Author: Marney Thompson
Publisher: Health Professions Press
ISBN: 9781938870651
Category : Medical
Languages : en
Pages : 0
Book Description
Preceded by Transitions in dying and bereavement: a psychosocial guide for hospice and palliative care / by Victoria Hospice Society and Moira Cairns, Marney Thompson, Wendy Wainwright. c2003.
Transitions in Dying and Bereavement
Author: Marney Thompson
Publisher: Health Professions Press
ISBN: 9781938870651
Category : Medical
Languages : en
Pages : 0
Book Description
Preceded by Transitions in dying and bereavement: a psychosocial guide for hospice and palliative care / by Victoria Hospice Society and Moira Cairns, Marney Thompson, Wendy Wainwright. c2003.
Publisher: Health Professions Press
ISBN: 9781938870651
Category : Medical
Languages : en
Pages : 0
Book Description
Preceded by Transitions in dying and bereavement: a psychosocial guide for hospice and palliative care / by Victoria Hospice Society and Moira Cairns, Marney Thompson, Wendy Wainwright. c2003.
Compassionate Communities
Author: Klaus Wegleitner
Publisher: Routledge
ISBN: 1317565061
Category : Social Science
Languages : en
Pages : 257
Book Description
Compassionate communities are communities that provide assistance for those in need of end of life care, separate from any official heath service provision that may already be available within the community. This idea was developed in 2005 in Allan Kellehear’s seminal volume- Compassionate Cities: Public Health and End of Life Care. In the ensuing ten years the theoretical aspects of the idea have been continually explored, primarily rehearsing academic concerns rather than practical ones. Compassionate Communities: Case Studies from Britain and Europe provides the first major volume describing and examining compassionate community experiments in end of life care from a highly practical perspective. Focusing on community development initiatives and practice challenges, the book offers practitioners and policy makers from the health and social care sectors practical discussions on the strengths and limitations of such initiatives. Furthermore, not limited to providing practice choices the book also offers an important and timely impetus for other practitioners and policy makers to begin thinking about developing their own possible compassionate communities. An essential read for academic, practitioner, and policy audiences in the fields of public health, community development, health social sciences, aged care, bereavement care, and hospice & palliative care, Compassionate Communities is one of only a handful of available books on end of life care that takes a strong health promotion and community development approach.
Publisher: Routledge
ISBN: 1317565061
Category : Social Science
Languages : en
Pages : 257
Book Description
Compassionate communities are communities that provide assistance for those in need of end of life care, separate from any official heath service provision that may already be available within the community. This idea was developed in 2005 in Allan Kellehear’s seminal volume- Compassionate Cities: Public Health and End of Life Care. In the ensuing ten years the theoretical aspects of the idea have been continually explored, primarily rehearsing academic concerns rather than practical ones. Compassionate Communities: Case Studies from Britain and Europe provides the first major volume describing and examining compassionate community experiments in end of life care from a highly practical perspective. Focusing on community development initiatives and practice challenges, the book offers practitioners and policy makers from the health and social care sectors practical discussions on the strengths and limitations of such initiatives. Furthermore, not limited to providing practice choices the book also offers an important and timely impetus for other practitioners and policy makers to begin thinking about developing their own possible compassionate communities. An essential read for academic, practitioner, and policy audiences in the fields of public health, community development, health social sciences, aged care, bereavement care, and hospice & palliative care, Compassionate Communities is one of only a handful of available books on end of life care that takes a strong health promotion and community development approach.
Hospice Palliative Home Care and Bereavement Support
Author: Lorraine Holtslander
Publisher: Springer
ISBN: 303019535X
Category : Medical
Languages : en
Pages : 281
Book Description
This book provides an unique resource for registered nurses working in hospice palliative care at home and for the community, outside of acute care settings and also incorporates literature related to palliative care in acute health care settings, as part of the overall services and supports required. Very few resources exist which specifically address hospice palliative care in the home setting, despite the fact that most palliative care occurs outside acute care settings and is primarily supported by unpaid family caregivers. An overview of the concerns for individuals and families, as well as specific nursing interventions, from all ages would be an excellent support for nursing students and practicing registered nurses alike. The book structure begins with a description of the goals and objectives of hospice palliative care and the nursing role in providing excellent supportive care. Chapters include research findings and specifically research completed by the authors in the areas of pediatric palliative care, palliative care for those with dementia, and the needs of family caregivers in bereavement. Interventions developed by the editors are provided in this book, such as the “Finding Balance Intervention” for bereaved caregivers; the “Reclaiming Yourself” tool for bereaved spouses of partners with dementia; and The Keeping Hope Possible Toolkit for families of children with life threatening and life limiting illnesses. The development and application of these theory-based interventions are also highlighted. Videos and vignettes written by family caregivers about what was helpful for them, provide a patient-and family-centered approach./div The book will benefit nursing students, educators and practicing registered nurses by providing information, theory, and evidence from research.
Publisher: Springer
ISBN: 303019535X
Category : Medical
Languages : en
Pages : 281
Book Description
This book provides an unique resource for registered nurses working in hospice palliative care at home and for the community, outside of acute care settings and also incorporates literature related to palliative care in acute health care settings, as part of the overall services and supports required. Very few resources exist which specifically address hospice palliative care in the home setting, despite the fact that most palliative care occurs outside acute care settings and is primarily supported by unpaid family caregivers. An overview of the concerns for individuals and families, as well as specific nursing interventions, from all ages would be an excellent support for nursing students and practicing registered nurses alike. The book structure begins with a description of the goals and objectives of hospice palliative care and the nursing role in providing excellent supportive care. Chapters include research findings and specifically research completed by the authors in the areas of pediatric palliative care, palliative care for those with dementia, and the needs of family caregivers in bereavement. Interventions developed by the editors are provided in this book, such as the “Finding Balance Intervention” for bereaved caregivers; the “Reclaiming Yourself” tool for bereaved spouses of partners with dementia; and The Keeping Hope Possible Toolkit for families of children with life threatening and life limiting illnesses. The development and application of these theory-based interventions are also highlighted. Videos and vignettes written by family caregivers about what was helpful for them, provide a patient-and family-centered approach./div The book will benefit nursing students, educators and practicing registered nurses by providing information, theory, and evidence from research.
In the Face of Death
Author: Danai Papadatou, PhD
Publisher: Springer Publishing Company
ISBN: 0826103405
Category : Social Science
Languages : en
Pages : 351
Book Description
"Occasionally I read a book and say to myself that this is a book that I wished I had written. This is such a book! It is a delightful, practical, interesting, and inspiring book! Danai has written a soon-to-be classic in the field! Her writing is excellent! Her use of theories, concepts, history, and models are wonderful!"--Illness, Crisis and Loss "Danai PapadatouÖ[presents] an approach of Relational Care, care based on an understanding of relationships, that should be essential readingÖ.[S]he writes in an engaging and non-technical language, and manages to convey complex ideas in a manner that is accessible to all." --Colin Murray Parkes, OBE, MD, FRCPsych President, Cruse: Bereavement Care (From the Foreword) ì[A] wonderful contribution to the literature on caregiving and her well thought out ideas about relational caregiving are on the cutting edge. Congratulations.î -- Lynne Ann DeSpelder CoAuthor, The Last Dance: Encountering Death and Dying, 8th edition "This is no ordinary academic textbook. It is nothing short of a masterpiece in which Papadatou provides the field of death, dying and bereavement with invaluable and constructive insights into the world of caring for the dying and bereaved."--Grief Matters "This is a fascinating book, applying important theoretical modelsÖin order to describe and speculate about how professionals manage to work in an environment where suffering and grief are constantly present. This is an important and substantial addition to the mostly self-help literature about self-care for caregivers."--Doody's Medical Reviews In the Face of Death explores the experiences of health care professionals who care for the seriously ill, the dying, and the bereaved. In this book, Danai Papadatou offers a practical approach to caregiving, as well as a breadth and depth of insight into both the patient's and the caregiver's responses to death. The author discusses the issues and challenges health care professionals face when treating dying and bereaved patients. Topics include: compassion fatigue, the inevitability of suffering and the potential for growth, suffering in the workplace, team functioning in death situations, and team resilience. The main themes are: The Caring Relationship focuses on the relationship between the care provider and the person who is dying or grieving, and proposes a new, relationship-based model of care The Care Provider in Death Situations addresses the health professional's personal responses to death, using a model that illustrates the grieving process of the health professional The Team in the Face of Death provides recommendations for effective, interdisciplinary care services that support dying or bereaved patients as well as the health care provider
Publisher: Springer Publishing Company
ISBN: 0826103405
Category : Social Science
Languages : en
Pages : 351
Book Description
"Occasionally I read a book and say to myself that this is a book that I wished I had written. This is such a book! It is a delightful, practical, interesting, and inspiring book! Danai has written a soon-to-be classic in the field! Her writing is excellent! Her use of theories, concepts, history, and models are wonderful!"--Illness, Crisis and Loss "Danai PapadatouÖ[presents] an approach of Relational Care, care based on an understanding of relationships, that should be essential readingÖ.[S]he writes in an engaging and non-technical language, and manages to convey complex ideas in a manner that is accessible to all." --Colin Murray Parkes, OBE, MD, FRCPsych President, Cruse: Bereavement Care (From the Foreword) ì[A] wonderful contribution to the literature on caregiving and her well thought out ideas about relational caregiving are on the cutting edge. Congratulations.î -- Lynne Ann DeSpelder CoAuthor, The Last Dance: Encountering Death and Dying, 8th edition "This is no ordinary academic textbook. It is nothing short of a masterpiece in which Papadatou provides the field of death, dying and bereavement with invaluable and constructive insights into the world of caring for the dying and bereaved."--Grief Matters "This is a fascinating book, applying important theoretical modelsÖin order to describe and speculate about how professionals manage to work in an environment where suffering and grief are constantly present. This is an important and substantial addition to the mostly self-help literature about self-care for caregivers."--Doody's Medical Reviews In the Face of Death explores the experiences of health care professionals who care for the seriously ill, the dying, and the bereaved. In this book, Danai Papadatou offers a practical approach to caregiving, as well as a breadth and depth of insight into both the patient's and the caregiver's responses to death. The author discusses the issues and challenges health care professionals face when treating dying and bereaved patients. Topics include: compassion fatigue, the inevitability of suffering and the potential for growth, suffering in the workplace, team functioning in death situations, and team resilience. The main themes are: The Caring Relationship focuses on the relationship between the care provider and the person who is dying or grieving, and proposes a new, relationship-based model of care The Care Provider in Death Situations addresses the health professional's personal responses to death, using a model that illustrates the grieving process of the health professional The Team in the Face of Death provides recommendations for effective, interdisciplinary care services that support dying or bereaved patients as well as the health care provider
Fast Facts for the Hospice Nurse
Author: Patricia Moyle Wright, PhD, MBA, MSN, CRNP, ACNS-BC, CHPN, CNE, FPCN
Publisher: Springer Publishing Company
ISBN: 0826131999
Category : Medical
Languages : en
Pages : 209
Book Description
An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress. Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center. Key Features Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association. Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions Addresses important Medicare regulations and reimbursement Offers numerous clinical resources to assist with hospice nursing practice Serves as a concise study resource for hospice nursing certification
Publisher: Springer Publishing Company
ISBN: 0826131999
Category : Medical
Languages : en
Pages : 209
Book Description
An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress. Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center. Key Features Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association. Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions Addresses important Medicare regulations and reimbursement Offers numerous clinical resources to assist with hospice nursing practice Serves as a concise study resource for hospice nursing certification
Dying in America
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470
Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470
Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Loss, Change And Bereavement In Palliative Care
Author: Firth, Pam
Publisher: McGraw-Hill Education (UK)
ISBN: 0335213235
Category : Medical
Languages : en
Pages : 241
Book Description
This text brings together contemporary thinking on loss and bereavement. It draws on international research, practice and individual stories from people struggling to understand the meaning of loss including work with bereaved children, parents, familiesand adults.
Publisher: McGraw-Hill Education (UK)
ISBN: 0335213235
Category : Medical
Languages : en
Pages : 241
Book Description
This text brings together contemporary thinking on loss and bereavement. It draws on international research, practice and individual stories from people struggling to understand the meaning of loss including work with bereaved children, parents, familiesand adults.
Fragility Fracture Nursing
Author: Karen Hertz
Publisher: Springer
ISBN: 3319766813
Category : Medical
Languages : en
Pages : 169
Book Description
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Publisher: Springer
ISBN: 3319766813
Category : Medical
Languages : en
Pages : 169
Book Description
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Family Focused Grief Therapy
Author: David William Kissane
Publisher: Open University Press
ISBN:
Category : Family & Relationships
Languages : en
Pages : 280
Book Description
"To those of us who have been aware of the innovative service to families facing death and bereavement that has been developed by David W. Kissane and Sidney Bloch this book has been eagerly awaited. Their work is a logical development in the field of Palliative Care in which it has long been recognized that, when life is threatened, it is the family (which includes the patient) which is, or ought to be, the unit of care. The work also has great relevance for the wider field of bereavement care...all who work to help families at times of death and bereavement will find much to learn from this book which represents a useful addition to our understanding of the losses which, sooner or later, we all have to face." - Colin Murray Parkes Family members are often intimately involved in the care of dying people and themselves require support through both their experience of palliative care and bereavement. This innovative book describes a comprehensive model of family care and how to go about it - Family Focused Grief Therapy is an approach which is new, preventive, cost effective and with proven benefits to bereaved people. It describes a highly original and creative approach to bereavement care, one likely to revolutionize psychosocial care in oncology, hospice or palliative care and grief work. The book has been designed rather like a therapy manual, providing a step-by-step approach to assessment and intervention. Its rich illustration through many clinical examples brings the process of therapy alive for the reader, anticipating the common challenges that arise and describing how the therapist might respond. Families are recognised throughout as the central social unit, pivotal to the success of palliative care. Family Focused Grief Therapy will be of use to doctors, nurses, psychologists, social workers, pastoral care workers, psychiatrists and other allied health professionals who work in caring for the dying and for their bereaved relatives. Based soundly on a decade of internationally regarded research, this book will alter the direction of future medical practice and is destined to become a classic in its field.
Publisher: Open University Press
ISBN:
Category : Family & Relationships
Languages : en
Pages : 280
Book Description
"To those of us who have been aware of the innovative service to families facing death and bereavement that has been developed by David W. Kissane and Sidney Bloch this book has been eagerly awaited. Their work is a logical development in the field of Palliative Care in which it has long been recognized that, when life is threatened, it is the family (which includes the patient) which is, or ought to be, the unit of care. The work also has great relevance for the wider field of bereavement care...all who work to help families at times of death and bereavement will find much to learn from this book which represents a useful addition to our understanding of the losses which, sooner or later, we all have to face." - Colin Murray Parkes Family members are often intimately involved in the care of dying people and themselves require support through both their experience of palliative care and bereavement. This innovative book describes a comprehensive model of family care and how to go about it - Family Focused Grief Therapy is an approach which is new, preventive, cost effective and with proven benefits to bereaved people. It describes a highly original and creative approach to bereavement care, one likely to revolutionize psychosocial care in oncology, hospice or palliative care and grief work. The book has been designed rather like a therapy manual, providing a step-by-step approach to assessment and intervention. Its rich illustration through many clinical examples brings the process of therapy alive for the reader, anticipating the common challenges that arise and describing how the therapist might respond. Families are recognised throughout as the central social unit, pivotal to the success of palliative care. Family Focused Grief Therapy will be of use to doctors, nurses, psychologists, social workers, pastoral care workers, psychiatrists and other allied health professionals who work in caring for the dying and for their bereaved relatives. Based soundly on a decade of internationally regarded research, this book will alter the direction of future medical practice and is destined to become a classic in its field.
Final Gifts
Author: Maggie Callanan
Publisher: Simon and Schuster
ISBN: 1451677294
Category : Self-Help
Languages : en
Pages : 218
Book Description
In this moving and compassionate classic—now updated with new material from the authors—hospice nurses Maggie Callanan and Patricia Kelley share their intimate experiences with patients at the end of life, drawn from more than twenty years’ experience tending the terminally ill. Through their stories we come to appreciate the near-miraculous ways in which the dying communicate their needs, reveal their feelings, and even choreograph their own final moments; we also discover the gifts—of wisdom, faith, and love—that the dying leave for the living to share. Filled with practical advice on responding to the requests of the dying and helping them prepare emotionally and spiritually for death, Final Gifts shows how we can help the dying person live fully to the very end.
Publisher: Simon and Schuster
ISBN: 1451677294
Category : Self-Help
Languages : en
Pages : 218
Book Description
In this moving and compassionate classic—now updated with new material from the authors—hospice nurses Maggie Callanan and Patricia Kelley share their intimate experiences with patients at the end of life, drawn from more than twenty years’ experience tending the terminally ill. Through their stories we come to appreciate the near-miraculous ways in which the dying communicate their needs, reveal their feelings, and even choreograph their own final moments; we also discover the gifts—of wisdom, faith, and love—that the dying leave for the living to share. Filled with practical advice on responding to the requests of the dying and helping them prepare emotionally and spiritually for death, Final Gifts shows how we can help the dying person live fully to the very end.