1 DEATH AND GRIEVING Fall 2018 3 Difficult

1 DEATH AND GRIEVING Fall 2018

3 Difficult Grief Situations • Parents losing a child • Children or adolescents losing a parent or sibling • Adults losing an intimate partner – Movie: Irreplaceable You https: //www. youtube. com/watch? v=LKn. QVCCX 8 v. U • Bereavement overload © Giideon/Shutterstock

4 Kübler-Ross’s Theory 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance Things to consider: • Sequence and universality • Context • May lead to caregiver insensitivity

5 Grief Process Avoidance – “emotional anesthesia” Confrontation – most intense grief Restoration – alternate between dealing with emotions and with life changes © Cris Kelly/Shutterstock

6 Style of Grieving Intuitive grief Instrumental grief (Martin & Doka, 1996)

7 Amy & Jason Rosenthal • https: //www. nytimes. com/20 17/03/03/style/modern-loveyou-may-want-to-marry-myhusband. html • https: //optionb. org/buildresilience/inspirationvideo/the-journey-throughloss-and-grief

8 Euthanasia & Physician Assisted Death Passive § withdrawal of treatment § advance medical directive: living will, durable power of attorney Voluntary active § medical staff or others act to end life at patient’s request Assisted suicide § medical staff provide means for patient to end own life § remains controversial Involuntary active § medical staff end life without patient’s consent

9 Euthanasia & Physician-Assisted Death • Movie: Me before You https: //www. youtube. com/watch? v=Eh 993__r. Ox A • How about for clients/patients with chronic mental illness? • Emily’s story: • https: //www. youtube. com/watch? v=SWWk. Uzkf. J 4 M

10 Some Other Topics • 無效醫療? ! Https: //www. youtube. com/watch? v=l 9 vk. Qo. Mlgvw • Cultures: attitude, place to die • Funeral: about death, about life

11 Hospice Care https: //www. youtube. com/watch? v=l 9 vk. Qo. Mlgvw&t=3 s © James Steidl/Shutterstock • Comprehensive program of support for dying and their families: – patient and family as unit of care – interdisciplinary team – palliative (comfort) care – home or homelike setting – bereavement services • Death Doula https: //www. youtube. com/watch? v=j. Vjke. UUxke 8

12 Recommended readings/videos • 20151122 - 白袍醫師面對的生命課題 https: //www. youtube. com/watch? v=w 3 Rn. AMa. Ai. PI • 陳秀丹醫師: 向殘酷的仁慈說再見 2 (book) • 安寧療護 http: //www. kmuh. org. tw/www/kmcj/data/10305/21. htm http: //www. hospice. org. tw/2009/chinese/qa-2. php https: //www. youtube. com/watch? v=l 9 vk. Qo. Mlgvw