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In the United States and worldwide people have different culture, beliefs and attitude about death. Over the past years, death is an emotional and controversy topic that is not easy to talk about. Everyone have a different definition of what is death and when do you know that a person is really dead. In the book Death, Society, and Human Experiences by Robert J. Kastenbaum demonstrates that you are alive, even when doctors pronounce you dead. When a person is battling between life and death physicians have to check for signs of death. Kastebaum states that “the most common signs of death have been lack of respiration, pulse, and heartbeat, as well as failure to respond to stimuli such as light, movement, and pain. Lower body temperature and …show more content…
The Harvard Criteria is defined as followed; if a person is unreceptive and unresponsive, there is no movement and no spontaneous respiration or other spontaneous muscular movement, no reflexes, a flat EEG, and lastly no circulation to or within the brain. Kastenbaum explains that there is different type of conditions that might make a patient nonresponsive. Which “several of these conditions could be mistaken for brain death by uninformed observers (Kastanbuam, 45). Some of the conditions that Kastenbaum talks about are akinetic mutism, catatonia, coma, or the locked-in sydrome. He explains that these conditions are different and that one similarity they all have in common is an “impression of terminal no responsiveness. By contrast, we might be impressed by the nonpurposive reflexes and grimaces of a person in a persistent or permanent vegetative state and thereby persuade ourselves that the person is still there (Kastanbaum, 45). If we follow the traditional determination of death, and compare it with the Harvard Criteria we notice that in order to determine if a person is dead they would not display any signs of being alive. If patient are showing signs of being alive why wouldn’t physicians consider that. It does not mean that because they are nonresponsive that they are brain dead especially if they are displaying signs of being alive. Kastabum states that it is a “harrowing similarity to being buried alive” (Kastabum, 45). A person can be brain dead but does not mean they are dead, the person that make the decisions on their ending of life should really look more deeper into seeing if the patient is completely gone, but displaying signs of being alive means you are alive disregarding of what a physician might
Mortality, the subject of death, has been a curious topic to scholars, writers, and the common man. Each with their own opinion and beliefs. My personal belief is that one should accept mortality for what it is and not go against it.
The sub-title of Elisabeth Kübler-Ross’ book describes her audience as doctors, nurses, clergy and the family of dying patients. Because of her target audience the book is written on a more emotional level, citing examples of both positive and negative death experiences. There are no detailed descriptions of what happens to the body as it dies, just discussions of how the dying person might feel and how they might want to experience their last moments of life. Sherwin Nuland takes a much more scientific approach with his book “How We Die”. In chapter seven, Accidents, Suicide and Euthanasia, Nuland describes in great detail the pathophysiology of why a person dies from sepsis and pulmonary infection. His book is targeted more towards the health care professional who is familiar with long drawn out discussions of the pathophysiology of a certain disease process. The choice of target audience by each author correlates to their discussions regarding who controls the death experience. Kübler-Ross argues for patient input and control and so...
It had been reported that, “Numerous people have told of hearing their doctors or other spectators in effect pronounce them dead” (Moody Jr, MD, 2015, p. 17). This is an out of body experience. Each reported feelings of peace and quiet, which transitioned into a bad buzzing noise. After proceeding through a tunnel, they have an “encounter with a very bright light” (Moody Jr, MD, 2015, p. 51). Questions resound around a reflection of their life, what they had learned during it, and if it was worth it. Invariably, each of the subjects’ encounter a border at which they are told they need to go back. “Considering the skepticism and lack of understanding that greet the attempt of a person to discuss his near-death experience, it is not surprising that almost everyone in this situation comes to feel that he is unique, that no one else has ever undergone what he has” (Moody Jr, MD, 2015, p. 83). Naturally, the outcome of this experience has an effect on the lives of those experiencing it.
John L McIntosh. (2003) . Handbook of Death and Dying. Volume 1: The Presence of Death. Thousand Oaks, CA: Sage Reference.
However, this approach not only lacks objectivity, but it also fails to acknowledge the abnormal physiology that precedes this breakdown in self-care. For instance, it has been reported that 70% of patients preceding cardio-pulmonary arrest had a physiological decline in respiratory or mental function (Schein et al 1990). Observing deterioration in activities of daily living alone does not accurately mirror underlying physiological deterioration occurring in patients.
In conclusion we have seen how death can take a big effect on a person who is close to death and love one's family and friends. Death is a major part of life that all of us will go through one day. Even though we can't avoid death there are ways that we can deal with death in healthy manners. There is no time limit on how long it takes to heal from the mark death has made, but with the right attitude and the proper steps taken, anyone can move on in life.
The criteria or definition of brain death was re-examined in 1968 by a committee at Harvard Medical School and is part of the criteria used today. They defined it as when a patient; is unresponsive to stimulus; cannot move or breathe without the aid of a ventilator and has no brain stem reflexes. Several tests are done in order to determine if a patient meets these criteria and this can be done by physicians and neurologists. A brain dead patient is legally dead and a death cer...
Once a person is brain dead they are said to be legally dead and the time and date of death is reflected on their death certificate. In South Africa it is not stated that doctors can withdraw life support once a patient is declared brain dead due to ethical debates (Fleischer, 2003). There have been some cases where people have been declared brain dead but then regain some brain activity (Greenberg, 2014). This h...
The research I will refer to uses a very specific parameter for people to be used in the studies. They are near death when they are clinically dead, have no heartbeat, are not breathing, or they are so physically compromised that they will die if their condition does not improve. Often they are unconscious at this point. Their experience has to occur at this point of near-death and it must be lucid and not fragmented memories. All of these conditions must be met in order for the experience to be considered a true near-death experience. Although everyone’s experience is different, there are twelve elements that occur during a near-death experience. Not all of them occur in each experience, but those that do occur generally happen in the order I will describe them. (Long and Perry, 2011, 5-6)
The concept of brain death is not something that can be easily determined at just a glance. It is an intricate course of tests and time to determine if the process of brain function is evident. An important series of questions to ask yourself is, “what constitutes brain death,” “how is it defined, “and “what happens afterwards?” Brain death is not to be confused with a coma because they are entirely different. Organ donation is the most common outcome of someone who is diagnosed brain dead. If this occurs first hand to you or your family member, would you go out of your way to determine if the doctors were correct? This essay will explain the tests that are performed on the body that is thought to be brain dead, the difference between brain death and a coma, and how families could possibly handle the results of a person being determined brain dead.
The concept of human mortality and how it is dealt with is dependent upon one’s society or culture. For it is the society that has great impact on the individual’s beliefs. Hence, it is also possible for other cultures to influence the people of a different culture on such comprehensions. The primary and traditional way men and women have made dying a less depressing and disturbing idea is though religion. Various religions offer the comforting conception of death as a begining for another life or perhaps a continuation for the former.
Death is the one great certainty in life. Some of us will die in ways out of our control, and most of us will be unaware of the moment of death itself. Still, death and dying well can be approached in a healthy way. Understanding that people differ in how they think about death and dying, and respecting those differences, can promote a peaceful death and a healthy manner of dying.
President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Defining Death: A Report on the Medical, Legal and Ethical Issues in the Determination of Death. Washington, D.C.: U.S. Government Printing Office, 1981.
In our society, it is not rare to hear people die suddenly without signs of serious illness preceding the death. A critical examination might show that such individuals were suffering from serious health condition that they and their family were not aware of. These critical health issues are often diagnosed during regular medical checkups.
I was very excited to take Death and Dying as a college level course. Firstly, because I have always had a huge interest in death, but it coincides with a fear surrounding it. I love the opportunity to write this paper because I can delve into my own experiences and beliefs around death and dying and perhaps really establish a clear personal perspective and how I can relate to others in a professional setting.