More Than Meets the Eye, True Stories about Death, Dying, and Afterlife covers many aspects of the dying and grieving process and sheds light on euthanasia, suicide, near-death experience, and spirit visits after the passing of a loved one. ___________________________________________
Showing posts with label life support. Show all posts
Showing posts with label life support. Show all posts

Tuesday, August 23, 2011

End of Life Plan - Not Just For the Elderly

by Laura Bramble

Most people live with a fear of being debilitated and unable to make end of life decisions, whether by accident, disease or aging. Mental autonomy is a vital part of our identities and it is hard to imagine life without it. Yet many face that very situation every day. Having a clearly defined, written plan that close friends and family understand goes a long way in relieving some of that fear.

Like wills, people approach end of life plans with hesitation. These plans are seen as morbid or as bringing bad things into being. Younger people feel that there is plenty of time; only "old people" need to plan ahead and declare their wishes. However, many who need end of life plans are not those who are dying a slow and dignified death with plenty of time to set things in order. Accidents and sudden illnesses create situations that render the victim incapacitated and unable to make decisions for himself, the very situation that requires this kind of plan. The suddenness of the condition also leaves family members to deal with a large number of issues and emotions at once, besides the burden of having to make decisions for a loved one. Having a plan in place keeps loved ones from having to think about those issues while they are in the midst of coping with their emotions and prevents them from ever wondering if they did the right thing and respected your unknown wishes.

A basic end of life plan deals with a few issues: life support and extraordinary medical measures, organ donation and funeral arrangements, hospice care and financial issues. Whether a patient wants doctors to keep them on life support for an extended period or resort to complicated or risky procedures on a faint hope of success needs to be spelled out, since making that decision means condemning a loved one to death. This is a very pressure filled situation for a grieving loved one. For those that have definite feelings about how they wish their body to be handled after death, especially those with strong religious convictions, putting directions in writing removes any guesswork and ensures that their final wishes will be met. Some people are comfortable with the idea of hospice care, while others would rather die at home, surrounded by familiar people and things, which an end of life plan makes clear. An end of life plan also creates arrangements for the support of spouses and children, temporary custody and guardianship, and funding for medical and funeral expenses.

It takes a team to develop a solid end of life plan. Especially if you are ill or elderly, speaking with your doctor about what to expect and getting answers to questions can help you settle the medical issues surrounding long-term care and life support. An attorney can give legal advice on the best and smoothest way to handle any transfers of property or authority. A financial advisor who specializes in estate and succession planning can advise you on the most effective way to structure your finances to guarantee that funds are in place to cover expenses while minimizing the tax burden on loved ones.

Laura Bramble is a freelance writer living in Atlanta. You may view more of her work at walkers for seniors or walkers with wheels

Article Source: http://EzineArticles.com/?expert=Laura_Bramble

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.For more information, you might enjoy reading my book, More Than Meets the Eye True Stories about Death, Dying, and Afterlife. Purchase paperback on Amazon.com. It's also on Amazon as an e-book for those who have Kindle or Sony Readers. The audio book is now available!
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Monday, June 29, 2009

Pulling the Plug on a Patient

My husband is a respiratory therapist. The task of turning off the ventilator to allow a patient to naturally transition has occasionally fallen to him. He tells a story about helping a friend cross over:

I work with lung transplant patients almost everyday. However, for some reason I bonded with Jerry from the get go. I met him less than a week after his single lung transplant. I remember how anxious and apprehensive he was about the post-operative phase. He had a lot of questions. After his first bronchoscopy, I went to his room and started a conversation with him and his wife. I remember it to be a joyful experience, sharing not only medical knowledge but also information about ourselves and our families. After that encounter he was always glad to see me for his procedures. He would praise me and tell me he loved me and how thankful he was. His lung transplant was a blessing to him because it allowed him to have his wish to live long enough to see his daughter get married.

From the time of his transplant to the time of his passing, Jerry had one complication after another, but his strong Spirit never waned. After eight months his new lung stopped functioning and his native lung was in horrible condition. He was placed on a ventilator with the hope that it might give him time to recover, but it was not meant to be. Jerry had not wanted to be placed on the ventilator. After three days, his doctor asked me to talk with the family because he knew how close we were. His beautiful, loving family and friends gathered to give Jerry their love and to say their farewells. It is believed that your hearing is the last of the five senses to dissipate, and even though Jerry was well-sedated, I’m sure he could hear them when they told him how much he had blessed their lives, (he had led many to know of Jesus). The ventilator was turned off and removed but he did not pass immediately. In fact, his blood oxygen level actually improved as his friends and family ministered to him. As they sang hymns in his room that afternoon, I could see a pink and purple aura around his face and head. There were some who did not want Jerry to go and they were essentially grounding him by holding onto his feet and hands. This went on for many hours. Before I left for the day I told Jerry how much he meant to me. It was not until after midnight that his spirit departed. I believe Jerry's life mission was fulfilled and he left us at an early age because he has another mission to accomplish. I have no doubt he will be as successful in the next life as he was in this one. I am so grateful for the privilege of having known such a loving human being.

It’s never easy to let someone go, but it can be a peaceful experience when we realize the favor we are doing them by setting them free.

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For more information, you might enjoy reading the complete book More Than Meets the Eye True Stories about Death, Dying, and Afterlife available on Amazon.com.

Tuesday, June 9, 2009

Struggling with Emphysema and Life Support

My grandfather was diagnosed with emphysema fifteen years before his struggle to breathe confined him to his climate-controlled bedroom. Much of the last year of his life was spent in a hospital. The non-stop care for his declining health was beginning to take its toll on my family who never left his side. My grandfather knew that he would not be able to recover from his illness and lead a normal life. Therefore, he signed a document in which he requested that he not be resuscitated or placed on life support in the event of cardiac or respiratory arrest. I remember talking with him in his final days. I asked him if he was ready to die. “I believe I am,” he affirmed. He passed peacefully in the hospital without the assistance of life support.

My experience with a loved one’s decision regarding life support, has led me to believe that every person has the right to choose. This is one of the reasons that compelled me to write this book. I believe a person, who is kept alive by machines against his/her will, becomes a victim of someone else’s choice. No one should be denied the God-given power of free will.
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For more information, you might enjoy reading the complete book More Than Meets the Eye True Stories about Death, Dying, and Afterlife available on Amazon.com.

Wednesday, May 27, 2009

What is Life Support?

Life support replaces a failing bodily function. When patients have treatable conditions, life support may be used temporarily while the condition is stabilized and the body is able to resume normal functioning. At times though, the body never regains its ability to function without life support. My grandfather refused to be placed on life support or be revived if he was code blue. My uncle, on the other hand, was placed on life support and suffered day after day while confined to a hospital bed for almost a year. Connected to tubes that fed him and machines that breathed for him, he could not talk or do anything for himself—things a healthy person would take for granted. Both my grandfather and my uncle were drowning. My grandfather refused the life preserver. My Uncle Edmond accepted a life raft with a slow leak in a sea of sharks.

For more information, you might enjoy reading the complete book More Than Meets the Eye True Stories about Death, Dying, and Afterlife available on Amazon.com.

Wednesday, April 22, 2009

Discuss End of Life Procedures Now

My sister-in-law recently lost her father, Bob. He went in for heart surgery and came through the surgery quite well for a man in his early eighties. However, he had a difficult time coming out of the anesthesia and was unresponsive. A few months passed and the doctors discovered that Bob had lost circulation to his legs and arms and gangrene had set in.

The family was in turmoil not knowing whether to put him through another surgery to remove the dying limbs in hopes of saving him. The possibility of him coming through another surgery was very low; he would probably die due to blood loss. Their other options were: allow him to lay in bed unconscious and see if he would awaken before he passed from systemic infection or help him die by removing artificial support. He had a living will and they would have been totally within their right to remove the equipment since those were his wishes.

While the family was trying to decide what to do, Bob woke up. When told about his condition and asked if he wanted to have surgery to remove his limbs, he affirmed an absolute "No!" Let me add a note here that it is normal for a dying person to awaken or rally just before they pass. It's seems as if they come back one more time just to say goodbye.

Refusing the surgery, the doctors dismissed Bob and told the family that Bob had less than two weeks to live. Bob was moved from the hospital where he had been for about two months and taken to a hospice center closer to his home and family. My sister-in-law had been driving an hour each way to see her father at least three times per week. Moving Bob to hospice closer to home allowed her to visit him every day and stay longer each visit. By the fourth day, Bob passed in his sleep.

It is not easy to address issues of death and dying with your family members, but the time of crisis is not the best time to discuss end of life procedures. It is a blessing to know in advance what your loved one wants and the only way to find out is to ask while they are able to tell you. It may be one of the best and most meaningful conversations you ever have. Plan a family meeting and make it a fun and intimate event. It would be an excellent time to sign your Advanced Directive or Living Will (see Appendix A of my book More Than Meets the Eye True Stories about Death, Dying, and Afterlife available on Amazon.com or download the PDF on my blog).

If you are unsure about what you want or if you need more information about available procedures please talk with a doctor or healthcare provider before there is a crisis to contend with.

Sunday, March 22, 2009

Chapter One: Fear of the Unknown

Screaming, moaning, groaning, and sorrowful sobs could be heard from the medical intensive care unit of Vanderbilt University Medical Center all the way down the corridor on the seventh floor. The ventilator had just been turned off for a young woman who was dying of AIDS. The woman never took a breath once the support was removed. She passed immediately and without a struggle. However, the family completely fell apart emotionally and were not prepared to accept the passing of their loved one with any amount of understanding or peace. In contrast, Terry Emge shares her story:

Upon arrival, I found Mother in her chair. Her respirations were agonal, her pupils were fixed and dilated and she had a strong steady pulse. I asked my grandmother, who was ninety-one, what had happened and she said, “Virginia grabbed the back of her head and said, ‘Get Terry.’ Those were the last words she spoke.

Despite my efforts at resuscitation and my medical background (I am an RN, CRNFA for a busy cardiac surgical practice), I knew in my heart that she had come to the end of her life on earth.

A definitive diagnosis was made by CT scan. She had suffered a massive hemorrhagic stroke. Our options were to temporarily monitor her in ICU on a ventilator or make a decision to withdraw life support. Her chances of survival were minimal at best.

After a discussion with her physicians and caregivers, it was decided to withdraw life support. During all of this, my mother’s condition remained unchanged—fixed, dilated pupils, strong pulse, and normal blood pressure. Her ventilator was disconnected and her pulse and blood pressure remained stable.

The hospital chaplain student that was with me, my husband and best friend, Diane said to me, “Sometimes you have to tell them it’s okay to go.” As I was holding my mother’s hand, I kissed her, told her that I loved her and that I would take care of Mom-Mom and for her to go to the Light. Within five minutes, her pulse and blood pressure slowed and her spirit went to be with God.

My mother had had a near-death experience earlier in her life. When my brother was born in 1952, she had a post-partum hemorrhage. She relayed to me that she had walked through a misty grey valley and was aware of relatives that had died when she was a child. She was drawn to the Light, the brightest and most pure she had ever seen and she had a sense of “utter peace”. Her only thought was of how beautiful it was there and how she longed to remain, but she knew she had two small children to care for. Suddenly a voice like thunder said, “Ye shall live.” She awoke in her hospital bed and began to realize what she had experienced. From that moment in her life she was not afraid to die.

As I stood beside her stretcher in the ER, knowing there was no chance for her survival, but not yet wanting her to leave me or those who loved her here on earth, I felt a sense of peace. Mother was not afraid to die—she had reassured me of that “beautiful, wondrous place” and I knew she was finally in heaven.

Some families are able to let go and even assist their loved one in transitioning. Why do some families or cultures process death so differently than others? Perhaps the fear of the unknown is what makes death so intimidating. If only we knew what was on the Other Side. Is there an afterlife or not? Do our deceased loved ones live in another dimension or reality? Are they near us? Can they see or hear us? Knowing for sure what lies ahead might make a difference in how we handle death.

Much of what we believe about death and dying is taught to us by religious doctrine. Our main attitudes about death and afterlife are deeply connected with our religious beliefs which may either confuse or comfort us. For example, if someone believes in a legalistic or angry God that punishes for sin, then death for that person may be frightening. If someone believes that we all go to a better place after death, regardless of our earthly behavior, that person may not have as many concerns about dying.

There is a huge difference between Eastern and Western cultural views on death; specifically about beliefs in salvation, reincarnation, and the afterlife. Buddhism, Hinduism and other Eastern religions believe in a progression of the soul after death. These philosophies teach that an accumulation of bad or good karma affects rebirth into either a favorable or unfavorable situation. Western religions tend to look at the present life as a one-and-only chance to “get it right” with the end result being an eternity in either Heaven or Hell. Most Catholics believe in an interim state called Purgatory where those who are borderline between deserving Heaven or Hell work their way up. Jewish beliefs most often do not include the typical Christian idea of an eternal hell. Jewish people see hell as a separation from God rather than an actual place of fire and brimstone. Therefore, Heaven may be considered as a reuniting with God's light or spirit and not necessarily as a physical place with streets of gold as many Christians believe. The Aramaic word for death is interpreted “not here, present elsewhere” and shows a belief in an afterlife. Modern day scientific studies show that there is a consciousness of mind after death and that the mind and the brain are not one in the same.

Many of our fears are rooted in delusions or distorted ways of looking at life and the world around us. Generally, our fear of death is an unrealistic fear. We tend to either ignore the subject altogether or become morbidly obsessed by it. Perhaps the best way to overcome the fear of death is to remember that our present physical life had a beginning. There was a time when we were not on Earth in these physical bodies, and there will be a time when we shall return to a non-physical state of being. The rational mind has difficulty believing that any reality other than the third dimensional world of time and space, in which we currently live, could possibly exist. We have been trained since birth to thrive in it. We know ourselves to be who we are by our external experiences; however, looking inwardly may give us a different perspective.

The sorrow, grief and sense of loss are real, but our fear about death is only an illusion. You’ve faced many things in life that are more frightening and unknown than death. For example, public speaking is said to be the greatest fear a person can face. So, if you’ve ever spoken in public then you have faced a fear said to be worse than the fear of dying. The famous comedian Jerry Seinfeld once said, “If you're at a funeral, you're better off in the casket than doing the eulogy!”

Death should be feared no more than birth, for there is no real separation between the physical and non-physical realms. The separation seems real because there is a very thin veil (i.e.: our skin and physical body) between the two realms that dims our ability to interact with those in other dimensions. But more than the physical sense of separation, we limit ourselves with the false belief that we have only five senses with which to explore and experience life. This belief hinders us from accepting what our inner knowing tells us is true. We are multi-sensory spiritual creatures able to sense the presence and energy of non-physical beings. Those who do interact with the non-physical realm are sometimes considered insane or in need of psychiatric help. Many are shunned and ridiculed. Some children are even punished for talking about seeing angels and spirits.

The Earth plane is simply another facet of our experience as souls. We are spirit beings having a human earthly experience. We all come from the same Source regardless of what we call it—God/Goddess, Spirit, Energy, Creator or whatever vocabulary term one wishes to use. Even though we manifest in individual bodies and have the illusion of separateness, there is no real division in our spirit. An ethereal mist or cloud of spirit exists where every soul is united with God and with one another. From this cloud extends a line of energy or Spirit to the Earth plane where it manifests as a suit of human flesh.

Who we really are is only a small portion of what we see in each other. It is like poking your fingertip through a hole in a bed sheet draped over your body. What is hidden behind the sheet is so much greater than the fingertip—so much greater than the small portion that meets the eye!

After its mission is accomplished in the earthly realm, the soul essence simply returns to the spirit cloud to continue its work or to wait for another opportunity to manifest into human form. This return to Source may occur as a result of the body’s deterioration and inability to support the soul as a vehicle and thus death of the physical body occurs. Because the soul craves authenticity, living an incongruent life may cause us to subconsciously create disease, physical deterioration, or ultimately death as a means to leave the physical body.

According to the Old Testament, humans originally had the ability to live forever. The book of Genesis teaches that death occurred for mankind as a punishment for the sin committed by Adam and Eve. Still, some Biblical characters were noted to have lived for almost a thousand years. What happened that caused our lifespan to be so shortened? In light of the technological and medical advances, it would seem that the opposite should be true. Some, like Elijah mentioned in the Bible, didn’t die. Jesus took his resurrected body with him when he ascended as a light body. Living a long, healthy life requires us to live in integrity with our inner truth. It requires unplugging from belief systems that prevent us from living life to the fullest.

What we do with our life is our choice. Even dying is a choice we make! It is my belief that God does not infringe upon our free will or tell us what to do with our life. Instead, God very gently leads us to learn at our own pace, and never forces us to do anything we do not wish to. Life is the picture we paint by the decisions we make. Since a soul has choice (free will) it may simply choose to return to Source. I believe this is why we have SIDS (Sudden Infant Death Syndrome) and other unexplainable departures from a body that is otherwise healthy. The soul changes its mind about being in the physical body, or has another idea about what might best assist it on its spiritual journey. While any death causes grief for the remaining family, it is ultimately the soul’s choice to move on. Free will is something we have not been taught to accept, appreciate or consciously exercise. In order to understand and accept death as a natural part of the soul’s evolution, we must be able to allow people to choose for themselves on all levels. It is normal to feel anger towards God when our loved one leaves his or her physical body, but it is not God’s choice. God does not take a soul against its will. The soul chooses to leave in the best interest of its evolution. We may have difficulty accepting that our loved one’s death could have been a part of a greater plan—especially when it doesn’t fit our expectation.

What is death? What is dying like? The best way to obtain information about death is from those who have had a first-hand experience with death; those who have died and returned to tell about it. These are referred to as near-death experiences (NDEs). P.M.H. Atwater is one of the original researchers in the field of near-death studies. In her book, The Complete Idiot’s Guide to Near-Death Experiences, an NDE is loosely defined as an intense awareness, sense or experience of “otherworldliness”, whether pleasant or unpleasant, that happens to people who are at the edge of death. It occurs for people regardless of age, education, culture or religious background. Atwater began her work in 1978 and comes from the vantage point of being a near-death experiencer—not just a mere researcher. She believes there is a step-up of energy at the moment of death, an increase in speed as if you are suddenly vibrating faster than before. Using radio as an analogy, this speed-up is comparable to having lived all your life at a certain radio frequency and then someone or something comes along and flips the dial. That flip of the dial shifts you to another, higher wavelength. The original frequency is still there as it was before. Only you changed. You sped up to allow entry into the next radio frequency. As is true with all radios and radio stations, there can be bleed-over or distortion of transmission signals due to interference patterns. These can allow or force frequencies to coexist or commingle for indefinite periods of time. Normally, most shifts on the dial are fast and efficient, but occasionally, one can run into interference, perhaps from a strong emotion, a sense of duty, or a need to fulfill a vow or keep a promise. This interference could allow coexistence of frequencies for a few seconds, days, or even years (perhaps explaining hauntings); but eventually every given vibrational frequency will seek out or be nudged to where it belongs. You fit your particular spot on the dial by your speed of vibration. You cannot coexist forever where you do not belong. Who can say how many spots are on the dial or how many frequencies there are to inhabit? No one knows. You shift frequencies in dying. You switch over to life on another wavelength. You are still a spot on the dial but you move up a notch or two. You don’t cease to exist when you die. You shift your consciousness and speed of vibration. That’s all death is…a shift.

Those who are not afraid of death may actually look forward to it. Such is the case of Carolyn Smith. She is a neat, very attractive, woman, about 80 years old, who has been a widow for a number of years. She was diagnosed with lung cancer recently and the doctor estimated she would have about 1-3 years to live. Carolyn had a great attitude about her coming demise so she started making her plans and preparing for her departure as if it was a trip to Disneyland. She cleaned out all her old stuff and decided to sell her home and build a house with her daughter - a house that would be a great place where her daughter could live after she was gone. Then her doctor told her about a wonderful new treatment that would take care of her lung cancer. She was actually disgusted to find out that she may continue to live! How dare they find a cure after she put forth so much effort getting ready to die? She said to her doctor, “So, am I going to die, or did I go to all this trouble for nothing?” Carolyn plans to have the treatment, but she is disappointed to have to wait a while longer for her ride home. Carolyn’s attitude about dying is better than her attitude about living! Oh, that we all would have such an expectancy about our transition.

Get the audio version of More Than Meets the Eye at http://weare1inspirit.com/

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Thursday, October 9, 2008

My Loved One is Dying and I Feel Guilty About Euthanasia

You are not alone! Yvonne's compassionate views about euthanasia come from her first-hand experience when her uncle was kept alive by machines for almost a year while his doctors allowed his wife to cling to false hope about his ability to survive. His doctors knew he was dying, but would not take action to free him from his suffering. Her uncle's spirit came to her while he was in coma asking her to help his wife understand that he wanted to be released from his body despite what his living will stated. What a relief it was for her and her uncle when his body was unplugged from life support and his spirit was finally freed to soar.

Doctors are not typically trained in medical school to deal with the spiritual side of dying and therefore many of them do not have the ability to address end-of-life decisions with families. Many have no idea how to comfort or prepare a patient or his/her family when the soul is transitioning to the Afterlife. More Than Meets the Eye includes a commentary by Dr. Aaron Milstone, Director for the Lung Transplant Department of Vanderbilt University Medical Center, to bring comforting light to issues such as euthanasia, end of life decisions and other topics we don't normally talk openly about. Dr. Milstone's unique and intuitive method of helping families cope with the impending death of their loved one is shared in this book and will be of great assistance to any doctor or hospice care worker who deals with a high patient mortality rate.

Many families face similar situations, and this book can be a tremendous encouragement to them.

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