Interpersonal, sociopolitical, and symbolic systems that mediate an individuals
experience of death: "we face death as a part of a society whose expectations, rules,
motives, and symbolic influence our individual encounters"
Functions:
To give warnings and predictions of threats to life
To prevent death
To care for the dying
To dispose of the dead
To work towards social consolidation after death
To bring about socially sanctioned death
Elements or Components:
People, whose social roles are more or less directly related to death
Places, specific locations that have a death-related character
Times, or specific occasions associated with death
Objects, or things associated with death
Symbols and images related to death
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, Death system
Provides relief from pain and other symptoms
Affirms life and regards dying as a normal process
Intends to neither hasten nor postpone death
Integrates spiritual and psychological aspects of care
Offers support to patients to live as actively as possible until death
Support is offered to families to help them cope with illness and bereavement
Interdisciplinary team approach to address needs of patients and families, including
bereavement counselling
Will enhance quality of life, may positively influence the course of illness
Is applicable early in the course of illness, can be used alongside other
treatments/interventions that are intended to prolong life (e.g. chemotherapy) etc.
(CIHI, 2018)
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Core principles of palliative care
Funeral Rituals and Cultural Codes of Conduct
How is the body prepared following death
When does the commemoration take place
Who is supposed to mourn
When/where does mourning take place and for how ling
How much emotion can/should be displayed? What kind of emotion? By whom?
How to dress, how to behave, etc.
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Culture and death
, Deaths increasingly occur in professional settings of the hospital, long-term care
Death increasingly positioned as a failure of the medical system.
Death is 'hidden' in hospitals (N&W, p. 74).
People have limited experience with death, limited knowledge and coping
mechanisms due to lack of regular exposure.
Death becomes 'unfamiliar,' distance created between family and dying relative.
May contribute to increased death anxiety.
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Moves from home to hospital
Canada as a 'death denying' society
Reactions 'vacillate between denial and awareness, fear and fascination'
Both acceptance and denial
Euphemisms
Way of avoiding direct speech
Used to show respect, protect feelings
Discourses/cultural narratives of death denial
Medicalization, anti-aging
Convey nothing that one can control and defy death
Fears, taboos about speaking openly about death
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Death denial
People require high-intensity healthcare at end of life (final weeks and months).
Homecare typically doesn't provide 24/hr support. May be insufficient for the need
Death at home requires support (caregivers, infrastructure), planning.
Majority in long-term care homes have a cognitive impairment, like dementia, physical
experience of death: "we face death as a part of a society whose expectations, rules,
motives, and symbolic influence our individual encounters"
Functions:
To give warnings and predictions of threats to life
To prevent death
To care for the dying
To dispose of the dead
To work towards social consolidation after death
To bring about socially sanctioned death
Elements or Components:
People, whose social roles are more or less directly related to death
Places, specific locations that have a death-related character
Times, or specific occasions associated with death
Objects, or things associated with death
Symbols and images related to death
Give this one a try later!
, Death system
Provides relief from pain and other symptoms
Affirms life and regards dying as a normal process
Intends to neither hasten nor postpone death
Integrates spiritual and psychological aspects of care
Offers support to patients to live as actively as possible until death
Support is offered to families to help them cope with illness and bereavement
Interdisciplinary team approach to address needs of patients and families, including
bereavement counselling
Will enhance quality of life, may positively influence the course of illness
Is applicable early in the course of illness, can be used alongside other
treatments/interventions that are intended to prolong life (e.g. chemotherapy) etc.
(CIHI, 2018)
Give this one a try later!
Core principles of palliative care
Funeral Rituals and Cultural Codes of Conduct
How is the body prepared following death
When does the commemoration take place
Who is supposed to mourn
When/where does mourning take place and for how ling
How much emotion can/should be displayed? What kind of emotion? By whom?
How to dress, how to behave, etc.
Give this one a try later!
Culture and death
, Deaths increasingly occur in professional settings of the hospital, long-term care
Death increasingly positioned as a failure of the medical system.
Death is 'hidden' in hospitals (N&W, p. 74).
People have limited experience with death, limited knowledge and coping
mechanisms due to lack of regular exposure.
Death becomes 'unfamiliar,' distance created between family and dying relative.
May contribute to increased death anxiety.
Give this one a try later!
Moves from home to hospital
Canada as a 'death denying' society
Reactions 'vacillate between denial and awareness, fear and fascination'
Both acceptance and denial
Euphemisms
Way of avoiding direct speech
Used to show respect, protect feelings
Discourses/cultural narratives of death denial
Medicalization, anti-aging
Convey nothing that one can control and defy death
Fears, taboos about speaking openly about death
Give this one a try later!
Death denial
People require high-intensity healthcare at end of life (final weeks and months).
Homecare typically doesn't provide 24/hr support. May be insufficient for the need
Death at home requires support (caregivers, infrastructure), planning.
Majority in long-term care homes have a cognitive impairment, like dementia, physical
