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Fear Arrives When Death Disappeared Into Hospitals

Pamela D. Wilson, The Care Navigator, CSA, MS, BS/BA, CG

woman family hospital bed_250x232Death -- not space, as mentioned in repeats of the old television series Star Trek, is the final frontier. It's a frontier most of us don't want to think about yet alone discuss. Fear, whatever the fear, is a subject we're not comfortable discussing unless we're engrossed in reality television or watching scary movies that we know in our hearts and minds are not real.

Fear of death is epidemic. So much that researchers have dedicated time to research fear of death. An article published in the Chicago Tribune called Understanding Fear of Death, divides fear of death into four areas: 1) fear of pain, 2) fear of the unknown, 3) fear of non-existence, and 4) fear of eternal punishment. Years ago death was a public event, an experience shared by those in the communities where we were born and died. How many of you have seen old black and white photos of family members laid out in caskets in private homes for viewing? There was a time, not too many years ago when loved ones died at home, in their bedroom, surrounded and cared for by family.

 

What happened? Hospitals changed our culture. Death disappeared into hospitals and other care institutions. Have you heard older people talk about death? Most of them are fearless, wondering why they're still around. Have you considered that this might be because they remember loved ones dying at home and were present to experience the transition? Once you've done something, even something as simple as going to a movie by yourself, how afraid are you to go to a movie alone the second time? Experience removes or at least lessens our fears.

Seeing loved ones today, in hospitals, hooked up to machines and tubing has made death a technicality and something to fear. We've allowed institutions and insurance companies to own death, making us a society uncomfortable with the final frontier. Yet the trend is reversing. Many families are considering end of life midwives, green burials to avoid funeral homes, and death in medical institutions opting to make death a more personal event, a family event.

An article in the New York Times (7/2009) focused on this subject. A family member opting for end of life care at home said, "There's something about touching, watching, sitting with a body that lets you know the person is no longer there. We didn't even realize how emotionally meaningful these rituals are, until we were able to care for our dying loved one."

Health issues and end of life will come for all of us eventually. What do you want? Do you imagine dying at home surrounded by loved ones or in a hospital hooked up to tubes and machines? Technology offers no comfort. How did we lose the values and traditions of years ago? Why did we allow death to disappear into hospitals and other medical institutions? Why did we allow fear to take over? What can we do to reverse this trend?

Copyright 2011 Pamela D. Wilson, All Rights Reserved.

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