Transcript Death and Dying: Storyboard

Death and Dying
Created by: Pavithra Kathirvel, Peter Attia,
and Atul Bhattiprolu
Introduction/Opening-Pavithra
Placeholder for video of Pavithra in park.
In the life cycle of any human, one starts at
birth and ends in death.
Introduction (continued)
The process of death can be separated into
multiple stages and identified with some
distinguishing factors.
Introduction (continued)
In this video, you will see the changes that
occur in the human body, both physically and
mentally, during the stage of Death & Dying.
Stage Defined: Atul
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Death and Dying is the last stage of a person’s life, in which
an individual approaches death, the natural end to all life.
In a way, Death and Dying can be described as the last
stage of human development.
Death and Dying is not restricted to a specific age
group, and can occur at any age, although it is most
common during late adulthood and the old ages.
Physical Development/ChangesPavithra
Dying people can experience aging and changes in their
body.
The individual’s extremities could become cooler than
usual. They could also become more sleepy, confused
and/or delirious.
Patients can also lose the ability to swallow, which reduces their
intake of food and fluids. Dying patients can also experience
fluctuations in their breathing pattern.
Their breathing pattern can change from shallow, rapid
breathing to deep, slow breaths.
Cognitive Sensory Development:Peter
Headshot of Peter
Individuals in the stage of death and dying go through cognitive changes
as well
A well known change is delirium. Delirium is an impaired mental
status characterized by a sudden change in alertness and behavior of
dying pts.
Individuals with delirium may exhibit impaired level of consciousness,
impaired short-term memory, Alzheimer's Like symptoms, disorientation to
time and place, delusions and/or hallucinations, abnormal speech patterns,
sleep abnormalities, and fluctuating mood swings.
Cognitive Development/Changes -Peter
Video of a patient exhibiting Terminal Restlessness
Another cognitive change that individuals go through is
terminal restlessness.
Video of a patient exhibiting Terminal Restlessness
Terminal Restlessness is a distressing form of delirium
that occurs in dying patients.
Video of a patient exhibiting Terminal Restlessness
It is characterized by anguish, restlessness, anxiety,
agitation, and cognitive failure. Those with terminal
restlessness may find it hard to feel comfortable and feel
uneasy when moving.
Motor Development/Changes: Peter
Headshot of Peter
Individuals in the stage of death and dying also experience many
motor changes, such as weakness.
Weakness can pose as a major issue for the feeble. The
degeneration that occurs in their muscles and bones can make
simple tasks, like walking very difficult.
Erikson’s Psychosocial Stage description/Kübler-Ross Stages of Death: Atul
Headshot of Atul
The Kübler-Ross stages of death are the five stages an individual goes
through when diagnosed with a terminal illness; it was created by Elisabeth
Kübler-Ross. She published this in her book, On Death and Dying.
These five stages consist of denial, anger, bargaining, depressio
and acceptance. Not all individuals go through these stages, and tho
who do don’t always follow them sequentially.
Kübler-Ross Stages of Death: Atul
The first stage, denial, occurs when an individual first hears abou
their terminal illness.
Individuals in this stage may feel numb and in a sense of
disbelief, and may even think that a mistake has been made.
Common reactions to the news include contemplating
suicide, hysteria, and inability to focus.
Kübler-Ross Stages of Death: Atul
Anger
The second stage, anger, occurs when the reality of
death hits a person.
Intense anger may be experienced by the person,
and they may question themselves, “Why me?”.
Individuals in this stage may be envious of those with
good health, and their anger may be directed at the
illness itself, or people around them, or in some cases,
both.
Kübler-Ross Stages of Death: Atul
In the stage of bargaining, the individual bargains for the one
thing not possible- more time.
People in this stage want more time, to live longer, and may just to complete
unachieved goals, see their children grow, have grandchildren, and travel the
worl
People in this stage want more time, and live longer, in order to complete
unachieved goals, see their children grow, have grandchildren, and travel the
world, among many other things.
People in this stage want more time, and live longer, in order to complete
unachieved goals, see their children grow, have grandchildren, and travel the
world, among many other things.
Those who are religious turn to religion and higher beings for
spiritual support. They make promises to become better
people, in hopes of obtaining more time.
Depression
In the stage of depression, a person experiences
sadness over the prospect of no longer being alive.
Individuals in this stage consider all the time they
believe they wasted, the things left undone, and the
joys they will not experience.
This stage is especially hard on younger people, who
feel they should have the opportunity to reach their
true potential.
Acceptance
In the stage of acceptance, there is a dramatic
change in the dying individual.
People in this stage experience peace with
themselves, family, friends, and community.
They also begin to accept that they are dying, so they can focus on fixing all
loose ends before their life ends.
Health Risks at the Stage of
Development-Peter
Headshot of Peter
There are several other health issues that can add on to the
terminal
illness that the individual is suffering from.
The elderly are prone to eye complications, such as cataracts.
The elderly are prone to eye complications, such as cataracts.
Alzheimer’s is another common disease that can affect the
individual. Due to the various emotions that the patient would be
going through, they could also suffer from depression.
Osteoporosis and other degenerative bone/joint diseases occur,
often side effects of medications or due to the lack of nutrients in
their diet.
For males, prostate enlargement is common, and can often times
lead to various urinary infections and difficulty urinating.
Immunizations: Atul
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Despite the fact that individuals in this stage suffer from terminal illness,
it is essential for people to still get immunizations and vaccinations, in
order to prevent any other pathogen from attacking their body.
Individuals in the stage of Death and Dying should get a flu vaccine
every year. Individuals with a terminal illness should NOT get the
nasal spray vaccine, as it contains live viruses, and can negatively
affect their compromised immune system. It is best to get the
injected form of the flu vaccine, as it contains killed viruses.
Other vaccinations for airborne viral diseases that are common
in their place of residence are recommended as well.
Nutrition Considerations: Atul
It is important for an individual suffering from a terminal illness to eat
healthy, and not indulge in foods that can possibly be harmful for
them. Individuals can start by visiting a dietitian to form a healthy
diet plan they can follow.
It is preferred for the person to visit a dietitian who specializes in
treating individuals with their illness, in order to create the best diet plan
possible. For example, if an individual suffers from cancer, it would be
preferred for them to visit a oncology dietitian.
Some basic nutritional tips include: eating more vegetables, fruits,
and whole grains, eating a fair amount of carbs, along with healthy
fats and protein, avoiding unhealthy fats and junk food, and
maintaining a healthy weight.
Psychological Care considerations at the
Current Stage-Pavithra
Health care providers need to make time to counseling the dying
patient.
The practitioner should encourage the individual to express his/her
feelings instead of keeping them within. Throughout the process,
the practitioner must be honest with the individual and state the
facts.
Lying to the failing individual will only cause them to feel more
aggressive. The practitioner should also involve the family of the
individual during the course of counseling.
Family’s support is strongly encouraged as it assures the individual
that the future of their loved ones are promising. In most cases,
knowing that their children will be taken care of after they are gone
can help the dying individual and calms them down.
Conclusion-Pavithra
Overall, the stages of dying can affect an individual’s physical and
psychological state. Changes occur indicating the individual’s body
is failing. Though not much is known about this new world, it marks
our end in the path of life.in this world.