Machine Learning Could Improve End-of-Life Communication

Using machine learning, researchers were able to better understand what end-of-life conversations look like, which could help providers improve their communication.

By Jessica Kent

Machine learning tools could analyze conversations between providers and patients about palliative care, leading to improved communication around serious illness and end-of-life treatment, according to a study conducted at the University of Vermont’s (UVM) Conversation Lab.

Discussions about treatment options and prognoses amid serious, life-threatening illnesses are a delicate balance for nurses and doctors. Providers are communicating with people who don’t know what the future holds, and these conversations are very difficult to navigate.

Researchers at UVM wanted to understand the types of conversations patients and providers have around serious illness. The team set out to identify common features of these conversations and determine if they have common storylines.
“We want to understand this complex thing called a conversation,” said Robert Gramling, director of the lab in UVM’s Larner College of Medicine who led the study. “Our major goal is to scale up the measurement of conversations so we can re-engineer the healthcare system to communicate better.”

Researchers used machine learning techniques to analyze 354 transcripts of palliative care conversations collected by the Palliative Care Communication Research Initiative, involving 231 patients in New York and California.

They broke each conversation into ten parts with an equal number of words in each, and examined how the frequency and distribution of words referring to time, illness terminology, sentiment, and words indicating possibility and desirability changed between each decile. Conversations tended to progress from talking about the past to talking about the future, and from happier to sadder sentiments.

“We picked up some strong signals,” said Gramling. “There was quite a range, they went from pretty sad to pretty happy.”

Discussions also tended to shift from talking about symptoms at the beginning, to treatment options in the middle and prognosis at the end. Additionally, the use of modal verbs like “can,” “will,” and “might,” that refer to probability and desirability also increased as conversations progressed.

The findings reveal the importance of stories in healthcare for patients, researchers noted.

“At the end there was more evaluation than description,” said Gramling. “What we found supports the importance of narrative in medicine.”

The team is now focused on using the machine learning algorithm to identify the different types of conversations that can occur in healthcare. This could help providers understand what might make a “good” conversation around palliative care, and how different conversations require different responses. Providers could then match patients to interventions they need the most.

“One type of conversation may lead to an ongoing need for information, while another may have an ongoing need for functional support,” said Gramling. “So one of the ways those types can help us is to identify what are the resources we are going to need for individual patients and families so that we’re not just applying the same stuff to everybody.”

A deeper understanding of these conversations will also help reveal what aspects and behaviors associated with these conversations are most valuable for patients and their families. Educators could then effectively train providers to have the skills needed in palliative care.

Researchers believe that the most useful application of the machine learning tool could be at the systemic level, which could monitor how patients respond to providers in aggregate.  

“I think this is going to be a potentially important research tool for us to begin fostering an understanding of a taxonomy of conversations that we have so that we can begin to learn how to improve upon each one of those types,” said Gramling.

“We already measure other processes of clinical care, we just don’t do it routinely for actual communication.”

Researchers have recently applied artificial intelligence tools to the realm of palliative care. A study published in September 2019 demonstrated that a predictive analytics tool can help increase the number of palliative care consultations for seriously ill individuals, leading to improved quality of life for patients and their families.

“There’s widespread recognition of the need to improve the quality of palliative care for seriously ill patients, and palliative care consultation has been associated with improved outcomes for these patients,” said the study’s lead author, Katherine Courtright, MD, an assistant professor of Pulmonary, Allergy and Critical Care, and Hospice and Palliative Medicine.

Complete Article HERE!

Thoughts for the living from one of the dying

Metaphorical lightning strikes everyone, but this bolt struck me. I’m not quite the hero about it, and don’t ask me to be.

By Eddie Ryshavy

Pancreatic cancer comes out of nowhere and changes your life in one sentence from your doc. In my case, he called me at home and said, “The CT scan showed a three-millimeter mass on your pancreas.”

Stunned, I felt like the judge had just pronounced a death sentence and my earthly status was unalterably changed.

With such news, you realize quickly that you are now different from everyone around you. You have no future. Your worldview changes dramatically.

Humans are the only creatures who can recognize and appreciate the end-of-life process. I’m not 100% sure at this point that it is such a great capability.

I know I can’t speak for everyone. But after talking to some others occupying a seat in the same boat, I thought some comments for the living from the afflicted might be useful:

I find that I crave normalcy. Even though you are sorry, you are not nearly as sorry as the person dying. Make it quick and get on with behaving normally.

Hardest thing — telling people, especially those who want to explore every cancer cell with you. In the past I enjoyed discussing all my age-related maladies as much as anyone. But once they put on the terminal tag it tends to dampen the fun a bit.

Please, please don’t tell me about this friend of a distant cousin who had exactly what I do and died of a lightning strike on the last mile of a marathon at 103.

If you are one of those folks generally known as a crêpe hanger, who gets their jollies by contacting everyone with even a vague acquaintance with the impending decedent, please limit your background information search to nonfamily members.

If you are a close relative or spouse, you should be aware that the soon-to-be departed will have some days when he or she is having a hard time playing the hero.

Oh, I know how to do it. I’ve watched most of John Wayne’s movies. But he died often and had directors coaching him. I’m just on my own and only have this one shot at it.

I can tell you playing the part occasionally gets tiresome.

I know you feel bad for me. I feel bad for me, too. But know I didn’t do this just to ruin your day. Don’t make me spend the next 20 minutes helping you feel good because I understand you don’t feel good about my situation.

Some feel compelled to make sure they have done everything they can to ease the journey into eternity. They sit down, hold both my hands, lock eyes, assume the countenance of a longtime hemorrhoid sufferer and grill me about their version of redemption. They then use their close association with the Almighty to broker a good plea bargain on my behalf.

I know they mean well. But so do I when I say: Please don’t.

We just finished “the meeting” with our kids. My wife is plagued by a penchant to organize anything and everything around her. She had prepared a working outline that dealt with everything from our current and projected financial situation to plans for her living situation after my approaching exit. Thankfully, the kids picked up on my need for normal human contact, and while the initial information we needed to impart evoked some tears as it highlighted the finality of my situation, we got through it fairly quickly and returned to what I considered an enjoyable lunch.

We are paid-up members of the Cremation Society, and my wife has pledged to place me in a cupboard drawer along with the envelope containing the remains of our beloved pooch, Cinder, until the day all three of us will share my eternal parking spot.

Having been a sympathy-giver in the past doesn’t make receiving it any easier. It’s hard not to be envious that everybody you know has a future and you don’t. It makes you feel isolated, and frankly irritated. It has always been difficult for me to receive favors from others. I suppose it’s the downside of being in control.

The impending loss of control and accompanying dependence on others is another difficult part of this pilgrimage. If I should not properly show my appreciation, please know that I do appreciate your kindness — and you — very much.

And then of course there is the matter of the wig. One feature of my final journey I have vowed to resist is the humiliation of complete baldness. I know it’s in style and that many guys look good that way. I also know I wouldn’t be one of them.

We purchased a wig the other day which, after the initial shock, takes about 50 years off my appearance. My coiffeur assured me that after the hair stylist she recommends finishes trimming down the wig, it will be more age-appropriate. Even so, everyone I know will be well-aware I have on a wig.

Who knows — maybe I’ll set a trend, or at least provide a few laughs.

Once your downward spiral toward eternity has been medically confirmed, you realize that this trip must be taken alone. Hard as it is to leave the kids, all parents are aware, and generally accept, that we will eventually precede them. I can find no fitting expression to describe the anguish at the thought of leaving my life partner, a bond in my case that has officially endured 62 years but unofficially since high school.

Heart-wrenching doesn’t come close, but it’s the best I can do.

All I can ask in the interim is that you please join me in making my interaction with you as enjoyable as possible.

Complete Article HERE!

As a Muslim Mariam lives the ‘five before five’

— and finds meaning and balance as a death doula

Mariam’s serious car accident led her to engage with Muslim attitudes to death.

By Alice Moldovan

“I collided head on with a truck, the car caught on fire. It was a huge emergency operation,” says Mariam Ardati.

It was one of those car accidents “you think nobody could have survived.”

When she crawled out of the wreckage of her car, Mariam was amazed to see that she didn’t have a single scratch on her.

As a body builder, Mariam had considered herself invincible at the time — at the peak of her fitness.

The close brush with death turned her thoughts to what would have happened to her body under Islamic tradition if she had in fact, died.

“I walked away thinking, ‘where would I have been buried? What would have happened to all my things?'”

After recovering from the trauma of the accident, Mariam says she walked into a funeral parlour and said, “teach me, show me what happens when someone dies”.

The experience prompted a spiritual journey to reconnect with the Sunni Muslim faith she had grown up with.

“I was largely self-centred up until that accident happened,” she told RN’s Soul Search, “and it helped me find purpose and meaning.”

For the last 15 years she has helped other people in the Muslim community through the transition from life into death — as a doula.

Mariam supports the dying and their families in the lead up to death, then leads the ritual care for the body of the deceased.

Anyone can take part in death care

Mariam says women have always performed the final rites for other women.

She wants people to know that there is a range of jobs that family members can do to assist after their loved one has passed away.

Supporting the head, washing the body and brushing the hair are all meaningful ways to care for the deceased.

Mariam describes how she bathes a body an odd number of times, starting with three.

“The first wash is done with soapy water. The second is with clean fresh water. And the third is water that’s poured over the body that’s been infused with camphor.”

Then family members will wrap their loved one in a death shroud that has been perfumed with incense.

“This is afforded to every Muslim that passes away,” she says.

Mariam recalls a woman she worked with who didn’t think she could enter the room where her mother’s body was undergoing the ritual washing.

“She stood at the door of the mortuary and said, ‘I don’t think I can do this, this is just too much for me’.”

Mariam reassured her that she could just watch.

Mariam Ardati says becoming a death doula has helped her find purpose and meaning.

The woman saw the water running, saw Mariam stroking her mum’s hair and talking to her, offering prayers.

By the end of the whole process, the woman had taken over.

“I took a step back and watched her — with a lot of tears and a lot of emotion — go through each ritual in its entirety.”

Mariam says seeing a daughter perform these last rites for her mother “as she’s working through her emotions and coming to terms with her grief is such a powerful thing to witness”.

She recalls many women who say, “I’m so grateful for the fact that I was able to honour my mother in that way,” or “I was able to hold my sister one last time”.

The ‘very human touch’ of burial

Muslim burial rituals have a “very human touch”, says Professor Mohamad Abdalla, referring to the practice of men going down into a grave to lower a body in with their hands, sans coffin.

Mohamad is the director of the Centre for Islamic Thought and Education at the University of South Australia.

He explains that the body is positioned with the head facing Mecca, the traditional direction of prayer.

“With the soil of the grave they make a small pillow to lay his or her head,” Mohamad says.

Mohamad says Muslim funeral practices revolve around honouring and caring for the dead.

Three quarters of the way up the grave, small edges are carved out to hold several planks of wood.

“The soil is poured over the planks of wood, not touching the body of the deceased, essentially leaving about half a metre … for the circulation of air for natural decomposition.”

Muslim death ritual requires the body be buried as quickly as possible, which can be difficult in the event of a sudden death.

“It’s an honour to bury the deceased within 24 hours,” Mariam says.

She’s referring to the belief that after death, the soul ascends and is given “the glad tidings of heaven”.

When the two are reunited in burial, the soul shares that news with the body, remaining connected throughout the process.

Organ donation and autopsies can complicate the ritual and throw timing off.

“We do exercise our rights to object to an invasive post-mortem, as do other faiths and communities,” Mariam explains.

“We believe that process is an undignified act.”

However, there are alternatives for Muslims, for instance in the case of an unexplained or suspicious death, explains Mohamad.

“In the classical Islamic civilisation, autopsy was undertaken to understand the human body and blood circulation.”

Beyond autopsy, medical procedures after death are technically allowed, because preservation of life is one of the most important objectives of Islamic law, Mohamad says.

He explains that as long as the donor or their family consents voluntarily, organs are not sold, and the organs are healthy, it is a highly virtuous act.

“But the minority viewpoint says a person has no right to dispose of their body as they wish, because it is a trust from God,” he says.

Much of Mariam’s energy is directed to increasing death literacy in the community — helping people become accustomed to the idea of dying.

She encourages the same open approach at home with her own children, in a “mother-daughter bonding exercise”.

“I have cut my own [death] shroud, and I had my daughter by my side with the measuring tape saying, ‘No mum, that’s too short, we need to make it longer this way’.”

‘Five before five’

Mariam sees her job as an opportunity to serve God through caring for other people.

“When you’re living the life of a Muslim, you’re living between two states,” she explains.

One of those refers to “fearing retribution or the accountability of your sins”, and the other is “believing in the hope and mercy of God”

Mariam says she looks for the balance between the two.

It’s a sense of purpose that leads to an understanding that “your actions have consequences, and that you’re part of a larger social context”.

A Muslim is encouraged “to take advantage of what’s known as the five before five,” she explains.

“Your health before sickness, your life before you’re overcome with death, your free time before you become busy, your youth before your old age and your wealth before you become poor.”

Mariam says Muslims’ relationship with God is “underpinned by the understanding that God is the provider of infinite love, compassion and mercy”.

But for a person to earn that favour, she or he must live a life that’s conducive to those values.

In death, Mariam sees our final transition as a deeply communal responsibility, one that she is humbled to be part of.

She says she’s glad her own encounter with a near-fatal accident showed her that she wasn’t invincible.

Rather, it gave her a sense of purpose and meaning.

“I didn’t find that in the world of the living — I found it in the world of the dead.”

Complete Article HERE!

Millennials Aren’t Killing the Funeral Industry

— But It is Changing

By Heather Morrison

We haven’t figured out immortality, so it’s important to discuss the inevitable.

In 1997, The Onion published the article, “World Death Rate Holding Steady at 100 Percent.”

While immortality is a quest for lots of fictional characters — like Voldemort and the Cullens from “Twilight” — and a few Silicon Valley elites like Jeff Bezos, that headline from The Onion still holds true more than two decades later.

Duh. Everybody dies.

But a lingering taboo around death in the U.S. makes it hard to talk about. People in and around the funeral industry are hoping to change that.

“Talking about sex is not going to get you pregnant, and talking about death is not going to kill you,” said Darren Crouch, founder and president of Passages International Inc.

Not only are we not talking about death, we’re also trying not to think about it. Only 1 percent of 18- to 34-year-olds plan their own funeral before experiencing the death of a loved one. That number jumps to nearly 20 percent following the death of a loved one, according to CJP Field.

The Green Burial Council’s Holly Chan, 24, thinks it’s time for everyone to start talking about and planning for the inevitable.

At the end of October, she’s hosting a talk called “Death over Dim Sum” at the Reimagine End of Life festival in San Francisco that’s bringing together end-of-life experts and Asian Americans of all ages.

“Age doesn’t really change how much contact you have with death,” she said. “We could die at any time.”

Family members aren’t any better off not having discussed the wishes of a deceased loved one, she said. Instead, they’re often left with uncertainty and an expensive funeral.

“I think this conversation is relevant at any time,” she said, adding that it’s OK to change your idea of what your funeral might look like as your life changes.

Death influencers?

Caitlin Doughty runs the YouTube account Ask A Mortician, which has more than 900,000 subscribers. She vlogs about topics like budget-friendly funeral options, new types of caskets and scams within the funeral industry. She also talks about death positivity.

“Do not beat yourself up over where you are in your journey to accept death,” Doughty said in a video called “7 Habits of Highly Effective Death Positive People.”

“Yeah, there’s a lot about death that sucks,” she continued. “It’s OK to feel bad about death.”

But death is a journey that isn’t going away. It’s time to get comfy with it, she says.

Death doulas are trying to spread the same message by posting about their work on Instagram.

A doula is traditionally someone trained to support and comfort pregnant people and their partners during the pregnancy and birth process. Now, the same idea is being used in end-of-life care.

Chan has found comfort in the growing number of people on Instagram talking about the job of a death doula. She hopes it will bring more attention to the topic of death and dying and spark conversation.

Social media is already shifting some long-held taboos around death, said intergenerational expert Henry Rose Lee.

“Social media has removed many taboos about what can be seen, shared and discussed,” she said.

Younger generations are trying to confront topics that have been impolite to talk about in the past.

“Millennials don’t want to die any more than any other generation,” Lee said. They’re just “embracing the need to discuss quite tough subjects, like death.”

[ICYMI: We Asked a Mortician About the Death-Positive Movement, and This is What She Said]

Fireworks at a funeral

As more people talk about death, more people are moving away from the “traditional funeral” — the kind with a funeral home, casket and everyone standing around in black.

In the same way people are personalizing their wedding ceremonies more and more, people are wanting the same for their funerals, Lee said.

“I have even talked to some millennials who are planning a band or performers of some kind,” she said. “Many see the funeral as a chance to celebrate.”

Chan has heard people planning on an end of life celebration before they die, with firework displays, motorcycles and games.

Lee points out that all this can be done in addition to any traditions, religious or otherwise, you want to include.

“Religion does still have an impact on decisions about funerals and death,” she said.

However, nearly four in 10 adults ages 18 to 29 are religiously unaffiliated. And they are four times more likely as those a generation ago to identify that way, according to a study by the Public Religion Research Institute.

Due to that shift, “it is likely that, in the decades to come, millennials may move away from some of the older traditions,” Lee said. “Time will tell.”

Green burials aren’t just a fad

One of the biggest movements in the funeral industry is green funerals, including more environmentally friendly burial options.

In 2018, nearly 54 percent of Americans were considering a green burial, according to a survey released by the National Funeral Directors Association.

“Green burial is for everybody,” said Lee Webster of the Green Burial Council.

Traditional burial methods — like being embalmed and buried in a metal casket — take a toll on the environment. Green burial uses biodegradable plain wooden caskets, shrouds, tree pods or coral reefs. And the options are expanding.

One family Crouch talked to put a family member’s remains in a biodegradable turtle-shaped urn. They dropped the urn into the sea. A real-life turtle swam up next to it, he said.

“It’s very, very powerful,” he said. “That family is never going to forget that service.”

Though millennials are carrying on the push for greener funerals, boomers actually originated the idea. They were concerned about the land, what we were putting in it and how to conserve it, Webster said. It wasn’t a climate change issue then — but now it is.

“People are living greener and it would be an obvious extension that they may expect to die greener,” Crouch said. “The problem is the industry has been very slow to change.”

But millennials are normalizing the conversation around green burials, “and then everybody follows,” Webster said.

Textbook for the modern funeral director

The gap between what people want and what funeral homes currently offer means a person’s funeral might not line up with how they lived their life.

“The industry is so used to doing the cookie-cutter funeral,” Crouch said. “Even though they may have driven a hybrid vehicle, maybe they were avid gardeners, maybe they were environmentalists, it’s not uncommon for that person to be embalmed and buried in a metal casket.”

Webster literally wrote the textbook on potential solutions to this problem. Now mortuary school students are learning about environmentally friendly burials.

It’s in the best interest of funeral homes to start adapting to what people want, Crouch said. As more and more options become available, think about how you’d want to be celebrated and buried.

Washington just became the first state to allow “human composting” as a burial method. Who knows what could be next.

“There are a lot of unique things on the horizon,” Crouch said. “Some of them may or may not be practical.”

But, he said, the modern funeral director should listen to what was important to the person in life and present the family with all their options — not just what’s been done in the past.

Complete Article HERE!

The death doula: helping you prepare for the day you die

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What does it mean to have a good death? Leah Green meets with Aly Dickinson, an end-of-life doula. Aly helps clients to plan what they want to happen at the end of their lives, and she accompanies them as they transition from life to death. She helps Leah draw up a death plan, and takes her to a death cafe, where strangers discuss dying over tea and cake

On the art of dying

By Gary Moore

I’m reading this excellent book by the author Katy Butler entitled “The Art Of Dying Well.”

Put down those phones, no emergency call needed! I’m not going anywhere for awhile. I just want to be prepared.

George Harrison, one of my musical idols also spoke a lot about preparing for death, so when you finally die, you can do so peacefully and transition seamlessly into the next stage of your life. In fact, he wrote a song entitled “The Art of Dying,” which appeared on his first solo album “All Things Must Pass.” In that song, he wrote:

“There’ll come a time when all your hopes are fading

When things that seemed so very plain become an awful pain

Searching for the truth among the lying

And answered when you’ve learned the art of dying”

George’s wife, Olivia, said that when he passed, you didn’t need a candle to light the room. By that, I assume she meant his lighted spirit left his body. Selfishly, I wish George hadn’t left so soon, and I doubt I will encounter him if he returns (because he may not, having died peacefully). But, one never knows.

George’s wife, Olivia, said that when he passed, you didn’t need a candle to light the room. By that, I assume she meant his lighted spirit left his body. Selfishly, I wish George hadn’t left so soon, and I doubt I will encounter him if he returns (because he may not, having died peacefully). But, one never knows.

In the book, Ms. Butler outlines chapter by chapter what elders can do as they reach the end of their life cycle and how to prepare for each stage. She thoughtfully begins each chapter by stating “If you are experiencing…” and lists several conditions, going from mildly annoying to life-threatening, that people our age will experience as they reach the end. It’s done matter of factly, clinically, but with great warmth and compassion, because she then expounds in each chapter on what you should be doing at each particular stage.

One of her suggestions that I found very helpful was transitioning from a general practitioner to a doctor that specializes in elder medicine. In this kind of practice, the doctor asks “What is it that you want to do?” rather then tells you how she or he is going to save you from dying.

Let’s face it: death is a phase we all must go through. There may be a way to delay it, preventative practices you can use to slow it down, but, in the end, it’s the end.

A reader recently responded to one of my articles that discussed death with a quote from the film director and gay rights activist Derek Jarman, who is quoted to have said “I am not afraid of death, but, I am afraid of dying.”

This is because, we know death is coming, but we don’t know how or when it will come. We are unsure of the process by which we transition from life to death and what waits on “the other side.” We have books on faith and religion and spirituality to suggest, in some way, what we might expect, but we don’t know for sure and that uncertainty breeds fear.

On the other hand, another of my heroes, Mark Twain, is quoted as saying “The fear of death follows from the fear of life. A man who lives fully is prepared to die at anytime.”

A story told about St. Francis of Assisi has a man asking everybody in town what they would do if they knew they were going to die tomorrow. Various people offer various versions of tying up loose ends. When the man reaches Francis, Francis is hoeing the garden of the monastery. The man asks Francis what he would do. Francis looks up and around, smiles and replies “I would keep hoeing.”

I doubt that I possess Francis’ courage, strength of faith or ease with mortality. In fact, I might add, this column seems to verify that. Dylan Thomas urges us to “rage / rage / against the dying of the light.”

Katy Butler urges us to accept it and prepare for it as best we can.

I find myself somewhere in the middle. As my younger friend expressed it “I have so much more I have to do.” I think many people in my generation feel that way. Places to go. People to visit. Grandchildren to watch grow. Alas and alack.

But, in conclusion, this quote from Lord Beaverbrook, who was a newspaper tycoon and member of Churchill’s cabinet, struck me:

“This is my final word. It is time for me to become an apprentice once more. I have not settled in which direction. But, somewhere, sometime, soon.”

The idea of becoming an apprentice, of starting over, of beginning a new, different phase of “life” appeals to me. And, maybe, that’s exactly what happens.

Or, to quote Oscar Wilde’s dying words: “Either that wallpaper goes, or I do.”

He did.

Hold those grey heads up!

Complete Article HERE!

South Koreans Take Part in ‘Living Funerals’ to Improve Lives

Participants sit inside coffins during a “living funeral” event as part of a “dying well” programme, in Seoul, South Korea, October 31, 2019.

by Bryan Lynn

Thousands of South Koreans have taken part in “living funeral” services in an effort to help improve their lives.

The experience is designed to simulate death for individuals seeking to increase their knowledge about their current lives.

More than 25,000 people have completed mass “living funerals” at the Hyowon Healing Center in Seoul since it opened in 2012.

“Once you become conscious of death, and experience it, you undertake a new approach to life,” said 75-year-old Cho Jae-hee. Cho took part in a living funeral that was part of a “dying well” program offered by her local community center.

The event was attended by many people from the area, both young and old. During the program, people are asked to lie down in a closed coffin for about 10 minutes. They can also write a will and take funeral pictures.

University student Choi Jin-kyu also took part in a “dying well” event. He told Reuters news agency the experience helped him realize that, too often, he considers others as competitors.

“When I was in the coffin, I wondered what use that is,” the 28-year-old said. Choi added that he now plans to start his own business after finishing school instead of trying to enter the highly-competitive job market.

Participants get into coffins during a “living funeral” event as part of a “dying well” program in Seoul, South Korea, October 31, 2019. Picture taken on October 31, 2019.

The Organization for Economic Co-operation and Development, OECD, has rated South Korea 33 out of 40 countries on its Better Life Index. The index considers many measures of personal well-being, including housing, income, employment and health.

Many younger South Koreans have high hopes for education and employment. But such hopes can be ruined because of economic conditions.

Professor Yu Eun-sil is a doctor at Seoul’s Asan Medical Center who has written a book about death. “It is important to learn and prepare for death even at a young age,” she told Reuters.

In 2016, the World Health Organization reported South Korea’s suicide rate was 20.2 per 100,000 people. That is nearly double the worldwide average of 10.53.

Hyowon Healing Center began offering living funerals to help people see the value in their current lives. The experience can also help people seeking forgiveness and better relationships with family and friends, said Jeong Yong-mun, the head of the center.

Jeong said he is pleased when people are able to reconcile at a family member’s funeral. But he is saddened that the connection could not happen sooner.

“We don’t have forever,” he said. “That’s why I think this experience is so important – we can apologize and reconcile sooner and live the rest of our lives happily.”

Complete Article HERE!