Marie Curie research highlights need for acceptance of death plans
Friday, March 4th, 2011Marie Curie, the cancer care charity, this week published the findings of a survey that showed that almost two-thirds (63 per cent) wanted to die at home and 71 per cent would like to be surrounded by friends, family or loved ones. In stark contrast, just three per cent wanted to spend their final hours in hospital.
Yet according to the Office For National Statistics 69 per cent of people in England and Wales died in hospitals and hospices in 2009. And think tank Demos believes that by 2030, just one in ten people will die at home, the rest dying in hospitals and care homes.
I believes that personalised death plans will enable people to be more likely to have the death they want rather than the frightening and lonely end of life experienced in many hospitals. The sort of treatment old and dying people can expect in NHS hospitals was graphically shown on Dispatches earlier this week, confirmation of the Health Service Ombudsman’s criticism of how the NHS deals with the elderly.
The main cause of this often appalling standard of treatment of the dyings is that they don’t have a voice because death is so rarely discussed. Despite the best endeavours of Dying Matters, death is still a taboo subject and therefore the dying haven’t been consulted on how they wish their final days to be spent.
Yet if ailing elderly people and those with terminal illness were encouraged to fill in a death plan, it would mean the involvement of family members and family doctors who would then know what end of life experience the dying person wanted.
Dr Chris Browne, contributing editor of the health section of My Last Song, agrees: “As a GP I believe that death plans should be encouraged as they can empower the patient and their families to take greater control of the end of life experience. This won’t happen without people’s wishes being discussed, evaluated, written down and then acted upon by family members and medical professionals.”
The death plan template within the Lifebox section of My Last Song covers much more than medical decisions. The headings enable the dying person to be as comfortable in mind and body as possible when their final moments arrive.
These headings allows people to state where they want to die, the level of medical intervention they want, who they want to visit them when they are dying, who should be there, what they want to hear, (music, poetry, prayers), what they want to smell (incense, scented candles, oils, flowers), how they want to be touched (hands held, caressed, gently massaged), and importantly and often overlooked, being clear of worries (knowing their loved ones and pets are cared for, their estate is in order, their will is up to date).
After all, pregnant mothers-to-be are encouraged to create a birth plan so that they are confident that giving birth will be as positive an experience as possible. The same should be achieved if death plans were more widely used.
