Dealing with the end of life and the decisions that come with it brings serious challenges for everyone involved.
Dealing with the end of life and the decisions that
accompany it brings serious challenges for everyone involved—patients,
families, friends, and physicians. In fact, "managing" the
progression toward death, especially when a serious diagnosis has been made,
can be a highly complex process. Each person involved is often challenged in
different ways.
Communication is the first objective and should begin
with physicians. In their role, physicians are often tasked with bridging the
gap between life-saving and life-enhancing care; Thus, they often struggle to
strike a balance between hope and truth. Determining "how much
information," "within what time," and "with what degree of
directness for this particular patient" requires a skillful commitment
that matures with age and experience.
A physician's guidance should be highly individualized
and should consider the prognosis, risks and benefits of various interventions,
the patient's symptom burden, the time frame ahead, the patient's age and stage
of life, and the quality of the patient's support system.
Also, it is common for the patient and his or her loved
ones to focus on life preservation, especially when first diagnosed. They must
also deal with the trauma, which can lead to a complex analysis that is often
associated with guilt, regret, and anger. Fear must be managed and controlled.
This state of confusion may last for some time, but a sharp decline, results of
clinical studies, or internal awareness usually indicate a transition and lead
patients and loved ones to eventually recognize and understand that death is
approaching. Is.
Once acceptance is achieved, end-of-life decision making
begins naturally. Persistent denial that death is approaching only narrows the
time frame for these decisions, increases anxiety, and weakens one's sense of
control over one's destiny.
With acceptance, the ultimate objectives become quality
of life and comfort for the remaining days, weeks or months. Physicians,
hospice, family, and other caregivers can focus on assessing the patient's
physical symptoms, psychological and spiritual needs, and defining end-of-life
goals. How important might it be to a patient to attend a granddaughter's
wedding or see her last Christmas, and is it realistic to achieve these goals?
To plan for death with dignity, we must accept death as a
part of life – an experience that should be embraced rather than ignored when
the time comes. Would you be ready?
Mike Magee, M.D., is a Senior Fellow in the Humanities of
the World Medical Association, director of the Pfizer Medical Humanities
Initiative, and host of the weekly web cast "Health Politics with Dr. Mike
Magee."
FAQs
Is Death Drive Real?
The death drive is a highly disputed concept in
psychoanalysis and there is no consensus regarding its coherence or coherence.
Jacques Lacan retained the concept of the death-drive within his schematization
of drives, but made it part of every drive, thus destroying Freud's dualistic
concept.
What does it mean that death is inevitable?
Inevitability and meaning of death
The fact of being certain to happen and unable to be
avoided... See more on Inevitability. Death.
What happens in drive?
Synopsis. A strange Hollywood activity film stand-in
crosses paths with criminals when he attempts to assist his neighbor's
significant other with looting a pawn shop while filling in as his skilled
accomplice.
What is the purpose of death?
So what is the meaning of death? It means its
contribution to the success, survival, adaptation and development of life. The
fact that life exists with such diversity almost everywhere on our planet today
has become possible only because of death.
Why is death a part of life?
Death is a part of life because everything must obey the
laws of physics. According to the second law of thermodynamics everything must
return to its original state and there is no relaxation for anything anywhere
in the entire universe.
What happens in natural death?
Natural death: In this, often a person has lived his life
till the last stage of his age, or it can be said that he dies after reaching
old age, the second thing is that when he is not able to reach old age, then
the death of the person occurs. There are also signs of natural death, which we
often understand only after his death.
How many types of death are there?
The groupings are normal, mishap, self destruction,
murder, unsure and forthcoming. Only the medical examiner and coroner can use
all methods of death.
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