Abstract
My father died a basically “good death.” He died,
comfortably, at home, in his own bed, clean shaven, surrounded and
embraced by his family. My father lived with widely metastatic prostate
cancer for 5 years. In those 5 years, he had minimal pain and no episodes
of infection or hospitalizations. He did extremely well for 4 years and 6
months, even working. The last 6 months were marked by progressive weight
loss and weakness, requiring him to slow down. But up until the day before
he died, he was ambulatory, showered and dressed himself, argued with my
mother, and was pain free. On a Tuesday morning, for the first time in his
long illness, he did not get out of bed. He was drowsy and not completely
responsive. My mother called to tell me of the change. I left morning
rounds at the hospital, collected a few essential medications, and went
straight to their home (the home I grew up in). I spent the next and last
24 hours of his life sitting in a chair at the side of his bed, feeding
him drops of liquid morphine and haloperidol to keep him comfortable, free
of pain, free of confusion and agitation. My mother slept beside him that
entire night. When the hospice nursing aide arrived on Wednesday morning
it was clear that my father was very near death. We both bathed my father,
and I insisted on shaving him. He had about 4 days worth of beard growth,
and I knew he would want to die clean shaven. After shaving the left side
of his face, he stopped breathing. I kissed him, thanked him for giving me
life, and then I completed shaving the right side of his face.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Clinical Psychology,General Medicine,General Nursing
Reference3 articles.
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2. Singer, P.A. , Martin, D.K. , & Kelner, M. (1999).Quality end of life care: Patients' perspectives.JAMA,281,163–168.
3. Moadel, A. , Morgan, C. , Fatone, A. ,et al.(1999).Seeking meaning and hope: Self-reported spiritual and existentialneeds among an ethnically diverse cancer patient population.Psychooncology,5,378–385.
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