Tuesday, October 14, 2008

Dying Well

I read something interesting on the NPR website by a Dr. Ira Byock who works in hospice care. Dr. Byock believes in the idea of life long human development. This applies to people at the end of their lives as well and he points out that the developmental milestones of people at the end of life are remarkably similar to the developmental milestones of toddlers.
He writes, “Someone who is dying, like the developing child, goes through stages of discovery, insight, and adjustment to constantly changing circumstances in his person and in the ways people react to him. People who are dying often feel a sense of constant pressure to adapt to unwanted change.” Each day brings new changes and the world can seem like a very scary place. For many elderly people, their world becomes very small. They may no longer drive or feel physically able to go out. They are now dependent on others to do for them what they could once do for themselves.

More interesting information from the NHPCO webstite:

"The term “hospice” (from the same linguistic root as “hospitality”) can be traced back to medieval times when it referred to a place of shelter and rest for weary or ill travelers on a long journey. The name was first applied to specialized care for dying patients in 1967 by physician Dame Cicely Saunders, who founded the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London."

What is your definition of dying well? For many of us that would mean not dying in a hospital or dying in pain. Hospice care has made that possible and we have Dame Cicely Saunders to thank.

2 comments:

Marjories' Blog said...

I don't think people can "die well" without having a sense of peace about their life. Most people have some regrets from either doing things they feel they shouldn't have or missing out on doing things they wish they had. I believe peace is coming to terms with lifes' choices and being able to accept them (the serenity prayer comes to mind), also being able to discover their reality after death and what that means to them (relationship with God), heaven, some alternative?...
Death is permanent departure from life as we know it... and is unknown, which most of us fear.

davey said...

If I had to define "dying well" I would define it as having had a successful career in helping others and knowing that I treated others the way I wanted to be treated. One of my clients lost a grandparent and she said that her grandmother had been very ill and her death was welcomed due to the suffering she was going through. After reading your blog, I was thinking if her grandmother felt this way about her death; did the grandmother welcome death or did she want to continue even if it was going to be a painful existance. I have always thought that if I were very ill and suffering I would want to be euthanised but I am not sure you can make a decision like that until you are truly faced with that pain and suffering.