Mental health in the final chapters of life offering hope When the news is unwelcome Hospital consultant GP Specialist nurse Social Care Decision making Treatment vs quality of life Reality of the situation the complex dynamics ID: 929482
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Slide1
Marion Chatterley – Vice Provost, St Mary’s Cathedral, Edinburgh and palliative care chaplain
Mental health in the final chapters of life – offering hope
Slide2When the news is unwelcomeHospital consultantGPSpecialist nurseSocial Care
Slide3Decision making Treatment vs quality of life
Slide4Reality of the situation – the complex dynamics
Slide5People experience:
SadnessAnxietyExhaustionFrustrationIrritabilityLack of interestSleep disruption
Slide6The final chapter of life
Slide7Living through that final chapterHow many times can you say goodbye?Living with changing symptomsDying isn’t usually a linear process
Slide8What’s on offer?
MedicationTalking therapiesComplementary therapiesDistractions
Slide9What else can we offer?Safe spaceHonest conversationsExploration of ideas – whatever they arePrayerAnointing/blessing
Slide10Who are we talking about?Angry person
Slide11Who are we talking about?Bored person
Slide12Who else?
Impatient person
Slide13LossesHomeFamily and futureIdentity – work/volunteering/feeling usefulIndependence – self care
Slide14Fears
Fear of process of dying, not fear of being deadLoss of dignityLoss of controlProtecting loved ones
Slide15People of faith - questions
Slide16What makes a difference?Being heardBeing believedHaving something to take control of (however small)Permission to say it how it isKnowing that people care/are praying
Slide17Making a difference for loved ones
Seeing their person more settled/finding a place of peace
Not worrying that more could have been doneJourneying towards a good death
Slide18Whatever we offer is good enough.