Spirituality and the good death
DOI:
https://doi.org/10.32385/rpmgf.v40i6.13804Keywords:
Good death, Dignity, Spirituality, Religiosity, TranscendenceAbstract
The main purpose of this article, based on a literature review, is to discuss the valorization of spirituality in its various dimensions, with a view to its real contribution to easing the process of death. Spirituality, as an aspect of care and well-being of the patient and due to the inner strength and personal growth that it may bring about, constitutes an indispensable support in the proximity of death. The acceptance of death by the person at the end of his/her life is an essential factor for his/her tranquility and, concomitantly, a goal pursued by the caregivers and professionals involved. In this phase, the speech and the expression of feelings, as well as the search for transcendence with a view to dignity in the dying process and the achievement of the "good death", represent remarkable spiritual needs. It is necessary to find meaning by "rereading one's history". Death in the solitude of a hospital reigns and hardly assures the propitious conditions for the dignity required at the end of life, as it is understood as a loss in the fight against the disease, denouncing a mechanized and dehumanized way of dying. Spiritual needs at the end of life require the professional to integrate into a multidisciplinary team, the indispensable competence and awareness of the limits of his action. Knowing how to listen, be empathetic, and respond to the installed anguish is essential. In preterminal care, professionals should focus on knowing how to be and not on knowing what to do. It is in this phase of anticipation of death that it is possible to capture the unique and unique value of the person and their dignity.
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References
1. Clark D, Seymour. Reflections on palliative care. Bucckingham: Open University Press; 1999. ISBN 9780335194551
2. Walter T. Historical and cultural variants on the good death. BMJ. 2003;327(7408):218-20.
3. Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, et al. The landscape of distress in the terminally ill. J Pain Symptom Manage. 2009;38(5):641-9.
4. Ariés P. História da morte no Ocidente. Lisboa: Teorema; 2011. ISBN 9789726959489
5. Kübler-Ross E. Sobre a morte e o morrer. 8ª ed. São Paulo: Martins e Fontes; 1998. ISBN 9788533609631
6. Cabodevilla I. En vìspers del morir. Bilbao: Desclée De Brouwer; 2001.
7. Passini L, Bertachini L. O que entender por cuidados paliativos? São Paulo: Paulus; 2018. ISBN 9788534924863
8. Lunn JS. Spiritual care in a multi-religious context. J Pain Palliat Care Pharmacother. 2003;17(3-4):153-69.
9. Serrão D. Viver, envelhecer e morrer com dignidade. Lisboa: Publicações do II Centenário da Academia das Ciências de Lisboa; 1993.
10. Harari YN. Homo Deus: a brief history of tomorrow. Random House; 2018. ISBN 9781784703936
11. Damásio A. A estranha ordem das coisas: a vida, os sentimentos e as culturas humanas. Lisboa: Temas e Debates; 2017. ISBN 9789896443344
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