Parting from life is a process that only the parting person can do. Those about to be left behind can only be there for support, comfort, and loving care. Emotions, the absence of a partner or friends, unwillingness or incapability may be reasons to look for help and support elsewhere.
Supporting and improving the communication between the parting person and medical staff, caretakers, family and perhaps even with the lifetime partner, may overcome an isolation of the parting person. Just as visits to doctors for emotional conversations do not have to be made alone.
A liaison between relatives abroad and those here at the bedside. Helping to find peace, rest, and courage to say good-bye, and to be there for support when the time is near. The dying person does not have to be alone when the moment is there, unless he or she prefers so.
Dying, the transition from life, is unique because the separation is so complete and so final. It is considered as part of the total life experience. But what is dying and when does it begin?
The answers are very consequential because a person is often treated very differently by others when defined as dying or terminally ill. Dying might be said to begin when:
1) the physician draws this conclusion;
2) the physician informs the patient;
3) the patient accepts the conclusion; or
4) nothing more can be done to preserve life.
Dying is both a universal and individual experience. Age, gender, interpersonal relationships, the nature of the disease, its treatment, and the environmental setting are considered as influences on an individual's experience of dying.
The transition from life to death may take one of several different trajectories that can be distinguished as follows:
• lingering: - the patient's life is fading slowly and gradually;
• expected quick: - the patient passes away quick and within an expected period of time;
• pointed: - the patient is exposed to a very risky procedure, one that might either save the life or result in death;
• danger period: - the patients' survival, after a major surgery or physical event, will require more watching and waiting;
• crisis: - the patient's life might be threatened at any time but there is no acute danger;
• will probably die: - the patient cannot be helped anymore effectively;
• unexpected quick: - the patient's life cannot be saved after a physical event, even when the medical staff has done all that is in their power.
Loved-ones, family, friends and medical professionals, nursing staff, and the patient themselves, may feel and respond differently about each of these trajectories towards death. Awareness of these differences may help to provide more effective support to patients, family and staff. Some people end their lives in social isolation because of inadequate communication with others. Specially the communication between physician and patient may be a cause for issues. Often physicians are unable or unwilling to listen to a patient's statements. Too often this leaves the patient with uncontrolled pain and violates the patient's preferences for the management of the end of his or her life.