Speaking of Dying: A Practical Guide to Using Counselling Skills in Palliative Care

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The texts we translated are books and one is a collection of Wikipedia articles. The second book is a literary theory book in the English language about children's literature by Carrie Hintz and Eric L. The third text is a collection of Wikipedia articles in Croatian on the topic of art history. A Practical Guide to Using Counselling Skills in Palliative Care our translation: Kako razgovarati o smrti , a handbook about palliative care aimed at carers of the terminally ill or dying patients.

In endnotes I explained why I chose to translate a word or part of the text the way I did. Every translation is accompanied by a glossary of terms made in collaboration with my colegues to ensure the consistent use of terminology. Downloads Downloads per month over past year. Children, teens and young adults. Aboriginal communities. Life after treatment. Sexuality and intimacy. Facing end of life. Caring for someone with cancer.

Research ethics and guidelines. Cervical screening providers. Optimal Care Pathways. Community health. Clinical practice guides. Resources for dietitians. Leave a gift in your Will. Become a corporate supporter. Shop online. Culturally diverse communities. Home Get support Facing end of life Caring for someone nearing the end of life. Facing end of life Contents: Overview Coping with the news that you're dying Common questions about dying Emotional and spiritual concerns Physical concerns Where to die Practical concerns Caring for someone nearing the end of life Further support and information.

Coping as a carer Looking after a person who is dying can be stressful, and you will need help and support. Ways to help There are many things that family and friends can do to help support someone at the end of life. Do odd jobs and run errands Friends can offer to step in with walking the dog, mowing the lawn, picking up the kids or doing the shopping — anything that eases the workload of the main carer. Prepare meals Preparing meals for someone who is sick can become complicated as their needs and illness change.

Manage medicines If you need to give medicines and feel overwhelmed, ask your doctor, pharmacist or nurses for suggestions. Record social media details People often have more of a social media presence than they realise. Providing emotional support The diagnosis of a terminal illness may create a crisis situation for family and friends.

Saying goodbye A life-limiting illness offers you time to say goodbye. Listen to what the person dying tells you. They may want to talk about dying, their fears or plans. Try not to prompt an answer that confirms what you think or your hope that things could be better. Let them know if you feel uncomfortable. They might be feeling uncomfortable too.

Ask questions. Accept that you or the person dying may cry or express anger.

Personal Consultations

These are natural responses to a distressing situation. You could offer to pray together, but respect their wishes if this is not something they want.

Keeping vigil For many people, staying with the dying person is a way to show support and love. How you can help in the final stages Wherever someone chooses to die, family and friends can provide general care and comfort in the final stages. Atmosphere Use soft lighting. Have their favourite music playing in the background to create a gentle and peaceful atmosphere. Quietly read a favourite poem, passage from a book, or spiritual or religious text. Comfort Apply lip balm to dry lips, and keep the mouth moist with ice cubes.

Palliative Care vs. Hospice: How Are They Different? - Dr. Amy Newton

Add incontinence sheets under the bed sheets. Use a vaporiser in the room. Keep the person warm with a blanket and use cushions to make them more comfortable. Help the person change positions frequently. Gentle presence Sit with the person and talk or hold their hand. Gently massage their hands or feet with a non-alcohol- based lotion. Speak gently, and occasionally remind the person of the time, place and who is with them.


Palliative and end-of-life care

Making arrangements As death approaches, speak to the palliative care team about what to expect. Rituals Ask the person whether a clergy member or other spiritual leader should be at the bedside and what rituals or ceremonies are important to perform. Funeral home Notify the chosen funeral home that a death is expected soon. Ambulance service Ask your health professionals who to contact if complications arise at home.


Contact list Ask the person who they would like to have visit in the final days and who to call after the death. Ceremony Find out what the person would like done with their body after death.

Providing physical support When a person is dying, carers often have lots of questions: Can they hear me? Changes that occur before death Some family and friends find that information about the physical process of dying helps them prepare. Sleeping more The dying person has less energy, often spending most of the day sleeping or resting. Loss of appetite The body needs less energy to keep going and appetite decreases.

Little interest in the outside world The dying person may gradually lose interest in those nearby. Breathing changes Breath intakes and exhalations often become rattly, irregular and laboured. Disorientation and confusion Carers are often unprepared for the delirium that can occur in people who are dying.

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Restless moving, twitching, groaning or calling out These symptoms are part of terminal restlessness, a type of delirium that may include agitation, anxiety, anguish and anger, all of which can be very distressing for carers. Cool skin, especially the hands and feet As circulation slows down, the hands, feet, fingers and toes the extremities become cooler and turn a bluish colour. Dry mouth and dry or cracked lips This can happen if the person is dehydrated or has been breathing through their mouth, or it may be due to some medicines.

Choosing the moment to die Sometimes people appear to pick the moment to die.

I’m a Carer - Palliative Care

What happens at death No-one really knows what death feels like, but we know what death looks like from those who have nursed a dying relative or friend. When there were fewer people around, he passed away. What to do after the death When the person was being cared for at home and was expected to die at home, there is no need to call an ambulance or the police. I did this at the funeral parlour before the final viewing of her body. She was wearing the dress we had chosen together.