Morbid Curiosity

This last week I did a one-day rotation with a Hospice Nurse. Hospice care is "any form of medical care or treatment that concentrates on reducing the severity of the symptoms of a disease or slows its progress rather than providing a cure" (Wikipedia).
Our first visit of the day was to a patient who had passed on just one hour before our arrival.
I had never seen a dead person up close before.
She was in her 70's, a dignified looking woman who was clean and well-cared for. Her passing was peaceful, while she was sleeping, with her family nearby. Advanced breast cancer was the official cause of death.
In death her mouth slacked open like a trap door, as if her soul had escaped from that orifice.
After consoling the family, the Hospice nurse began the woman's post-mortem bath. I held up this woman's legs and turned her side-to-side while the nurse lovingly, gently washed her entire body.
She was still warm. A little air escaped her mouth when I turned her, making a groaning noise.
We dressed her in her favorite pajamas and the Nurse arranged her body just so: arms nestled in her lap, legs straight, head propped up on pillows. She looked as if she might be just resting, ready for someone to visit.
Then we waited with the family for the mortuary to arrive. They were eating fried chicken in the living room and some were crying while they ate. The smell of grease from the fried chicken mingled with images of this dead woman in her bed; it was surreal.
The mortuary workers came and took her away. Then we left.
I was impressed with the professionalism and respect that the Hospice Nurse had for this woman and her family. The family was grateful for her and for the gift of Hospice: A dignified, supported death at home.
To learn more about Hospice, Death and Dying visit Death Maiden.





18 Comments:
Thank you for sharing that. As a fellow student nurse, one thing I am terrified of is the first time a patient will die. I know that this is something I will probably experience many times in my future, but the first time.....I don't know what to expect.
W. :)
I think hospice care is one of the best concepts ever created by humans. To allow someone to leave this world in as little pain as possible and in a dignified way is truely a gift. Thank you to all those hospice nurses and doctors out there.
who dies? is there really death?
Nothing is ever lost according to western science, matter only changes form. If you burn a candle, does it just dissapear? That was thought to be true, now its laughed at, it simply changes to a gas, etc, we dont see it and the air disperses it. Matter is never lost, what about the spirit, that can not be lost like poof your gone.....thats all for now.
i honestly have lost count of the dead bodies i have washed. whether my patient or helping other nurses. the painful part about the whole thing is when you go through it emotionless. do everything within your power to never loose the emotion.
Thank you for that...
I still remember the first time I had to prepare a body for the morgue... I had a most unusual dream that night were the patient awoke and kept getting younger. I've seen many bodies and I alway feel uncomfortable if the families are around because they are so emotional and yet here I am emotionless as May said. Just this week I watched a man take his dying breaths. As sad as it is, death can be a blessing for those who are suffering. Our job is to help them pass on in comfort and with dignity...
I remember the first (and only) dead body I've seen. She was a lady with cancer of the reproductive system, I forget what exactly, and she lived at the assisted living place where I worked. I was only 19. One night I was helping her get ready for bed, and she passed a lot of clots into the toilet. She said something about not feeling well. When I questioned her she said, "It's not like the flu or a headache. I know I'll only feel better once I get to be with the angels." I remember how warm she felt as we wrapped her up, and how quietly her family cried.
My family chose to use hospice for my grandfather when he was diagnosed with terminal cancer. It was very difficult to make that decision, as if we were all admitting defeat. But the care that he received and the dignity and respect that my grandfather was able to maintain all the way through his passing was more valuable than anything we could have asked for.
As I said, it was a difficult decision, but I can't imagine it working out any differently. I just wanted to echo the other comments and your sentiment that hospice is an incredibly important and uplifting service. Thanks for your post.
I was so excited to read the subject for this post - and what a great story to hear of your first experience with the death of a patient (I'm sure you'll have many more throughout your career). Thank you so much for the link. I'm really touched!
It is ironic to say this but what a wonderful experience for you. This woman's death turned into a learning experience for you I think. Thank you for sharing the learning.
Hey---for what it's worth... I miss you... come back to the blogosphere...
Is there anybody ...........out there?
I am so glad that more and more hospices are coming to communities. I think it's so important to, at some point, stop the interventions and to allow the ill to go peacefully and painlessly. As a Western society, we have such a sketchy relationship to death. In our country, we rarely even see our food die. In the end, I think what we're most afraid of is the pain we'll feel when left behind.
Thank you for this insightful post.
Great post.
I, too, has a similar experience in my hospice clinical. The day before, working in the ED (as I do as a medic,)I was part of a very traumatic death of a 4 y/o boy run over by a car. I approach my next day w/hospice as:"this is either going to kill me or help me tremendously." I did the latter. In fact, it is on my short list of potential future nursing endeavors...
Kimberly
rnforyourlife/blogspot.com
Hi,
I appreciate what you are doing. My grandfather had hospice for a brief time (he literally died 4 days after they arrived) and the care was fabulous.
My reason for this post is because I could not find your e-mail. I'm hoping I am not being offensive if I ask you if you might be interested in posting any articles from the Nursezone.com website. There are lots of relevant articles for todays nurse. The great news is that using nursezone content on your site is no cost. We'd just like to have a link back to our site for those of your bloggers interested in finding a community of nurses, CE opportunities, travel nursing and other relevant nurse aids. A partial example of a nursing article is below:
Nurse Overcomes Cancer—Twice—to Provide Care to Others
By Nancy Deutsch, RN, contributor
Many people yearn to make nursing their career, but few have to battle the odds like Valerie Bush.
The Independence, Kentucky, woman, who was a medical technician for six years and a nurse’s aide “on and off forever,” waited until her children were raised to return to nursing school. When she finally entered the Gateway Community and Technical College, it was unbelievably stressful. Not only was the single mother dealing with her course work, but her father died, and her youngest daughter was dealing with medical problems, including bipolar disease.
Bush, now 42 years old, was “disgustingly healthy when I started” school in 2004, but quite overweight, and she started to lose a lot of the extra girth.
“I lost massive amounts of weight in just a few months,” she recalled. “I was a pretty big girl. I lost 100 pounds.”
At first, Bush chalked up the weight loss and constant belching to stress, but when she shed all the weight, she found a lump in her breast. “I decided to see a doctor over break.”
Bush was diagnosed with DCIS, and beneath that, metastatic breast cancer.
“I lost everything in a week,” Bush said. The diagnosis sent her daughter off the deep end, upset her boyfriend, and meant she had to stop the classes she had waited so long to take.
“As a nurse, you think you know what a cancer diagnosis entails,” she said. “But you don’t. It affects every single thing in your life.” … (more article to come)
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Let me know what you think.
Tracy (nursezoneportal@earthlink.net)
Kudos! Very informative article, keep up the good works! More power
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