Dealing with Death and Dying as People Age

Even though it is hard, we have to deal with death as we grow old.

Whether you are facing the end of your own life or the loss of a loved one, death is an unavoidable fact of life that everyone must deal with at some point. Even understanding that death is unavoidable does not guarantee that you will be adequately prepared to deal with it and the pain that accompanies it.

A paradox of living is that good aging and enhanced lifespan result in more encounters with death throughout the course of a person's life.

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As we get older, so do the individuals in our immediate vicinity. Many of the individuals we know and care about will suffer from chronic or fatal illnesses during the course of their lives. Some of them will pass away within our lifetimes, and some will not.

It is inevitable that we will continue to lose friends and loved ones as a result of accidents, diseases, or just "old age" when we approach our later years as a result of living longer lives.

Despite the fact that death is a normal part of life and an inescapable result of age, this does not rule out the possibility of being profoundly impacted by it. In fact, the constant fear of mortality is one of the reasons why sadness is so widespread among older persons.

Knowing that death will ultimately affect your life in some manner, on the other hand, allows you to be proactive in learning how to cope with death and the mourning process. It is impossible to predict how you will feel when experiencing grief (whether it is for your own life or the death of someone else), but having a strong support system in place and the skills necessary to care for your mental health will provide you with a solid foundation to work from when experiencing grief.

Moods in Relation to Death

Some people appear to be more at ease with death than others, whether it be at the conclusion of a short life or at the end of a long one.

Others, no matter how old they grow or how many times they have to deal with the loss of a loved one, find it impossible to deal with the dying process.

While your own personality and life experiences have an impact on how you think and feel about death, there are other elements to consider. For example, your ideas and views of death will be shaped by the society in which you were raised as well as the culture in which you are now living at any particular time. The way in which other people in your life perceive and respond to loss will also have an impact on your own emotions.

Your perceptions of death may also shift as you get more exposure to it; this is especially true if and when your own life is in danger, such as as a result of a catastrophic accident or sickness.

The process of dealing with death and dying has numerous components that need to be taken into consideration while talking about it. Along with the emotional experience of death, there are also spiritual or existential components to consider, in addition to the physical aspects of death (especially if we are in the position of confronting our own mortality).

Each component of the dying process necessitates a separate set of coping mechanisms, but having the knowledge and abilities to address each part of the process independently will come together to assist you in moving through your own personal experience of grieving.

Aspects of the physical world

The physical appearance and sensations of death in the body will vary depending on the underlying reason. The length of time it takes to die, whether or not it produces pain or other symptoms, and even the look of the body during the process will all differ.

At times, the physical process of dying is swift and nearly painless—for example, in the case of a sudden car accident that results in fatal injuries. In some circumstances, such as cancer, death may be a protracted and drawn-out process that needs ongoing medical attention to manage suffering.

While the chronology and sensation of dying may change from one individual to the next, the phases in the physiological process of dying are pretty constant from person to person. In order for death to occur, various systems in the body must be rendered inoperable.

If a person is involved in a deadly vehicle accident, they may die immediately as a result of injuries to their essential organs. When the spine and skull are implicated, for example, injury to the brain might cause the individual to lose consciousness, cut off blood flow to the body, and interfere with communication between the brain and essential organs, among other things.

When a person is dying from a terminal illness, the organ systems of the body die down more slowly than they would otherwise.

6 They progressively grow less conscious of what is going on around them, and they may begin to sleep more frequently.

A person who is dying may begin to eat and drink less, or they may completely cease taking any food. The closer a person gets to death, the shallower his or her respiration becomes, sometimes producing a characteristic "rattling" sound....

Clinical death, according to the World Health Organization (WHO), occurs when all critical processes of the body (including brain activity, blood flow, and breathing) have ceased, regardless of whether it occurs gradually or suddenly.

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Hospice and Palliative Care

Physical pain and agony associated with death will be addressed as a top concern. Although discussing end-of-life care with family and friends can be painful, it is critical that you and your loved ones express your wishes before the time comes.

The goal of interventions such as hospice or palliative care is to reduce pain and ensure that the dying person is as comfortable as possible during the process. Treatment for pain, relaxation and sleep induction, and anxiety reduction are frequently provided, in addition to alternative and complementary approaches to address these requirements.

When and how interventions are utilized will be determined by the desires indicated by the person who is dying, as well as suggestions made by the physicians who are supervising their end-of-life care.

The things you see, hear, smell, and can touch will likely have an impact on your experience of the physical component of the dying process if you are caring for someone who is dying.

In the case of a loved one, you may notice that they seem very pale and that their skin feels clammy when you are gently washing their face with soap. If you were to shift your loved one in order to change their bedding, you could observe that the bottom side of their body seems discolored, almost like bruises, as a result of blood collecting on the bottom of their body.

When a person is dying, their intestines and urine system may become uncontrollable, resulting in sights, smells, and sounds that you may find difficult to deal with at the moment. If the victim is conscious at the time of the accident, the bodily feelings they are experiencing are likely to be painful or distressing to them.

Another set of sights and odors linked with death that you may be encountering for the first time are those that are associated with dying. You should be aware that, while they are a normal part of the dying process, it is normal for them to make you feel fearful, sad, and even revolted at the prospect of dying.

If you are feeling overwhelmed by the task of giving physical care to a dying loved one, you may want to consider hiring a caring and well-trained hospice care worker or private hospice nurse to assist you and your loved ones.

Emotional Aspects of the Situation

When it comes to death, whether it is someone else's or your own, your feelings are individual and shaped by your life experiences and religious beliefs. Finally, there are several frequent sensations that people experience during the process of death and dying that are worth mentioning.

The well-known phases of mourning are frequently mentioned, albeit they are not have to be followed to the letter. You may think of them as a nonlinear guide or roadmap if you wish to simplify things.

While someone reaches old age, there are many years of life to dwell on when facing death, and this may be a comforting thought. The process will take time, and it will be filled with ups and downs, just like life in general.

While not everyone will go through the stages of grieving in the same sequence or with the same intensity, there are some feelings that are commonly connected with death and dying.

Generally speaking, denial and isolation, anger, bargaining, despair, and acceptance are all considered to be the most important emotional components of the mourning process by experts. Some people go through these feelings in chronological sequence, but it's also conceivable for people to return to earlier stages or to spend more time in one stage than in another.

Denial

The first stage of mourning is known as denial, and it is characterized by a person's inability or refusal to accept that their loved one has passed away. They may go to tremendous measures to avoid acknowledging the truth of the problem, or they may even discuss it with their loved ones or physicians to avoid acknowledging the predicament. It is common for people to experience the denial phase of grieving as an initial reaction, and they begin to move past it once they have had time to comprehend the information.

Anger

The rage stage is reached when a person experiences and expresses their feelings within, externally, or in a combination of the two. The reason they may be enraged is because they believe they are not "ready" to die or that they believe they do not "deserve" to be killed.

They may choose to manage their furious sentiments privately and avoid communicating with others in order to avoid confrontation. A person's wrath can also be directed against those in their immediate vicinity, including friends, family, and even physicians and nurses in some cases.

Bargaining

Eventually, the majority of individuals reach the stage of negotiating. If a person is religious, they may appeal to their higher power for help in saving their lives. They can pray and make promises to "be good" or "better" if only God will spare them from harm.

Many remarks beginning with "If only..." can be heard in conversations with those who are going through the mourning process of bargaining. These remarks may be aimed at anything a person wishes they could change about their past ("If only I hadn't begun smoking..."), or they may be directed at something a person realizes they will miss out on in the future ("If only I could live to watch my grandkids grow up...").

Depression

The majority of people suffer depression at some time during the dying and mourning process, however it may manifest itself in a variety of various ways. It is normal for someone who has experienced the death of a loved one to have a time of grief as a natural reaction to the loss.

Alternatively, when a person is in the process of dying, grieving is performed as a preventative measure. Anticipatory sorrow can include more than simply the loss of one's life; as death approaches and a person becomes increasingly reliant on others, a person may grieve the loss of their independence and their sense of self.

Acceptance

Acceptance is the final step of the grieving process. The fact that a person is "at peace" with death is not always indicative of the fact that it is an easy stage to be in or that a person would feel relieved or apprehensive of death once they reach it.

People who are in the last stages of sorrow may find themselves feeling nothing at all, and this state of numbness may actually be beneficial in coping with death.

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To achieve the stage of acceptance, it can take a long time, and after a person has reached acceptance, it does not rule out the possibility that they will return to an earlier stage if their situation changes.


Being surrounded by a network of family and friends at each step of the mourning process may be quite beneficial in providing direction and comfort, but it's not unusual to seek professional assistance when dealing with a loss.

In order to process and manage with their sorrow, many people seek help from grief counselors, support groups, and religious institutions.

Changes in Social Situations

In addition to the idea of "social death," which can begin long before a person suffers any physical indicators of impending death, there is also the concept of "emotional death." When someone is aware that they are likely to die within a specified timeframe, such as after obtaining a terminal cancer diagnosis, it is inevitable that their social life would be negatively impacted.

In some instances, a person isolates himself from others. If they are really unwell, they may be compelled to leave their jobs or schools, and as a result, they may lose their social networks. They may also choose to distance themselves from friends and family as they attempt to "come to grips" with their impending mortality and take time to reflect on their own life choices.

Sometimes, a person who is dying may feel isolated, not because they are withdrawing, but because those around them are unsure of what to say or do in response to their situation.

The truth of death (particularly when it reminds them of their own mortality) may be difficult for friends and loved ones to accept, and they may avoid being placed in a situation that pushes them to confront it.

It also makes a difference whether or not a person has a larger network of social support in their neighborhood. People who live in remote locations or who are separated from their families may not have access to many social supports and may not be in good enough health to travel.

The same is true for elderly persons who live in long-term care institutions and nursing homes, who may undergo "social death" for years if they do not get any visitors.

It is critical to have social support when caring for a dying person since it is a crucial element of taking care of oneself throughout the process.

Stress on the part of the caregiver

It's possible that you'll feel overwhelmed if you've never been in a scenario where you've had to deal with death before, since you'll be faced with the need to process your thoughts over the loss of a loved one as well as the reminder that you will die one day.

It is possible that caring for a loved one who is going through the grieving process can trigger old memories and feelings of sadness if you have been through the death of someone important to you previously. While the requirements of your dying loved one may seem overwhelming at times, keep in mind that your own well-being is still your first responsibility in this situation.

In order to be truly present with your dying loved one and respond to their needs, you must be emotionally and physically well. If you are, you will have the energy, strength, attention, and patience to do so. Even yet, dealing with a loved one's death while simultaneously serving as their caretaker may be difficult, which is why it's crucial to take care of yourself and seek assistance.

"One tale of a little child who went away serves as an inspiration for me on death, and it is one that I constantly going back to. The mother of the small kid offered a prayer that went like this: "Greetings, Sam. Thank you for allowing me to have the privilege of being your mother. We had a tremendous amount of fun. I'm madly in love with you. Please keep us in your prayers."

I keep coming back to this story because I find this way of thinking about death to be quite helpful. In the event that I am faced with the death of a loved one, I hope that I will be able to achieve this degree of serenity and comprehension. It simply sounds like a good idea to me." Professor Mark Stibich, Ph.D.

Aspects of the spiritual and existential

Individuals' religious and spiritual requirements during the dying process will be highly individual; however, even someone who has not been particularly involved with religion or spirituality throughout their life may find themselves thinking more deeply about these concepts when faced with the prospect of death.

When we talk about thinking about life on a larger scale, we are referring about existential thinking, which can also be referred to as an existential crisis in some cases. Any severe event or stress, such as a catastrophic sickness or injury, death, or grief, can bring these thoughts and feelings to the forefront of one's consciousness.

Even while the spiritual and existential parts of the dying and mourning process are natural, they may also be quite powerful, draining, and unpleasant at times.

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People who are racing to take stock of their lives and make arrangements for their deaths may have a sense of despair or the sensation that time is running out on them.

They may dwell on the decisions they've made throughout their life, doubt their decisions, and fight with feelings of guilt about things they've said or done. Their minds could wander to "What if?" scenarios and try to envisage how their lives might have turned out differently.

A person's desire to feel closer to their higher power may vary depending on their spiritual and religious beliefs. They may like to attend religious services on a more regular basis or have a spiritual leader come to them to give direction and consolation, among other things.

For those who are dealing with grief and fury over their loss, they may feel disconnected from their spiritual core and may not desire to participate in their religious practices. When it comes to disappearing traditions, a person's religion may have them, and they may desire to begin participating in them.

They may also wish to talk about how they would like their spiritual lives to be reflected during the dying process and the period following the dying process. It is also necessary to take into account the spiritual and existential requirements of those who are caring for loved ones who are near death.

It is just as important for people caring for someone who is dying to reach out to their spiritual or religious group, just as it is for the person who is dying.

Aspects that are applicable

Despite the fact that it may not be at the forefront of someone's thoughts, dealing with the practical elements of death, dying, and mourning is a crucial part of the process. It's also one that you can prepare for in advance.

Individuals frequently find it difficult to bring up the subject of end-of-life plans or living wills with their loved ones, but these are aspects of the dying process that may be discussed long before they are need to be brought up.

As soon as you and your loved ones have discussed your choices openly, you may enlist the help of specialists like as accountants, funeral directors and attorneys as well as physicians and other healthcare professionals to help guarantee that your desires are carried out.

There are a variety of tools available to assist you in getting started, even while the dialogue and documentation required might be intimidating and the regulations will vary depending on where you reside. Once you've completed the assignment, you should be certain that you have everything you need to make the procedure as simple as possible when the time comes.

Establishing a support network of friends, neighbors, and other members of the community ensures that you are prepared for the time you have left with your loved one. This is a time when your thoughts are most likely not focused on washing or food shopping, yet these practical considerations must still be handled.

Having someone to assist you with cleaning and meal preparation will allow you to devote your time and energy to spending time with your loved one during their last days.


Krees DG

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