Dying: A Transition (End-of-Life Care: A Series)

Dying: A Transition (End-of-Life Care: A Series)

Monika Renz

Language: English

Pages: 176

ISBN: 0231170882

Format: PDF / Kindle (mobi) / ePub


This book introduces a process-based, patient-centered approach to palliative care that substantiates an indication-oriented treatment and radical reconsideration of our transition to death. Drawing on decades of work with terminally ill cancer patients and a trove of research on near-death experiences, Monika Renz encourages practitioners to not only safeguard patients' dignity as they die but also take stock of their verbal, nonverbal, and metaphorical cues as they progress, helping to personalize treatment and realize a more peaceful death.

Renz divides dying into three parts: pre-transition, transition, and post-transition. As we die, all egoism and ego-centered perception fall away, bringing us to another state of consciousness, a different register of sensitivity, and an alternative dimension of spiritual connectedness. As patients pass through these stages, they offer nonverbal signals that indicate their gradual withdrawal from everyday consciousness. This transformation explains why emotional and spiritual issues become enhanced during the dying process. Relatives and practitioners are often deeply impressed and feel a sense of awe. Fear and struggle shift to trust and peace; denial melts into acceptance. At first, family problems and the need for reconciliation are urgent, but gradually these concerns fade. By delineating these processes, Renz helps practitioners grow more cognizant of the changing emotions and symptoms of the patients under their care, enabling them to respond with the utmost respect for their patients' dignity.

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To her terminally ill husband: “Yes, of course, you are angry at me. So would I be if I were you.” But she did not have to justify leaving his bedside for ten minutes. Why do the dying have no sense of time? What the infant does not yet know—for instance, how long an hour is—the dying no longer know. This often applies to the seriously ill before they enter into the dying process. Whereas embryos, fetuses, and infants first orient themselves to rhythms of the mother’s heartbeat (van Leeuwen et.

Metaphors and the inherent logic of a victory. Otherwise patients may be caught in an impasse (dream consciousness) independent of their religious or nonreligious attitude. As noted in the introduction, members of other religions are invited to explore their own religious material related to the dying process. Whether such images have to be taken as facts (e.g., prophecy of afterlife) or as a metaphorical world, remains open. Research has to carefully distinguish between observation and.

Dying, to experience grace and power, sensuousness, and gratitude. It frees, in life and in dying, from waiting and entrapment, from the increasingly longer shadow of the past into the future and beyond. In this “yes,” we recognize not only humility and kenosis (emptying) but also courage and personality. We cannot ask this of ourselves too rashly. Attaining this “yes” occurs not without tears, sometimes not without struggles, nor once and for all. Nevertheless, as soon as one is capable of.

Itself; “Dying Is a Transition” (Renz et al.), methodology in: bias in, question of, 138n.3; Interpretative Phenomenological Analysis (IPA) in, 13; methodological approach to, 11–16; phenomenological observation Index 4 153 in, 17; religious background of patients in, 22, 36; sites / factors of transition in, 83–106, 131, 133; therapeutic approach of, 11–12 “Dying Is a Transition,” findings on: acceptance, 96, 131, 133; anger and denial, 96, 131, 133; family processes and importance of.

(continued ) symbolic language, 6–7, 35–37, 71–74, 79–80, 104, 112–114; and transformation of perception and final state of dying process, 3–8, 34–37, 113–114, 122–127. See also indication-oriented approach to end-of-life care; maturation; symbolic language spiritual opening. See posttransition / spiritual opening spirituality / spiritual experiences: and acceptance, 93–97; of agnostics and atheists, 6, 87; and archetypes, interpretation of, 36, 55–56, 97, 125, 138n.3; and archetypes / archetypal.

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