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LECTURE 7 - Coggle Diagram
LECTURE 7
Expectations from Medical Professionals
• Duty to inform about hospice palliative care
• Comfort talking about EoL care options
Need for 'die-logues
Feelings Around End-of-Life
• Strong emotions associated
• Common fears and uncertainties
• Discussing fears is challenging
○ Beliefs
Issues for Family Members
• Anticipating spouse's death
• End-of-life care decisions
• Supporting dying older adults
• Caregiver stress and exhaustion
Grieving the Death of Older Adults
Reasons for Silence on Dying Processes
• Overwhelming taboo against discussing death
Internal reluctance to engage until unavoidable
Definition
• Preparation for death, not its occurrence
• Active and conscious preparation for one's death
Myths about Death and Dying in Older Adults
• Death is easier for older adults
• Older adults feel less pain
• Death of aged parents is less difficult for adult children
Singaporean Attitudes about Death
• Preferences:
○ Dying at home affordably
○ Avoiding financial burdens
○ Guidance on hospice palliative care from medical professionals
○ Desire for community conversations on death
Awareness of Hospice Palliative Care in Singapore
• Awareness levels
• Openness to considering services
• Specific needs of older Chinese Singaporeans
• Concerns: burden to family, medical costs
Impact of Preparing for Death
• Dilts' 'neurological levels' framework:
○ Capabilities
○ Behavior
○ Environment
○ Sense of purpose
○ Identity
○ Beliefs
Initiating Conversations and Public Education
• Desire for discussions and education
• Health and illness prioritization
• Advanced preparations for EoL
Other Emotions and Tasks at Terminal Phase
• Desire for awareness of imminent death
• Tasks for closure
• Spiritual experiences in final days
Challenges Faced by Older Adults
• Pain management
• Need for control
• Aloneness and identity loss
• Meaning-making and forgiveness