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Death and Dying Awareness Week

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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


1
Death and Dying Awareness Week
  • Aviva Hopkins, MS-3
  • University of Miami Miller School of Medicine
  • Curriculum Presentation

2
Goals
  • 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

3
Outline
  • Monday- Movie Viewing
  • Tuesday- Death Exercise
  • Wednesday- Small Group Session
  • Thursday- Alternative Therapies
  • Friday- Debriefing/ Volunteer Training

4
Monday Movie Viewing
  • Show The Journey Home Stories from Hospice (60
    min)
  • 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

5
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
    Karnes

6
Death Exercise (cont)
  • Nurse narrates the physical signs that death is
    approaching
  • Eyes
  • may be open or semi-open but not seeing
  • glassy look, tearing
  • Hands, feet, knees, buttocks, elbows ? purplish,
    blotchy
  • Loss of responsiveness
  • Restlessness increases due to a lack of oxygen in
    the blood
  • Breathing patterns become slower and more
    irregular
  • Congestion (death rattle)
  • Final Separation
  • Breathing stops
  • Last breath is followed by one or two long spaced
    breaths
  • Gone From My Sight The Dying Experience, Barbara
    Karnes

7
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
    body
  • 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

8
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

9
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

10
Thursday Alternative Therapies
  • Music Therapy
  • Pet Therapy

11
Thursday Music Therapy
  • "When words fail, music speaks
  • -Hans Christian Anderson
  • Music communicates, motivates, soothes, calms or
    enlivens, alleviates pain and anxiety, lifts the
    spirit
  • 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

12
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
    medication
  • Helping people reminisce
  • Encouraging people to talk about their feelings
  • Helping people talk about their grief and process
    it
  • Providing socialization opportunities with other
    people because of a common interest in the dog
  • Providing isolated people an opportunity for
    touch/snuggling

13
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

14
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
    experience

15
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.
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