On the prepare to Die

Each wüwant to get a gnäa joyful death. But what is it actually? What is the meaning of the für Dying and their Angehömembered? How we each other farewell köcan

Life night: no one deals with death. But a good preparation can ease the way past

You have to live genießen, as long as you still have to crawl kann", on the Rüback of the book. The novel is about two pensioners on a cruise, the claws sometimes sausage from the Buffet. Mary Bachmayer (70, Name geächanged) has him in a train reading through – and Laughing teary-eyed when you erzählt. The Embassy of the Lektüre you made to your Credo, again and again they emphasized: "Genieße the life, live and go on trips." Mary Bachmayer will die soon. She has terminal cancer, is the guest of chicory in the house, a small hospice in the town of Neuruppin in the North of Brandenburg.

My funeral will be colorful

Each wüwant to get a gnäa joyful death. But what we persöphotography really including? No one deals with this topic. Death has its fixed place in the last corner of the consciousness. He is always there, but always very far. This wäwe were well advised, if we have to deal with us in a constructive way with our finiteness, says Professor Claudia Bausewein, Chair für palliative medicine at the Ludwig-Maximilians-Universität MüMunich.

Exactly the &shy have according to her,;Researchers at the Universität of California in San Diego (United States). They wanted to he­find out what makes a good process of dying, and analyzed 36 studies, from the years 1996 to 2015, für the Dying, Angehörige and the clinic staff were surveyed. In the journal The American Journal of Geriatric Psychiatry veröthe scientists published the core issues that all Involved in the most important published für the well-being of the people on his last way.

What is at the end of important

The most important issues, because they were all ­agree are dying scenario, freedom from pain and symptom management, and emotional well-being. But there were also differences. For example, the Mortality put more value on Religiosität and Spiritualität as your Angehömembered. This wüyou want, that the Dying in Würde go köcan.

Mary Bachmayer, it is important, what is the Gäste at her funeral to wear. In colored and in Black to come in. With the Die has set, the cancer patient a long time apart. At the Moment genießt you just feel the peace in the hospice. "The food is good, I have time to read, and sometimes a &shy comes;Nurse with his guitar and plays me a StäSerenade." She was glad that there was this place. Here könne of the human person.

Already früh with the Angehömembered speak

In the US study, patient and Angeh&ouml had;rige äsimilar ideas on the ideal death: at home in the intimate circle, and is in clear consciousness. Or a silent Die in my sleep. And death scenario zäfailed to be prepared. That of the Be­erdigung to the Testament, all ge­­is regulates.

"This Wüwishes are in the process of dying are important questions, the bewegen&quot the people in the run-up to;, Palliativ&shy says;physician Bausewein. The leg hold, however, that darüabout talking, that the life ends – and then, together with the Affected üconsiderate, where he m&ouml die;like, who’s going to be, whether the medicine is all Feasible tatsäactually durchführen needs to. "These are things that you should besprechen&quot not only in the last week of life;, Bausewein emphasized.

Not a place to languish

If someone, for example, palliative supplied to wanted to die at home, it need time to organize everything.  It is advisable früh the contact to a hospice or to seek palliative care facility. For one, because then Wüwishes, and may be implemented k&ouml be requested;can. On the other, because especially in the case of hospices in General, with a waiting period of several days to weeks is to be expected.

The ideal place to Die, it will not be according to expert, Bausewein. "Some people deliberately go to the hospital or to the hospice, and don’t want to die at home." In the end, the are always very ­­individual decisions and Wüwishes.

Mary Bachmayer didn’t want to in the own four Wäthe die. "But to know at home that there geht", she says. However, some of their Angehömembered hähave already had difficulties, as the word hospice fell for the first Time. Mary Bachmayer finds it a pity that this term is used negatively. "The people believe that here is a place to languish."

Medically cared for like never

This reputation rührt according to Bausewein, among other things, therefore, that many people believe to need this kind of support is really only at the end of life. If you are the death, already very close to it. "The idea that ­­Palliative care is always set with the Die, is then to selbsterfüreserved for prophecy."

Tatsätake the Palliativ&shy followed;medicine is not the goal to cure diseases. The supply should &ndash symptoms of incurable diseases, relieve; and can f&uuml, therefore, already a good two years before the death of;the patients will be helpful. A good care trägt to Die without Suffering, without pain and other quäloin discomfort.

Hospice work can also Angehöengine include

In the palliative medicine and hospice work küto God, however, not only to the Dying. "A Großpart of our work also the Angeh&ouml is;rigen", Renate Schwarz, head of the hospice in Neuruppin reported. Especially it questions, how to do it as a Angehöriger can take, or what happens when the beloved man is really there. Sometimes it is conflicts about klären and between the patient and the Angehöto convey membered.

Just in the dying phase itself ­the care of the patient not more so heraus&shy create often even;challenging, because the symptoms well ­kon­are checked, because the Situation might even be very relaxed. The suffering then, the Angehö­membered. "You need significantly more attention from uns", reported Black.

Intensive care in the hospice

Für Maria Bachmayer is all geklärt, what to klären &ndash was; long before you came into the hospice, as you erzählt. Now she was just glad üabout this place. "I fühle me properly cared for. In the hospital häyou tte für me no time."

This Gefühl of the cared for one, many experienced as a große relief, says palliative medicine specialist Bausewein. "A lot of people have with the Bewäto manage the Situation of the end-of-Life größEUA problems." But psychologists, chaplains, and intensive care nurses köcan to emotional well-being. Often häwould have patient to learn something in your history of illness, in our health system before.

Longing for the distance

Mary Bachmayer, it seems, has found a very pragmatic approach to dealing with your Die: "I didn’t want to go – but such is life now mal", she says, and must läsmile. There are only a few things you rückblickend different w&uuml make;rde. Travel more for example. "The only Time I left the East, was füa holiday in Bayern", erzäyou hlt. "There, it was pretty clean, but today wüI wish myself, but to haben&quot more seen in the world;, Mary Bachmayer says. "Genießt life and travels."

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