Dying: The Five Themes of Caring

February 4th, 2009 No comments

Welcome back to another posting of In Due Course. Today, I want to continue our discussion about dying by addressing five "themes" for caring for someone who is dying and some practical suggestions on how to do carryout those themes. You can think of these themes, taken from a publication of the Colorado Collaboration on End-of-Life Care, as the five R’s for caring: Remember, Recognize, Respect, Reinforce, and Reminisce.

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Dying: Spiritual Dimensions of Care

January 21st, 2009 No comments

In last week’s posting of In Due Course, I described the social dimension of care for a person coping with dying. This week I will cover the fourth and  last dimension, the spiritual one. The spiritual dimension of care is based on the spiritual the dying person faces that I described in Dying: Spiritual Tasks. As a reminder, these tasks include a search for and for (re-)establishing and maintaining connectedness to oneself, others, and the person’s own perception of the transcendent. It is probably obvious that the spiritual aspect of a person’s life, whether dying or not, is not a stand-alone aspect. It permeates throughout the physical, psychological, and social aspects as well.

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Dying: Social Dimensions of Care

January 13th, 2009 No comments

Welcome back to another posting of In Due Course.  Today, I will discuss the third dimension of care for the dying – the social one. This dimension is based on the social I wrote about on July 10 and involves two areas: 1) the special relationships the dying person has with other cherished individuals and 2) the dying person’s roles and responsibilities in various communities, such as the family, the workplace, the organizations, etc. he or she is a part of.

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Dying: Psychological Dimensions of Care

October 13th, 2008 1 comment

Welcome to another installment of In Due Course.  Last time I started a four-part series on the dimensions of care for a dying person. The first posting was about the physical dimension. Today, I want to discuss the second dimension – the psychological dimension.

For many caregivers, the psychological dimensions of care can be more difficult to deal with than the physical dimensions. In the physical dimensions, there is something that the caregiver can try to do to relieve physical : medications, physical contact, etc.  However, when the is psychological, i.e., involving feelings such as sadness, anger, fear, anxiety, and other so-called negative feelings, what can a caregiver do to help?
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Dying: Physical Dimensions of Care

August 16th, 2008 No comments

Welcome back to In Due Course. Over the past five posts, I have described the various aspects of a person facing his/her own death. Now, I want to start a discussion of caring for a terminally ill person. We will go over the dimensions of care, hospice care, and conclude with a discussion about hope.

The four a dying person faces also define the four dimensions of care for the dying person: physical, psychological, social, and spiritual. Today, we will describe the physical dimension. Probably the most demanding physical need of a dying person is the control of . Physical is actually divided into two major categories: acute and chronic.
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Dying: Five Stages of Life-threatening Illness

August 13th, 2008 No comments

Last week, I concluded our discussion on the four of coping with dying: physical, social, psychological, and spiritual. This week I want to outline how these coping can differ for each of the five phases of living with a illness.  This connection between coping with dying and stages of living with a illness was first describe by Ken Doka in 1993.
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Dying: Spiritual Tasks

August 5th, 2008 No comments

Welcome, it’s time for another posting of In Due Course.  For the past few weeks, I have been writing about the of dying.  So far I have gone over the physical, psychological, and social .  Today, I’ll continue our discussion of by addressing the spiritual ones.  Of the four, the spiritual are the most complicated to describe for a couple of reasons.  First, there is no consistent definition of ‘spiritual.”  Spiritual does not necessarily mean religious.  One can have spiritual concerns separate from religious concerns.  Second, and related to no consistent definition, there are many spiritual cultures such as Roman Catholics, Southern Baptists, Muslims, Buddhists, Hindus, Native Americans, atheists, etc.  Even within these there are various subcultures. However, when faced with dying, people within each spiritual subculture can still experience the three common themes of the spiritual : meaningfulness, connectedness, and transcendence.
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