On Our Own Terms: Moyers on Dying in AmericaOn Our Own Terms


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  Program 4: A Time to Change (Page 2)

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Author Topic:   Program 4: A Time to Change
K, Reside
New Member

Posts: 1
From: Ormond Beach, FL , USA
Registered: Sep 2000

posted 09-14-2000 10:29 PM     Click Here to See the Profile for K, Reside     Edit/Delete Message Reply w/Quote
As I viewed the discussion between the rabbi and the Budhist, I was amazed that the dominant religious belief in the USA (Christianity) was not represented. As a long time Hospice volunteer and a dedicated Christian, I have observed marked differences between those individuals that approach death with a firm conviction that their salvation is assured and those that have no real belief in a life hereafter. A Christian does not believe that they are capable of earning their salvation, they are assured that Jesus Christ paid the price for that salvation. That belief is the major basis for most of my patients approaching death with no great fear.

Shelly
Member

Posts: 4
From: Ipswich, MA 01938
Registered: Sep 2000

posted 09-14-2000 11:07 PM     Click Here to See the Profile for Shelly     Edit/Delete Message Reply w/Quote
quote:
Originally posted by RITony:
I happened upon this program by accident and the overwhelming sense of agony it brought back is beyond words. My wife passed away at an inpaitent hospice center here in Rhode Island after a two year battle with NHL. It was two days after her 37th birthday. Two bone marrow transplants in Boston, countless radiation and drug therapies, etc... Absolutely kicking and screaming the whole way... I think our last two weeks in the hospice center were the best we had in those two years. Although my 6 and 8 year old kids barely remember their mom after only 3 and 1/2 months, even they remember the really nice people at that last hospital where mom stayed. My deepest admiration go out to the "angels on earth" who somehow have the ability to work in our local hospice program and those around the country. I know that my family was blessed with our hospice experience. I can only hope that television programs such as this can help raise public awareness of just how important hospice can be. Thanks for the powerful program.

We miss you betsy ....



HI Tony,
I can feel your agony. I too lost someone where a hospice home took care of my mother in her final days. She suffered very little but suffered in silence for a few years. We all thought she was a hypochondriac and she would not go to a doctor. Finally when she came down with pneumonia, and was hospitalized they found cancer in her liver and pancreas. She refused a feeding tube and wanted just to be rid of the hospital. We found a hospice center and two weeks later she died. It's funny, I was the only one in the family who understood she was actually dying until the day she died.
Watching the death process was actually a beautiful thing. Not at the time, but hospice people gave me a little booklet to read about the death process. I was reading it that evening when we got the call that she had passed.
I tell you this because, after her death it took me months to bring closure to the agonizing pain. You need to be kind to yourself and let yourself grieve. I know it must be tough because you have little kids, but take the time to cry, hurt and find some support, in a church or a grief support group.
God Bless you.

Shelly
Member

Posts: 4
From: Ipswich, MA 01938
Registered: Sep 2000

posted 09-14-2000 11:10 PM     Click Here to See the Profile for Shelly     Edit/Delete Message Reply w/Quote
quote:
Originally posted by elizowen:
The finale of ON OUR OWN TERMS profiles crusading individuals who offer palliative care to the working poor and the uninsured. As you watched the program, what was your reaction?

I thought it was absolutely wonderful. I watched the entire series. To be honest, I want to look into how I can help. I am not a trained doctor but I do have a counseling degree from a Seminary. It has really moved me.

chrisbie
New Member

Posts: 1
From: Conshohocken, PA USA
Registered: Sep 2000

posted 09-15-2000 10:18 AM     Click Here to See the Profile for chrisbie     Edit/Delete Message Reply w/Quote
I found the program to be very accurate, however, it doesn't matter if you start in poverty or not. My father was diagnosed with Alzheimer's Disease 8 years ago. He's been in 3 facilities. He has insurance and he had a substantial amount of money in a 401K plan. The 401K is completely depleted and my mother is applying for Medicaid. My father just turned 65. Our society does not plan for lengthy departures. Change needs to happen.

jd
Member

Posts: 3
From: PA
Registered: Sep 2000

posted 09-15-2000 02:11 PM     Click Here to See the Profile for jd     Edit/Delete Message Reply w/Quote
I would like to take the opportunity to thank all the people involved in creating this series on Death and Dying. My husband and I watched all 4 programs. He is a terminal cancer patient under Hospice care at this time and my mother is in a nursing home with Alizimers Disease. She has suffered for the past ten years and my husband for the past three. In the last program it was refreshing to see a young doctor have such love and compassion for the poor and the sick regardless of race, color, or creed. It helped to restore some of our faith after having to deal with insurance companies and doctors who are only interested in money and number of patients. There is so much love to give in this world and so much that we owe to each other and we really truly do need each other especially in times of critical illness and suffering. Each of us must someday face these hardships. I truly hope that political candidates, health care people and insurance companies will take a look at this series and see the great need for reform. Thank you again Bill Moyer you should stand proud and may God Bless you for your love and compassion for your fellow human beings.

countrygarden
New Member

Posts: 1
From: Ocean View, NJ USA
Registered: Sep 2000

posted 09-24-2000 08:10 PM     Click Here to See the Profile for countrygarden     Edit/Delete Message Reply w/Quote
I watched three (3) of the four segments today, September 24. I did not know they were on TV but just came across them. They were excellent. Some of the patients made me sad because it brought back some of what my family went through in Feb. of last year. My stepfather died of alzheimers and parkinsons.
My Mother kept him at home until he died. But it was not easy for her. He was 83 and she is 75. By the time the end came, she was almost at the end of her strength too. He did a very sad death, even though he had hospice the last two days. It was so hard to see him struggle for every last breath.

I think the system needs to be changed. There are too many limitations on home care. An aide can only visit three days a week. It is almost impossible to get anyone on the weekend. My stepfather was confined to bed for the last two months of his life. It was impossible to get a doctor to come to the house to see him. Finally, when a friend of a doctor who is a friend of my Mom's agreed to visit him, it was too late because he passed away before the appointment.

The government needs to make changes in home care of the sick and dying. More money needs to be spent to care for these people.

Lynne
New Member

Posts: 1
From: Cranston, RI 02910 USA
Registered: Oct 2000

posted 10-02-2000 05:09 AM     Click Here to See the Profile for Lynne     Edit/Delete Message Reply w/Quote
I'm SO grateful to all who made it possible &
those who participated, many sharing their own journey. I tuned to 'A Time to Change' soon after it started & was awestruck & riveted... Hoping there'd be another viewing soon (But I see this WAS the 2nd round. Not
the last, hopefully!). I've been in the role of Caregiver for other family members B4. Now, Facing difficult medical issues of my own, it is a Daily Struggle as I'm alone &
without caregiving/support services I desperately need. I constantly try & make others aware that once people exceed levels of eligibility for State Medicaid, there's a
HUGE void we fall into, making necessities far out of reach. Multiple diseases and injuries profoundly limit my mobility, quality of life, income, every poss part of my life. The points well made about how little the Med Community offers term. ill & their families,esp if poor, ACUTELY applies 2 Chronically Ill as well. So-called 'Mgd Care' is an oxymoron! How ironic to equip Drs w high tech machines (many without any idea how 2 use or interpret)when they're not trained in vital 1st line areas of BASIC
communication skills like listening & report
writing w accuracy, pain mgt, nutrition,all the components of palliative care... I was truly inspired by the levels of dedication &
skill & integrity--the Humanity-with was at the heart of how Drs & staff treated their
patients. While I'm only in my 40s, I'm forced 2 spend most of my time as a 'house hostage'in debilitating pain that goes untreated. As a rule, what many Drs can't feel, see or measure doesn't exist 2 them. As things are now,people tend 2 lobby & organize around very specific illnesses; And
I realize, where funding's concerned, that's
inevitable under our current system of Health'care'. But in order for real progress
2 take place benefit'g ALL w pressing med nds, it's vital we recognize we're ALL in this together & approach it as such. The Medical lobby is powerful & well-funded. If
we can drop our labels (4 this purpose) and
envision people RAISING VOICES TOGETHER in lrg #s; health consumers, concerned family & community members, Drs & practitioners, and
churches,businesses,sypathetic politicians...
our combined ACTIONS benefit all. Right now, we're 'invisible' & NOT seen as a priority.
That makes THIS a 'Time to Change' as the program suggests. I KNOW we're overwhelmed & worn down, but that's bound 2 get even worse
under current trends. For many of us, it's a matter of survival/quality of life & dignity.
They're NOT luxuries. The chance for less is
UNacceptable.I've nothing 2 gain personally by this but Hope & more sleepless nites & a vision 4 us all 2 triumph over greed & indifference...PS: Feedback, ideas welcome.
My 1st time on site.PC's on Overload as I am! If u email me, use an easily recognized
heading as I don't open unknown mail.(ex:
Disability Coalition, Time 2 Change.
Blessings, Lynne
There's lots of potential here! Let's not waste it!!!

smithkueny
Member

Posts: 3
From: bensalem pa usa
Registered: Oct 2000

posted 10-07-2000 08:53 PM     Click Here to See the Profile for smithkueny     Edit/Delete Message Reply w/Quote
quote:
Originally posted by sowens:
My Mother recently had a stroke that would have left her in a vegetative state. Since she had a living will she did not have a feeding tube etc. Only small doses of morphine for pain when she "seemed" uncomfortable. She lived for approximately 2 weeks. She literally starved to death. It was horrible to watch. When insurance would no longer cover her hospital stay we were told she would have to be moved back to the nursing home. She died the second day after being transported back to the nursing home. My question is this; If the idea is to make the patient more comfortable but not prolong the inevitable then why turn a patient every one to two hours to keep the fluids from building up in her lungs? Who determines what is exceptable and what is not? How humane is it to allow a person to starve to death...and could medication have been administered sooner at the hospital so she did not have to be moved back to the nursing home?

This has been very difficult on my Daddy (84 yrs old - 62 yrs of marriage). Could this have been dealt with differently .... other options? Daddy has trouble sleeping at nights, often waking up sobbing, for many obvious reasons but what about the not so obvious reason, such as "Is this what I have to look forward to?" Can I give him any kind of assurance?


smithkueny
Member

Posts: 3
From: bensalem pa usa
Registered: Oct 2000

posted 10-07-2000 09:00 PM     Click Here to See the Profile for smithkueny     Edit/Delete Message Reply w/Quote
quote:
Originally posted by sowens:
My Mother recently had a stroke that would have left her in a vegetative state. Since she had a living will she did not have a feeding tube etc. Only small doses of morphine for pain when she "seemed" uncomfortable. She lived for approximately 2 weeks. She literally starved to death. It was horrible to watch. When insurance would no longer cover her hospital stay we were told she would have to be moved back to the nursing home. She died the second day after being transported back to the nursing home. My question is this; If the idea is to make the patient more comfortable but not prolong the inevitable then why turn a patient every one to two hours to keep the fluids from building up in her lungs? Who determines what is exceptable and what is not? How humane is it to allow a person to starve to death...and could medication have been administered sooner at the hospital so she did not have to be moved back to the nursing home?

This has been very difficult on my Daddy (84 yrs old - 62 yrs of marriage). Could this have been dealt with differently .... other options? Daddy has trouble sleeping at nights, often waking up sobbing, for many obvious reasons but what about the not so obvious reason, such as "Is this what I have to look forward to?" Can I give him any kind of assurance?


smithkueny
Member

Posts: 3
From: bensalem pa usa
Registered: Oct 2000

posted 10-07-2000 09:21 PM     Click Here to See the Profile for smithkueny     Edit/Delete Message Reply w/Quote
as a registered nurse with the good fortune of working in exceptional retirement community i have watched hundreds of people pass on. i can not, and will not work in an acute care setting for the very reasons outlined in the series. our culture both in and out of the medical community is so fixated on cure of disease that we have lost sight of the person. dying is a natural process and has been as long as there has been life on earth. artificial nutrition and hydration in a terminally ill person is just that, artificial. we interfere with the dying process when we invasively administer fluids. when a person is dying the body is shutting down slowly and in the process releases chemicals that aid in pain control, why then would we want to force large volumes of fluid on a body that can not process, thereby eliminated the body's own mechanisms for pain control naturally as it was meant to do. i have stood at the bedside of hospitalized patients that are being "treated" for termianl illness and have been devastated by what i was watching. this mentality is cruel to both patient and family. a little education provided by drs. and nurses to patients and their families would ease the suffering of so many. yet as reflected in the series the medical community itself is so fixed on cure and so ignorant of the dying process and the promotion of good end of life care. i applaud the producers of own our own terms for bringing this topic to light. we as a society much become educated about end of life care and demand change.

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