What is the one thing that bothers people most about death according to Tiffany’s reaction to the video?

  

BY DAY 7

Respond by Day 7to at least
twocolleagues in one or more of the following ways:

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Provide additional resources or media on aging, death, and dying.
Compare your colleagues perceptions, biases, and judgments to your own.
Offer alternative viewpoints and insights.
Ask for clarification.

Continue the Discussion through Day 7.

TIFFANY

My own ideas about aging, dying, and death before the video:

Aging:1. We all age as we get older if we are lucky enough to get older. It is a part of life.

2. I think you become more invisible as you age and get older as in you dont get noticed or spoken to as much.
3.When I see older people, I sometimes wonder if I will be able to live independently at an old age and walk and drive unassisted or do things like swim or nature hikes. I wonder a lot about quality of life when I see elderly people or people that are obviously aging and entering another phase of life.

Dying:1. I believe if you are suffering from a terminal illness or an illness that significantly alters your quality of life- I believe in medically assisted death. I believe it should be a right and a choice that people are able to make for themselves before they lose the ability to do so.

2. Personally, I do not want to be on life support or in a vegetative state.
3. Put me in the VA end of life care program. I am ok with dying there unless I just suddenly die at home or in the hospital. If the act of dying is prolonged due to a terminal illness- just put me in the VA end of life care and I will be just fine with that option.

Death:1. None of us know when it is our exact moment and so it is a personal choice how you choose to embrace or deal with death.

2. Everyone should discuss death with their loved ones as far as your personal choices regarding treatment, intervention, end of life care, organ donation, and so on. I dont think it is fair to leave those decisions to someone else when you can make them well in advance.
3. I mainly think about death regarding my children. My main thought is, It would be really sad to be gone and my children need me or want to ask a question or need me for any reason or just wanted to talk.. That is what I think of when I think of death.

Engage with Grace video reaction and biases:

Reaction- My reaction to the video was one of sadness and the reminder of the one thing that bothers me most about death- the finality of it for your children. I facetime, talk, text, and see my two children so much I would think that if any one of us were no longer here it would cause such a gaping hole in our lives. During the video, I wondered how conscious the mother was and if she was able to hear her loved ones. I wondered if she wanted to get home and to be at home. Many years ago, I fainted and was in the ER and could hear everything my family was saying but couldnt move nor open my eyes. I could hear each of them perfectly and the doctors and nurses but was unable to respond. While watching engage with Grace as she told the story of Za, she said Za first only spoke in Italian and then became unable to speak or communicate (Vimeo, 2008). This made me really wish I could know if her sister-in-law could maybe hear her family and her 2-year-old daughter and if that would be any consolation.

Biases:Before watching the video, I wrote down a page of thoughts about aging, dying, and death as we were prompted to do. I felt completely resolved in those thoughts and everything Id written down. Now, here again for the second time in Week 1 of this class, I find myself challenged and biases revealed. One immediate bias that came to mind after watching the video was, What if you arent able to choose how you embrace death or in any of your end-of-life treatment?. I made the incorrect assumption that everyone (barring a tragic accident or crime) just has the time and decisions to have everything about dying and death all figured out and all spelled out legally by living will and/or advance directive. The woman in this story was only 32, a young mother and wife, and a thriving pharmacist who probably in no way expected life to end up like this. Another bias was that everyone should prepare for death. Well, as in the video, you may not have time or the capacity to prepare and not everyone has family to advocate on their behalf. I had the bias that dying and death are clean cut conversations to be had well in advance of dying and this video proved otherwise. Also, maybe some people dont think about death until a certain age and maybe in some families and culture, it could be unacceptable to speak about death openly. Religious reasons could also impact ones thoughts, discussions, and plans regarding medical treatment, dying, and death. Another issue that was in direct conflict of how I feel for myself was when her brother decided to bring her home. That was a moving moment and especially the fact that if just for a while, she woke up and was able to see her baby one more time. I have a view that if I have a terminal illness, place me in a facility so as not to burden and strain the lives of my children. I dont have much family though. I have an aging mother (who, unlike me, does NOT want to talk about death or make any plans for herself nor does she want to go into a nursing home or facility), I have an adult brother who also will not discuss death because he said he is too young to talk about it, I have an adult child, and a ten-year-old child. Thats it. So, I think for people with lots of loved ones and maybe people depending on them or family support- the discussions and plans about dying and death could be different.

References
Health 2.0 (Producer). (2008).

Engage with Grace

[Video file]Links to an external site.
Links to an external site.. Retrieved from https://vimeo.com/2339539#at=0

MARY

MAIN POST — MARY BROWN

Perceptions of aging, death and dying vary by individuals, communities, and ethnic and cultural groups, and all three are impacted in many ways by, for example, knowledge, perceptions, economic status and inequality in policies and systems (Boswell, 2012; Kunkel & Settersten, 2022). Boswell (2012), also identified that ageism can occur because individuals (whether in healthcare or not) have a lack of knowledge regarding aging, producing behaviors that are discriminatory to the aging adults care as well.

Preconceived Ideas About Aging, Death and Dying

My preconceived ideas about aging, death and dying have changed over the years. Currently because of my field of practice (Oncology Social Work), I see the impact of poor self-care and lack of support (whether from family or community resources) in the death and dying phases of life. I also believe that aging can be construed as bad because of societys perceptions of aging and that all older adults will require assistance. I too have personal experience with this. When I am with my aging aunts and uncles, I feel that I must help them more, but they are adamant on doing things themselves. I always thought this was a respect issue, however, working more and more with patients with cancer who lose their independence all the time, has allowed me the opportunity to look more deeply at the desires of the person who is dying (and who is aging), and has a chronic disease differently. This has caused me to work more closely with caregivers to allow the patient to do what they can and encourage the patient to allow others to help if they cannot do something. I also feel that individuals have the right to choose how they die; e.g., if they do or do not want to be resuscitated or if they want to be placed on a ventilator. I also believe that the person has to work through the grief stage to even accept that they are dying and at times do not accept it until the final days, causing anxiety, depression and increased stress for themselves and caregivers. However, I do believe that each person works through the aging, death and dying stages of life differently and will have their own unique experience and wishes and they should be upheld by their caregivers and medical teams if at all possible.

Reaction to the Video

I agree that we as individuals wait too long to have conversations about death and our wishes regarding how we want to pass (Health 2.0, 2008). Having conversations with families and/or Power of Attorney is important so that there are no misunderstandings and/or misconceptions on the part of the family member who may have to make those types of decisions for the patient. Watching the video therefore confirms my perceptions of the patient voicing their desires early on in care in the event they start to decline. Patient choices impact more than themselves as well and this video challenged me even more to take the caregivers needs into account as well when helping the patient transition from a hospital to home setting when passing.

References

Boswell, S. S. (2012). Predicting trainee ageism using knowledge, anxiety, compassion, and contact with older adults.
Educational Gerontology, 38(11),

733741.
Health 2.0 (Producer). (2008).
Engage with Grace[Video file]. https://vimeo.com/2339539#at=0

Kunkel, S., & Settersten, R. (2022). Aging, society, and the life course. Springer.

Introduction:

Aging, death, and dying are inevitable parts of life that every person must face. Thoughts and feelings about these topics can vary greatly depending on personal experiences, beliefs, and biases. In the following discussion, we will explore one individual’s perceptions and biases related to aging, dying, and death, as well as their reaction to a video on the subject.

Description:

Tiffany shares her beliefs and thoughts about aging, dying, and death. She sees aging as a natural process of life, but wonders about her own future quality of life as she observes elderly individuals. She supports medically-assisted death for those who suffer from terminal illnesses or a significant decrease in quality of life. Tiffany also believes it’s important to have conversations about death with loved ones, and she worries about the impact her death would have on her children.

During the course of the discussion, we learn that Tiffany watched a video titled “Engage with Grace” which prompted her to reflect on the finality of death and how it would impact her children. Her biases and beliefs are uniquely hers, and may differ from those of other individuals. By exploring the various perspectives and biases related to aging, death, and dying, we can develop a greater understanding and appreciation for the complexities of life.

Objectives:
By the end of this module, learners will be able to:
1. Analyze personal attitudes and beliefs regarding aging, dying, and death
2. Understand the importance of discussing end-of-life preferences with loved ones
3. Evaluate different end-of-life options and make informed decisions.

Learning Outcomes:
1. Identify personal biases and beliefs about aging, dying, and death
2. Describe the impact of aging on personal life and quality of life
3. Define options for end-of-life care and evaluate the advantages and disadvantages
4. Explain the importance of communicating end-of-life preferences to loved ones
5. Discuss the significance of Grace’s story and how it relates to the concept of end-of-life preferences
6. Apply the knowledge gained to make informed decisions about personal end-of-life preferences.

Note: These objectives and learning outcomes relate to the content of the module, which covers personal attitudes and beliefs about aging, dying, and death, communicating end-of-life preferences, evaluating end-of-life options, and applying knowledge gained to make informed end-of-life decisions.

felt empathy for the individuals in the video who had lost loved ones. My biases- I have a bias towards medically assisted death being a choice for individuals suffering from a terminal illness or a significantly diminished quality of life. I also have a bias towards end of life care being provided in a hospice or specialized care facility rather than in a hospital setting.

Solution 1: Creating Awareness on Hospice Care

Hospice care is an end of life care option that provides individuals with a terminal illness or advanced medical condition palliative care and comfort when curative treatment is no longer an option. It focuses on improving the quality of life for the patient and their families while managing symptoms and pain. Hospice care gives patients the opportunity to spend their remaining time in a homely and comfortable environment surrounded by their loved ones. Educating the public on hospice care and its benefits is essential in promoting the understanding of end of life care while providing alternative options.

Solution 2: Encouraging Conversations on End of Life Preferences

Discussions regarding end of life preferences can be challenging and uncomfortable, but it is necessary to initiate these conversations to allow individuals to express their preferences and ensure their wishes are followed concerning end of life care. Encouraging having these discussions with loved ones promotes awareness and understanding of the importance of end of life preferences. These conversations should be conducted at an appropriate time, and it should be emphasized that the individual’s preferences shall be respected concerning treatment, intervention, organ donation, and end of life care.

thought about how important it is to have open conversations about death and dying and to make sure your loved ones know your wishes. Biases- Tiffany may have a bias towards medically assisted death and the VA end of life care program. She may also have a bias towards discussing death with loved ones and making personal choices about end of life care.

Suggested Resources/Books:
1. Being Mortal: Medicine and What Matters in the End by Atul Gawande
2. The Death Cafe: A Practical Guide for Those Who Need to Get Ready To Die by Juliet Prager
3. The Five Invitations: Discovering What Death Can Teach Us About Living Fully by Frank Ostaseski

Similar Asked Questions:
1. How can we better prepare for end of life care?
2. What is the ethical reasoning behind medically-assisted death?
3. How can we reduce the stigma around discussing death and dying?
4. What resources and support systems are available for those facing terminal illness?
5. How do cultural beliefs and practices affect our attitudes towards death and dying?

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