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Death and Dying Awareness Week


Death and Dying Awareness Week Aviva Hopkins, MS-3 University of Miami Miller School of Medicine Curriculum Presentation Goals Increase awareness of hospice and End ... – PowerPoint PPT presentation

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Title: Death and Dying Awareness Week

Death and Dying Awareness Week
  • Aviva Hopkins, MS-3
  • University of Miami Miller School of Medicine
  • Curriculum Presentation

  • Increase awareness of hospice and End of Life
    care among medical students
  • Increase the number and the timeliness of hospice
    referrals in the future
  • Encourage and train medical students to pursue
    personal experiences with dying patients

  • Monday- Movie Viewing
  • Tuesday- Death Exercise
  • Wednesday- Small Group Session
  • Thursday- Alternative Therapies
  • Friday- Debriefing/ Volunteer Training

Monday Movie Viewing
  • Show The Journey Home Stories from Hospice (60
  • candid stories of five patients
  • demonstrate the unique gifts of hope, relief, and
    dignity that hospice care programs offer to
    thousands of terminally ill patients each year
  • portray a way that patients can take control over
    where and how they will die
  • surrounded by loved ones
  • comfort and dignity
  • familiar environment

Tuesday Death Exercise
  • Nurse and Chaplain lead this re-enactment session
  • Select student volunteers to role play family
    members and a dying patient
  • Assign the dying patient a diagnosis and have
    him/her lie in a hospital bed
  • Dim the lights
  • Role play how the Chaplain alleviates spiritual
    pain through
  • peace and reconciliation
  • prayer
  • religious rites and sacraments
  • discussions about God, eternal life, and hope
  • closure
  • Gone From My Sight The Dying Experience, Barbara

Death Exercise (cont)
  • Nurse narrates the physical signs that death is
  • Eyes
  • may be open or semi-open but not seeing
  • glassy look, tearing
  • Hands, feet, knees, buttocks, elbows ? purplish,
  • Loss of responsiveness
  • Restlessness increases due to a lack of oxygen in
    the blood
  • Breathing patterns become slower and more
  • Congestion (death rattle)
  • Final Separation
  • Breathing stops
  • Last breath is followed by one or two long spaced
  • Gone From My Sight The Dying Experience, Barbara

Death Exercise (cont)
  • Preparation of the body after death
  • Lay the body flat
  • Remove any catheters, tracheotomy tubing, or
    other medical devices remaining attached to the
  • Redress or re-enforce any draining wounds
  • Wash the body
  • Close the eyes
  • Insert dentures
  • Head wrap to keep the jaw closed
  • Bereavement support for the family

Wednesday Innovative Hospice Care
  • Small group setting with VITAS representatives
  • Eligibility for Hospice care
  • General Criteria
  • Terminal illness (prognosis lt 6 months)
  • Declining functional status
  • Alteration in nutritional status
  • Observable and documented deterioration in
    overall clinical condition in the past 4-6 months
  • Other comorbid conditions

Wednesday Innovative Hospice Care (cont)
  • Eligibility for Hospice care (cont)
  • Signs and symptoms such as
  • Uncontrolled or increased pain
  • Increased dyspnea
  • Progressive weight loss
  • Diagnoses such as
  • End stage dementia
  • End stage COPD
  • Metastatic malignancies
  • Patient Services
  • Physician Reimbursement

Thursday Alternative Therapies
  • Music Therapy
  • Pet Therapy

Thursday Music Therapy
  • "When words fail, music speaks
  • -Hans Christian Anderson
  • Music communicates, motivates, soothes, calms or
    enlivens, alleviates pain and anxiety, lifts the
  • Bring in a certified music therapist to
    demonstrate how the skilled use of music meets
    the physical, psychological, spiritual, and
    social needs of patients and their families

Thursday Pet Therapy
  • Introduce the pet therapy team the handler and
    the dog
  • Pet therapist share stories
  • Explain the benefits of pet therapy
  • Reducing anxiety
  • Releasing endorphins ? decrease need for pain
  • Helping people reminisce
  • Encouraging people to talk about their feelings
  • Helping people talk about their grief and process
  • Providing socialization opportunities with other
    people because of a common interest in the dog
  • Providing isolated people an opportunity for

Friday Debriefing
  • Hospice Volunteer Training
  • Effective Communication/Non-verbal Listening
  • Discuss helpful/unhelpful responses
  • Identify importance of gestures and body language
  • Managing Stress
  • Students who make X of hospice visits will have
    a special note in their Deans letter
  • Question and Answer session
  • Reflective Exercise

Special Thanks to . . .
  • Carol Laporta and the Miami Heart Team
  • Dr. Suarez and Team 109
  • Dr. Coplowitz and Team 157
  • Our Teachers Dr. Barry Kinzbrunner, Dr. Freddie
    Negron, Dr. Joel Policzer, Dr. Paul Rozynes
  • Regina Baptiste and Francine Samedy
  • And especially to VITAS Healthcare Corporation
  • For making this such a rewarding and enriching

Thank you to the patients and families who
allowed us the privilege of being part of their
care during this sacred time at the end of life.