The period of normal life must be maintained for as long as possible. At first, it is difficult for someone to accept that a relative has a fatal illness. One day the relative is complaining of a variety of symptoms, some of which might be severe, and the next day the physician gives the family the information that they fear most of all. They might be told after the relative has had an operation or after some minor investigation.
Usually, there is some form of treatment that produces a temporary improvement in the patient's health. Although this gives a false hope to relatives, it helps the patient's morale. If the physician recommends a short vacation for the patient, it is wise to accept the advice.
It is sensible to discuss the practicalities of the situation with the physician. The family needs to know how the disease will progress and how to make the patient comfortable and happy. Although patients and families frequently want to know exactly how long the patient can expect to live, this is the hardest question for a physician to answer; there is usually no way for the physician to predict this with any accuracy. The physician can advise them on the possibilities of caring for the patient at home in the later stages of the illness, and whether special arrangements need to be made.
The normal routine of life should be continued for as long as possible. It is important for the patient's morale, as well as for his or her financial situation, to work for as long as possible.
Weekends should be set aside for the patient's recuperation. He or she may suffer from a loss of stamina and endurance, so additional rest is advisable. The physician may suggest a mild sedative at night to ensure a good sleep for the patient and to reduce any worry or anxiety.
Hospitalization - Admission Procedures
The procedures you follow on admission to a hospital vary from one hospital to another, but basically the process is the same in most institutions in the United States.
Care of the Dying - Reaction of Children
A child's reaction to death depends on many factors. A child's first experience with death is often the death of a pet. A child under the age of eight cannot understand that death is irreversible and may expect the mother or father to bring the pet back to life. After the age of eight or nine, the child's understanding is usually as rational as an adult's understanding.
Care of the Dying - Moment of Death
Do not be alarmed if the patient's breathing makes a groaning or croaking sound. It does not mean that he or she is in pain. When a dying patient slips into a coma, the position of the neck and body produces the noise, which can be reduced by gently turning the patient's shoulders or body.
