way on the road ahead. In addition, the mastery of information technologies can their attention to other aspects, rather than divert their negative emotions, the individual to do or to avoid other big companies. It is the first step in helping to put these patients at the reality and then we can set realistic goals for the remaining useful life.
Forincurable disease often leads to the necessity of continued treatment with weak and unpleasant side effects. In the early diagnosis of terminal liver cancer, my father was frequent therapy to undergo radiotherapy and chemotherapy, her hair, which has lost its physical appearance influences, he also lost his appetite and was getting thinner every day, it warmly in the last two months of year is his battle against liver cancer, he began to vomit blood frequently, theseImage I'll never forget. Can help as a social worker, this kind of suffering painful in some ways to alleviate, for example: I try to patients, focusing their attention on the happy and pleasant things. The strategy for this focus on "diversion" (Taylor, pp.320), is a technique that a person focus on some irrelevant stimuli and attention, you can divert attention from pain to the patient focus on the positivesPage of past events and help them on their Cherishable result more in their lives.
Positive cognitive leadership may be the first step for patients to be taken to get closer to reality. For the emotional, social workers close link with the medical staff because the staff could be the only person, the true feelings of realistic information about the patient knows his "under certain circumstances, for example, some patients were very satisfied or her positiveCondition during the visits of their relatives. "The happy face can only be seen during the visits, but in reality, patients may simply not want to upset others, is regarded by the participating employees can not communicate with family members, the true feeling behind the veil be masked, it is never to be revealed and compromise psychosocial well-being of terminally ill patients.
Since the studies of death or problems are relatively limited because of the differentFactors, including the taboo of our society, the means, so I just die on the Kubler-Ross stage theory of five basic, illustrate the need and the support offered by one of the possible. In the following paragraphs, I'd suggest to involve an intervention for social workers.
The remaining time is tight for the terminally ill, the organization and make good use of time for the patients or their families the highest priority over othersThings, to avoid the blame may later, so that they find meaning in reality. Social workers can help the patient to set realistic goals. This is in contrast to a positive reality for some patients unable to accept that reality and its complete withdrawal from social interaction. If things can be paid with the efforts of the patients' families "can be achieved, everyone can have the feeling to do something for the patient, reduce feelings of guiltto the desperate situation.
Source: http://home-death-dying.chailit.com/death-and-dying.html
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