Tag: Spiritual Concerns

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Hospital volunteers unlock deep mysteries with dying patients

David Wynn, left, Edie Bennett, right, and Carolyn Lyon, center, are volunteers in the St. Joseph Hospital NODA program in Orange. No One Dies Alone is to provide a reassuring presence to patients who would otherwise be alone.

by DAVID WHITING

[T]here is life and death and the in-between.

It is the in-between where hospital volunteers such as Edie Bennett and David Wynn make sure that no one dies alone.

Over nearly a decade of volunteering at St. Joseph Hospital of Orange, Bennett and Wynn have comforted people going gently into the night, endured sepsis many would run away from, even witnessed people crossing death’s door and suddenly reviving.

But perhaps there is nothing Bennett and Wynn say that is more comforting than hearing when someone is unresponsive humans connect on far deeper levels than you might expect.

It has to do with love. But sometimes it also has to do with jazz.

MOVEMENT OF LOVE

Family and friends gathering with someone near death is as old as humanity. But in the modern world, there is a raft of reasons dying patients face death alone.

Some have families too far away to arrive in time, some are homeless and without support, others are estranged from loved ones, some simply outlive everyone they know.

The No One Dies Alone movement traces its roots to a rainy Oregon night in 1986.

Sandra Clarke, a nurse at Sacred Heart Medical Center in Eugene, tended to an elderly dying man who asked, “Would you stay with me?’

Clarke was especially busy with six patients, according to reports, and promised she would soon be back. But by the time she returned, the man had passed on.

For years, the incident haunted Clarke. Eventually, she discussed with staff her idea of volunteers staying with dying patients. PeaceHealth, the corporate organization of Sacred Heart Medical Center, approved her vision and in 2001 No One Dies Alone was born.

Today, an estimated 200 hospitals are involved.

Wynn first thought about dying alone when he and his family happened to be in Las Vegas and a family member died while they were there. Later, he heard about No One Dies Alone through a hospital newsletter after being treated for a condition that nearly killed him. He recalled dark, sometimes scary nights when staff held his hand and comforted his worries away. “It was like I got hit on the head with a board.

“I don’t want to sound like ‘St. Dave,’ but I wanted to do something that made a difference.”

Busy with family, camping, skiing and a demanding job as an AT&T senior project manager, Wynn offered to volunteer. Soon, he was coaxed into coordinating the program.

That was nearly a decade ago.

DEEP CONNECTIONS

St. Joe’s, as the hospital is affectionately known, averages one dying alone incident a month. That may not sound like much, but keep in mind that death is unpredictable. Some people pass within a few hours, others linger for weeks — and some walk away.

Wynn recalls a woman dying one New Year’s Eve. On his way home from a ski trip with his wife, he agreed to answer the call thinking he would be home from the hospital before midnight.

But midnight stretched to 1 a.m., then 2 a.m., then 3 a.m. Dozing in a chair, Wynn woke to daylight and the woman sat bolt upright in bed asking, “Who are you?”

Wynn stammered he was simply there to keep her company.

Soon, the woman returned to her nursing home.

When a call goes out, an army of some 45 volunteers split into four-hour, round-the-clock shifts.

Wynn recalls his first patient, a woman in isolation dying of cancer. When he opened her door, the odor nearly knocked him over. He gathered himself, sat down, took a glove off and touched the woman’s arm to assure her that she was not alone.

“It’s not always pleasant. Sitting there for hours with a gown and mask on can be difficult,” Wynn, a 61-year-old Anaheim Hills resident, allows, “but every human being deserves to die with dignity.

“I think touch is very important.”

As Wynn talks, I think of my father holding my mother’s hand and caressing her arm just before Thanksgiving as she lay in a coma. As her heartbeat slowed, I too held her hand and gently kissed her forehead.

But I wondered whether we do these things to sooth our souls or for the souls of others.

Wynn is convinced communication — both sound and kinetic — goes back and forth regardless of the patient’s responsiveness.

“When I was non-responsive,” he says of his time as a patient, “I could still think, I was still aware.”

Volunteers talk, watch TV, listen to music with patients. “Each case,” Wynn explains, “takes on a life of their own. There’s a connection.”

Wynn learned one of his patients was a musician so Wynn played classical music. But the patient grew restless so Wynn turned off the music. Later, he learned the man was a jazz musician and Wynn played something off a 1959 Miles Davis album called “Kind of Blue.”

The patient’s lips crinkled into a slight smile.

‘SACRED ENCOUNTERS’

When Bennett learned her father was in the hospital in Arizona, the retired lobbyist drove eight straight hours. But she just missed being there when dad was still alive.

The event prompted the 68-year-old Orange resident to volunteer. “You’re sharing the last stage of life’s journey,” Bennett offers. “For me there’s no more sacred an encounter.”

Both Bennett and Wynn remember every patient as if it were yesterday. One was a 26-year-old woman with a long-term disease Bennett had met at St. Joe’s the year before. Back then, the woman had a tattered stuffed animal. Bennett brought a playmate, a furry toy.

“She was sipping from a straw,” Bennett recalls, “lime Jell-O. I stroked her hair. She could have been my daughter.”

Bennett looked at the young woman and promised, “You will always be my angel.”

“Thank you,” the young woman said before slipping away.

“I still think of her,” Bennett allows, “and that was almost two years ago.”

Then there was the time when Bennett was with a dying woman gasping for air. Her breathing slowed to six breaths a minute. Soon, it was so quiet it appeared she was about to take her final breath.

Suddenly, the patient muttered something. Bennett couldn’t make it out. Another sound, “water.”

Within an hour, the patient sang, “Water, water.” Then she ate chocolate pudding. Soon, she was discharged.

“It’s rare,” Bennett says, “but it does happen.”

The mystery of the in-between.

Complete Article HERE!

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The Good Death: How Do Christians Learn to Die?

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[B]ut it also struck me that we tend to do Lent in such a way that the emphasis lands on the second half of that sobering statement, not the first. Maybe it’s an evangelical, Pietist, or Baptist thing: we’d rather know what we can do, not linger on who we are. For whatever reason, our Ash Wednesday service was full of the language of repentance, and had substantially less to say about the other pervasive theme of Lent: death.

It probably feels different if you impose ashes on the very young, the very ill, or the very old, but it’s hard to think too concretely about death when you’re face-to-face with someone in the prime of life. After the service, I had to explain to one student that “dust you are and to dust you shall return” is simply a more poetic inversion of the preceding line in the Book of Genesis:

By the sweat of your face
    you shall eat bread
until you return to the ground,
    for out of it you were taken;
you are dust,
    and to dust you shall return. (3:19)

(“Oh,” she replied, “okay. Thanks.”)

To be sure, the smudged cross on our foreheads evokes hope; it’s a partial symbol, an incomplete thought resolved by Resurrection. But even for those who live in that hope, death is inescapable.

Worse yet, dying is inescapable. We will be changed “in the twinkling of an eye” (1 Cor 15:52), but for many of us, death will not come so suddenly, or mercifully. It will be preceded by longer periods of physical pain and emotional distress, by the contemplation of severed relationships and work left unfinished, and perhaps by spiritual turmoil or emptiness. And then there’s the lingering impact on family, friends, colleagues, caregivers, medical professionals…

We can celebrate with Paul that our “being given up to death for Jesus’ sake” makes the life of Jesus “visible in our mortal flesh” (2 Cor 4:11). But mortality can be hard to face.

(If I sound a different tone than usual in this post, it’s because I can’t write about this topic without thinking of loved ones: two friends who died not long ago, one after a months-long battle with cancer and the other after spending several days in an intensive care ward, incapacitated by a stroke; and my grandfather, whose body is giving out at a rate that makes it unlikely that he’ll see his ninety-fifth birthday.)

Fortunately,Christian tradition is full of wise reflection on what it means to die — and even, how do it well.

In fact, I’m treading familiar ground for longtime readers of this blog.  In May 2013, David and then-Bench-er (now university provost) Miles Mullin took turns reflecting on Christian understandings of “the good death.” Miles shared resources from authors ranging from Gregory the Great and John Donne to contemporary journalist Rob Moll. David reflected on a class visit to a monastery inhabited by casket-building Trappist monks.

But like him, I’d particularly recommend the revelatory first chapter of This Republic of Suffering, by Civil War historian and Harvard president Drew Gilpin Faust. (Or look for the associated episode of PBS’ American Experience series.) Of a conflict that took three-quarters of a million lives (recently revised upwards from the bad-enough-as-it-is number of 618,222), Faust observes that

Civil War soldiers had many opportunities to die and a variety of ways in which to do so…. As men became soldiers and contemplated battle, they confronted the very real possibility of death. They needed to be both willing and ready to die, and as they departed for war, they turned to the resources of their culture, codes of masculinity, patriotism, and religion to prepare themselves for what lay ahead. This was the initial work of death.

(One more example: a year ago John shared the story of the Gaillard family, Confederates for whom “death and Christian faith were inseparable if sometimes awkward companions.”)

Like David, “I don’t want to over-romanticize premodern death,” nor “trade [modern death] for a nineteenth-century ‘good death.’” But Faust is no doubt correct that “Civil War soldiers were, in fact, better prepared to die than to kill, for they lived in a culture that offered many lessons in how life should end.” For example, Americans on both sides of the conflict read The Rule and Exercise of Holy Dying (1651), by the Anglican divine Jeremy Taylor: “His revision of the originally Catholic ars moriendi [art of dying] proved not just a literary achievement but an intellectual triumph that firmly established the genre within Protestantism.”

For Taylor, dying well was a lifelong activity. “In the church of Rome,” he scoffed, “they reckon otherwise concerning sick and dying Christians than I have done. For they make profession, that from death to life, from sin to grace, a man may very certainly be changed, though the operation begin not before his last hour….” Instead, Taylor spends nearly sixty pages advising a “General Preparation towards a holy and blessed death” before actually getting to dying itself. And this was all a sequel to his Rules and Exercises of Holy Living.

Today there is little about secular or Christian culture in this country that encourages reflection on anything like the ars moriendi. The art of dying couldn’t seem more foreign. “Once an intimate family affair,” Miles observed, “death and dying are now outsourced in America.” And Faust admitted that her readers might feel that Civil War soldiers “often seem to have been trying too hard as they sought to present evidence of a dead comrade’s ease at dying or readiness for salvation.”

Yet these soldiers’ “Victorian and Christian culture offered them the resources with which to salve [their] deep spiritual wounds.” And that’s true of Christians living through earlier chapters in the story of the church. So instead of giving up chocolate or Facebook this Lent, perhaps we postmoderns should devote ourselves to a different discipline, and spend time studying a couple of these older reflections on how Christians face death and dying.

Complete Article HERE!

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How to Find Meaning in the Face of Death

The time between diagnosis and death presents an opportunity for “extraordinary growth.”

 

By Emily Esfahani Smith

[T]he psychiatrist William Breitbart lives at the edge of life and death. As chairman of the Department of Psychiatry and Behavioral Sciences at Memorial Sloan Kettering Cancer Center in New York, Breitbart specializes in end-of-life care for terminally ill cancer patients. For many of his patients, the most pressing question isn’t when they’ll die or how painful death will be. Rather, it’s what makes life meaningful. They are in search of a meaning that cannot be destroyed by death.

Is there one?

Breitbart has spent the better part of his career trying to answer that question. His ground-breaking research shows that while the specter of death often leads people to conclude that their lives are meaningless, it can also be a catalyst for them to work out, as they never have before, the meaning of their lives.

When people believe their lives are meaningful, according to psychologists, it’s because three conditions have been satisfied: They feel their existence is valued by others; they are driven by a sense of purpose, or important life goals; and they understand their lives as coherent and integrated. Psychologists and philosophers say that the path to meaning lies in connecting and contributing to something that is bigger than the self, like family, country, or God.

Meaning and death, Breitbart believes, are the two sides of the same coin—the fundamental problems of the human condition. How should a human being live a finite life? How can we face death with dignity and not despair? What redeems the fact that we will die? These questions roll around Breitbart’s mind every day as he works with patients facing life’s end.

Breitbart’s interest in meaning took root in his childhood. Born in 1951, Breitbart grew up on the Lower East Side of Manhattan. His parents, Jews from eastern Poland, narrowly avoided Hitler’s death camps. When they moved to America, they carried their memories of the war years with them. Breitbart’s childhood was steeped in that tragic past. Every morning, his mother would ask him at the breakfast table, “Why am I here?” Why, she wondered, did she live when so many others had died?

“I grew up with a sense of responsibility to justify my parents’ survival and to create something in the world that would be significant enough to make my life worthwhile. It’s no coincidence,” he laughed, “that I ended up at Sloan Kettering.”

Breitbart began working at the hospital in 1984 during the height of the AIDS epidemic. Young men his age were dying all around him. As he tended to them, “They were constantly asking me to help them die,” he said. He was also working with terminal cancer patients. “When I walked in the room, they would say, ‘I only have three months to live. If that’s all I have, I see no value or purpose to living.’” They told him, “If you want to help me, kill me.”

If death means non-existence, Breitbart’s patients reasoned, then what meaning could life possibly have? And if life has no meaning, there’s no point of suffering through cancer.

By the ’90s, physician-assisted suicide was a hot topic in Breitbart’s circles and beyond. The doctor Jack Kevorkian had helped his first patient end her life in 1990. As the United States debated the ethics of assisted suicide, other countries were taking steps toward normalizing the practice. In 2000, the Netherlands became the first nation to make physician-assisted suicide legal. Today the practice is legal in the United States in California, Vermont, Montana, Washington, and Oregon.

As Breitbart heard more stories of assisted suicide, he began to wonder what specifically was driving the terminally ill to give up on life. At the time, he was doing research studies on pain and fatigue at the end of life, so he tacked onto those studies some questions that asked his subjects whether they felt a desire for a hastened death. What he discovered surprised him.

They no longer wanted to die. Their spiritual wellbeing improved. They reported a higher quality of life.

The assumption had been that the ill chose to end their lives because they were in terrible pain. But Breitbart and his colleagues found that wasn’t always the case. Instead, those who desired a hastened death reported feelings of meaninglessness, depression, and hopelessness. When Breitbart asked patients why they wanted a prescription for assisted suicide, many said it was because they had lost meaning in life. Unlike clinical depression, which has a specific set of diagnosable symptoms, meaninglessness was more of an “existential concern,” Breitbart said—a belief that one’s life has little value or purpose and is, therefore, not worth living.

Breitbart knew he could treat depression—there were medicines and well-developed psychotherapies for that—but he was stumped when it came to treating meaninglessness. Then, in 1995, he began to see a way forward. He was invited to join the Project on Death in America, which aimed to improve the experience of dying. Breitbart and his colleagues on the project—including philosophers, a monk, and other physicians—had long conversations about death and the meaning of life, “peppered with references to people like Nietzsche and Kierkegaard and Schopenhauer,” Breitbart said. “What I suddenly discovered,” he explained, was that “the search for meaning, the need to create meaning, the ability to experience meaning was a basic motivating force of human behavior. We were not taught this stuff at medical school!”

Breitbart became convinced that if he could help patients build meaning, he could decrease their suicidal thoughts and make their lives worth living even to the very end.

He developed an eight-session group therapy program where six to eight cancer patients come together in a counseling workshop. Each session, in one way or another, helps build meaning. In the first session, for example, the patients are asked to reflect on “one or two experiences or moments when life has felt particularly meaningful to you.” In the second session, patients respond to the question “Who am I?” to tap into the identities that give them the most meaning. One woman responded saying, “I’m somebody who can be very private … [and] have been working on accepting love and affection and other gifts from other people.” In subsequent sessions, they share their life story with the group and think about the role that love, beauty, and humor played in their lives.

In the final session, the patients reflect on the part of them that will go on living even after they are dead—their legacy. That could be their soul, or it could be something they helped to create that will continue to exist—their children, a work of art, or an organization. They present a “legacy project” to the group, generally something they do or create that represents how they want to be remembered. One man brought in a woodcut of a heart sculpted into a Celtic Trinity. “This is what I will teach my children,” he said, “that there is eternal love, and that I will be there for them, far beyond my passing.”

Breitbart performed three randomized, controlled experiments on the meaning-centered psychotherapy. When he analyzed the results with his colleagues, Breitbart saw the therapy had been transformative. By the end of the eight sessions, the patients’ attitudes toward life and death had changed. They were less hopeless and anxious about the prospect of death than they were before they began the program. They no longer wanted to die. Their spiritual wellbeing improved. They reported a higher quality of life. And, of course, they found life to be more meaningful. These effects not only persisted over time—they actually got stronger. When Breitbart followed up with one group of patients two months later, he found that their reports of meaning and spiritual wellbeing had increased, while their feelings of anxiety, hopelessness, and desire for death had decreased.

The time between diagnosis and death, Breitbart has found, presents an opportunity for “extraordinary growth.” One woman, for example, was initially devastated by her diagnosis of colon cancer—but after enrolling in the therapy program, she realized, “I didn’t have to work so hard to find the meaning of life. It was being handed to me everywhere I looked.” And that realization ultimately brought her—and Breitbart’s other patients—some measure of peace and consolation as they faced life’s final challenge.

Complete Article HERE!

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At the hour of death: Unlocking the mystery of dying

By Glenville Ashby

“Dying has a funny way of making you see people, the living and the dead, a little differently. Maybe that’s just part of grieving, or maybe the dead stand there and open our eyes a bit wider.” (Susan Gress Gilmore)

Glenville Ashby

Most of us have lost loved ones. It is a painful experience that sometimes takes years to heal, if ever. Many depart suddenly without notice and we are left helpless, forlorn and confounded.

Others waste away, a slow process that is painful, difficult to watch. We are called upon to be caregivers, attending to the every need of a dying relative. During that time we learn timeless lessons if we are patient, listen, and learn from this unique experience.

Like birth, death is an integral part of life that should be accorded the right, appropriate response. On a mystical level, the dying person experiences what hospice nurse Maggie Callanan calls the “Nearing Death Awareness”.

It is a process that can take days, weeks and even months; but during that time we are afforded unique information that will help us in our own spiritual travels when we are called home.

Callahan concluded in her cross-cultural research that dying persons speak of travel, maps, trains, and of queuing up to get to another place. She also found that those she studied were not heavily sedated, nor were they speaking in fantastical terms due to any neurological, physical or physiological handicap.

In her book, Final Gifts, she writes, “… we found no common cause for what we were seeing and hearing. Our patients had many different illnesses – varieties of cancer, AIDS. In some cases, their brain oxygen, body fluid and body salt levels had been documented as normal.

“Their medications varied widely, some were taking no drugs at all, others many. In short, there was no apparent physiological explanation for their communication patterns.”

Dismiss the disjointed

Unfortunately, we sometimes dismiss the disjointed, and seemingly incongruous and incomprehensible words of the dying person, attributing it to medication, dementia, or senility.

Confused, we ask the nurse or doctor to take the appropriate medical measures to quiet the patient. Somehow, we miss the mark, missing the opportunity to ease the concerns and burdens of the patient.

When we can decode what the patient is trying to say and ably respond, we have facilitated the process of transition (dying). Patients get agitated or resigned when they are not understood. The dying process becomes longer, even more tortuous as the patient struggles to convey a message or articulate a concern.

Studies have shown that dying persons will opt to leave this earth when they are satisfied that those they are leaving behind will be all right. Others protract their departure because of guilt and the need for reconciliation. They seek forgiveness for past wrongs.

Mountain of experience

A mountain of experience has taught Callanan that many dying persons want to settle personal issues before they leave. They have a thirst for closure. “(There’s) an awareness that they need to be at peace,” Callanan writes in Final Gifts.

“As death nears, people often realise some things feel unfinished or incomplete perhaps issues that once seemed insignificant or that happened long ago. Now the dying person realises their importance and wants to settle them.” We are urged to accommodate their request.

Sadly, many engulfed in the throes of dying do not and cannot speak in literal terms. They use symbolic language.

And the more we dismiss this mode of communication as insignificant, muddled thoughts, the more the patient is likely to withdraw or display bouts of anxiety. In such situations dying is painful to watch.

On the symbolism used by dying persons, we are advised to patiently learn as much as possible and be gently and constructively responsive.

Sometimes our own fears, bewilderment and anger at seeing a loved one die only exacerbate the circumstances. We withdraw, unable to openly and honestly communicate.

Friends, unable to manage their own emotions, and lost for words, do not visit not out of insensitivity, but due to their incapacity to comprehend and deal with this highly charged emotional experience.

Studies have also shown that those at the cusp of death may see and communicate with beings invisible to us.

These visitors are usually relatives and friends who have passed on, or angels, saints and religious personages that are familiar to the patient. These visions have a calming effect and it’s obvious that these exchanges serve to make the dying process peaceful and unthreatening.

Finally, hospice nurses have encountered cases indicating that patients ‘know’ the hour of their death. Others have cited cases where healthy individuals also seem to know of their demise.

In one intriguing scenario with which I am familiar, a physically robust woman, without any prodding, suddenly rushed to prepare her will and last testament. Upon completion, she hastily summoned her son, imparting every bit of religious knowledge.

“This is the most precious gift I can give you,” she told him. She succumbed a day later.

That she consciously knew that she was going to die is debatable, and I disagree with Callahan and others who argue that “dying people often seem to know when their death will occur, sometimes right down to the day or hour (and) their attempts to share information about the time of death may be clear and direct”.

However, I am of the opinion that in most cases this knowledge is a subtle, subconscious impulse unknown to the conscious mind.

Nearing Death Awareness can be taxing, taking a toll on patient and loved ones. Openness, dialogue, honesty, patience and caring by all parties will no doubt ease the burden.

Dying and death are natural, a necessary part of life. And in the same way that we learn from the living, so we must embrace the wisdom brought forth by dying people.

Complete Article HERE!

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How to die well

Lack of faith is no impediment to a decent death – or to helping another through theirs

Stand by me: Shailene Woodley and Ansel Elgort as cancer patients who fall in love, in The Fault In Our Stars.

By Johannes Klabbers

In the secular age you don’t need special authorisation to console a dying person. Just learning what it means to be there for someone is enough.

“Death literacy” is officially a thing. People go to death cafés; books about death are in demand… and around 55 million people worldwide do it every year. But how do you actually do dying well? And who can dying people turn to for support?

Although I know exceptional doctors and nurses who can and do talk with patients about their looming demise, it is something that many don’t feel qualified to do.

Traditionally, expertise in dying was thought to be the remit of religion. The Catholic church recently revived their medieval handbook for dying people, Ars Moriendi, now illustrated with drawings of happy families rather than demons, like the original, and handily available in the form of a website: artofdyingwell.org.

But what are the options for atheists or agnostics today? When it comes to thinking about what it means to be mortal, many people find themselves in a kind of secular vacuum. But living a life without religion doesn’t mean that you have to be alone at the end.

As a secular pastoral carer, I learned that consoling a seriously ill and dying person is something that almost anyone can do, whatever their faith – or lack thereof. You don’t need a special qualification, or a badge, or permission from an authority figure, supernatural or otherwise, just your humanity and determination – and for the suffering person to want someone to be there with them.

The first crucial step is turning up. Too often, our anxiety about saying or doing the “wrong thing” leads us to decide not to visit someone. Offering to be there for someone, even if they decline – and they might – is never wrong. Being there for someone means giving your attention to the person not to their illness, and concentrating on listening, not on worrying about what to say.

You will need to accept that the dying person may not want to discuss their sadness and fears – at least at first. They may want to talk about the football or the latest episode of Bake Off. Or they may just need someone to sit with them in silence.

Remember that it is not unreasonable to feel awkward. You might feel uneasy in the setting, or be distressed by their appearance. But your job is to accept your discomfort and think beyond it. You can show sadness, but do not burden them with your grief. You may need to be supported and comforted yourself afterwards.

While there might not be any formal qualifications in death literacy with which you can arm yourself, there are a number of wonderful, entirely secular, books by brilliant writers who are in the process of dying or supporting dying people, from Jenny Diski’s In Gratitude (to Tom Lubbock) and Marion Coutt’s memoirs, which together form an awe-inspiring document of courage, humility and humanity.

There is a moment which perfectly illustrates how to console a dying person in the Dutch author Connie Palmen’s moving memoir Logbook, when her husband, a leading Dutch politician, lies dying. In a moment of lucidity he sits upright and exclaims, “I am sorry for my sins!”

“I absolve you,” Connie tells him.

Ultimately, our humanity is all the authority we need to offer consolation to dying people.

Complete Article HERE!

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The Role Of Mindfulness In End Of Life Care

by vimhsadmin

Mindfulness assists people with their end of life process by giving them and their caregivers a tool they can use in order to be fully aware of the present moment and their own physical and mental states

[T]he Venerable Yin Kit (pictured above) has spent decades in hospitals, hospices, and homes, assisting people through their death. Through these experiences, her understanding of how to compassionately and wisely care for those dying and their families has changed as a result of constantly reflecting on what she experiences and what she learns as a Buddhist nun living in the West in the 21st century.

The end of life is a transformation from one physical existence to another existence. Similarly, mindfulness is a transformation of one mental existence into another mental existence.

Emphasis on mindfulness

Buddhist teachings have always emphasized the contemplation of death; a subject that engenders so much fear and worry for many. Mindfulness can take on a role  that  compliments advanced medical technology in end of life (EOL) care.

Mindfulness assists people with their end of life process by giving them and their caregivers a tool they can use in order to be fully aware of the present moment and their own physical and mental states. This allows them to settle into each moment and open up to a wider vision of the future.

With mindfulness, a dying person not only sees their physical changes, but also how their mind influences the perception and experience of their waning body. With an aware and balanced mind, a person is more able to cope with the vicissitudes and challenges that come with this stage of life and be at peace with these experiences. This in turns greatly helps to console the family, friends and care-givers.

Mindfulness also assists in opening pathways for healing relationships and positive life reviews. One can be more receptive and capable of planning for, dealing with and understanding the constantly changing physical and mental experiences and in the end, one’s own death.

The role of mindfulness in end of life care

Venerable Yin Kit speaks at The End of Life: Dying, Suicide, Death conference in Vancouver, November 2016

Venerable Yin Kit spoke about the role of mindfulness in end-of-life care at Simon Fraser University’s Vancouver campus on November 3, 2016. She was also a participant in a “praxis panel” that included Rabbi Laura D. Kaplan, veterinarian Dr. Jeff Berkshire, and counselor Hilda Fernandez.

Venerable Yin Kit, also known as “Sister Jessie”, has been a Buddhist nun since 1992 and is the spiritual leader of Po Lam Buddhist Association in Chilliwack, B.C. She is involved in leading numerous workshops teaching hospice care and hospital spiritual care in Hong Kong and in Canada. The Venerable is also the advisor to the Hong Kong SPGA Hospice program.

In 2005, Venerable Yin Kit established the Compassionate Centre for Health, a service for the Chinese-speaking community in the Greater-Vancouver area. This group has grown to over fifty active volunteers who visit senior homes and palliative care units at several sites. The Venerable has spent decades in hospitals, hospices, and homes, assisting people through their death. Through these experiences, her understanding of how to compassionately and wisely care for those dying and their families has changed as a result of constantly reflecting on what she experiences and what she learns as a Buddhist nun living in the West in the 21st century.

Dr. Jeff Birkshire, Rabbi Laura Kaplan, Venerable Yin Kit Sik, and moderator Hilda Fernandez
on the Praxis Panel at The End of Life: Dying, Suicide, Death (November 2016)

The End of Life: Dying, Suicide, Death

Simon Fraser University’s Institute for the Humanities hosted a conference in November 2016 called The End of Life: Dying, Suicide, Death. The conference was intended to provide space for pondering the complex and agonizing decisions regarding the end of life. Space for such conversations is especially needed given the 2015 decision of the Supreme Court of Canada declaring that the prohibition on physician-assisted dying infringes upon Section 7 of the Canadian Charter of Rights and Freedoms, and the introduction of Bill C-14 which has resulted in debate about who, when and in what circumstances an individual may make such a decision.

Speakers included academics, graduate students and practitioners who spoke from their own particular perspectives: legal, ethical, medical, and spiritual or religious. The presentations also drew upon insights from literature and art, some of humanity’s most treasured resources.

Complete Article HERE!

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How funeral traditions differ across Abrahamic religions

Funeral practices are deeply integrated in culture, reflecting beliefs and values around death. Offering an index of religion, funeral traditions in Abrahamic religions bear quite different stages as well as certain similarities

 

An Islamic funeral in Pakistan

By AYŞE BETÜL KAYAHAN

[H]aving become a subject of philosophy, psychology, sociology as much as it has of anthropology and theology, mortality has always been a matter of interest throughout history as well in the present day. There is even a scientific field named “thanatology,” the science of death.

The anthropology of death brings us the very different funerary customs that have been in practice throughout history.

To start with a common example, ancient Egyptians used to embalm the deceased and built giant pyramids to house the embalmed bodies of their kings and pharaohs. Other interesting burial traditions include those of the ancient Greeks, recorded in anthropological records or literary works like those in Homer’s “Iliad” and “Odyssey.”

As far as can be understood from historical accounts telling about the funeral of Attila the Hun, ancient Turks used to show their grief by hurting themselves. Before the 6th century, Turks were burning the deceased with their belongings and horses, and keeping the ashes to bury in autumn or spring. Certain Chinese and Arabic accounts report that it was the Kirghiz people who were the first Turks to burn the body. However, it was after this century that Turks began to bury their deceased.

In Iran, dead bodies used to be buried before the arrival of Mazdaism (Zoroastrianism). Fire, soil, air and the water are considered as sacred in Mazdaism and the body must not pollute any of these four elements. There was no burning or burying but the deceased used to be abandoned outside. The same tradition was visible among the Sasanians, as they used to abandon the dead outside and bury the separated bones and flesh in a special containers called “Ossuarium” later on. Today modern Mazdaists bury their deceased. “Burial customs always have been an index of religion,” American scholar Richard Nelson Frye says.

According to Abrahamic religions, Islam, Judaism and Christianity, the appropriate way is to bury the deceased. It is believed that Cain (Qabil), the eldest son of Adam killed his brother Abel (Habil) and committed the first crime of murder. It was the first death on the earth and the first burial. It is still observed that Muslim and Jewish communities bury deceased people as a funerary custom following the order of the Quran and Torah. Cremation and embalming are strictly forbidden by Islam and Judaism. In both religions, burials take place as quickly as possible to honor the dead. Jews never hold a funeral on “Shabbat,” while there is no similar restriction in Islam.

Muslims and Jews prepare the body for burial by washing the body with warm water from head to feet. Jews call this process “Tahara.” Muslims apply “ghusl,” or the ritual of ablution. While washing, the body can be turned from one side to another to entirely clean it but it is never placed face down. In Islam and Judaism, the body is dressed in white burial shrouds and put in a simple wooden casket. Men prepare men and women prepare women.

In Islam, a person who is about to die is expected to say the “Shahada,” or the testimony of faith, which translates to, “There is no God but Allah and Muhammad is the Messenger of Allah.” His family or close friends should encourage him to say it because it is regarded as one of the first pillars of Islam.

When the person dies, those present close the deceased’s eyes and cover the body with a clean sheet. Someone is expected to read the Quran. As soon as the “ghusl” and shrouding are done, the deceased’s coffin is taken to the mosque for the funeral prayer “Salat al-Janazah,” which is a communal duty among Muslims.

The deceased person is put in front of the imam and the community behind him faces to the “qibla,” the direction of Mecca, in the courtyard of the mosque. When the prayer ends, the casket should be transported to the cemetery for burial. The body should be placed in the grave on its right side, facing the qibla. A layer of wood is placed over the corpse and then the soil is filled. Following the burial service, the family of the deceased accepts visitors at home.

On the other hand, Jewish funerals take place at synagogues. A Jew who is a Cohen, a descendant of the priestly class, does not join the burial unless the deceased is a close relative since he is forbidden to come near the corpse. A Cohen is commanded to be in state of purity and avoid ritual defilement by a corpse which is ritually unclean.

Women wear conservative apparel and men wear jackets in dark color. The service is held by the rabbi and begins by cutting a black ribbon to symbolize the person’s leaving loved ones.

After the funeral service, people go to the cemetery where men carry the casket. With prayers, the deceased is put in the grave with the casket. Mourners tear their garments as an expression of grief, which is called “keriah.” They keep on doing it during the first mourning process called “shiva” which lasts seven days. In “shiva” mourners keep the traditions such as covering mirrors and lighting candles. People visit the home of bereaved. There the “kaddish” prayer is recited.

Once a Catholic dies, the priest visits the home with a cross and a vessel of holy water to sprinkle over the deceased’s body. There is no washing or bathing but embalming is acceptable. It is also an appropriate way for the viewing and wake and vigil, which is a period of spending time with deceased before the funeral service at home or a funeral home. Relatives and friends of the deceased come, praying and sharing the grief of the immediate family. This is the most appropriate time to eulogize as the “Requiem Mass” (Catholic Church service) does not permit eulogies.

During the wake, the body is put on display in a casket. When the casket is brought to the church, the priest leads the funeral mass. Holy water is sprinkled and there is an opening song and prayer, and a sermon takes place from the Bible and a psalm. When the mass is completed the coffin is taken to the graveyard for the rite of committal.

For Eastern Orthodox Christians, there are differences in the funeral service compared to Catholics. When an Orthodox is about to die, the priest should be there to hear the final confession and administer the “Holy Communion” to the person. The first step is preparing the body that includes washing and clothing. When the body is bathed and dressed, the priest sprinkles the holy water on the four sides of the casket before the body is placed inside. The priest reads the first “Panikhida” (a prayer service). The wake lasts three days and during this, the “Psalter” (The book of Psalms) is read out loud by family and friends.

After this, the body is brought to a church in a form of procession led by the cross. There the coffin is opened and a bowl of “Koliva” (a dish of boiled wheat with honey) is placed with a candle on top, symbolizing the cyclical nature of life and the sweetness of heaven. A cross is placed in the deceased’s hand. Lit candles are distributed to those present in the funeral. The priest leads the “Divine Liturgy,” and recites “Memory Eternal.” Although saying goodbye differs in every society, from the preparation of the deceased to the disposal, the arrangements and funeral services in between actually show us all these funerary customs are important as much as for the bereaved of the deceased. The importance given to funerals is universal for honoring the deceased and consoling and sharing the pain of loss as well at the end of the day.

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