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The stages proposed by Kübler-Ross are not limited to adaptation to dying; they may also apply to anyone who has to deal with profound, unwanted change. Every change involves some loss, the end of something familiar and the beginning of something new. Unhappiness with the change can trigger denial and other psychologic responses that delay acceptance. The stages are denial and disbelief, anger, bargaining, depression, and acceptance.
Dr. George Engel proposed the theory that grief over the loss of a loved one brings about psychologic responses not too different from those exhibited by persons who are themselves dying. Moreover, it has been noted that severely handicapped and disabled persons who must change their lifestyle to accommodate the effects of illness or injury might also go through a process in which they move toward acceptance of a new self and a new way of life.
John Bowlby and C. Murray Parkes also described stages of grief, outlining four dimensions: (1) shock and numbness, (2) yearning and searching, (3) disorientation and disorganization, and (4) resolution and reorganization. These do not follow any particular order, and the stages may overlap.
Partnership for Caring is an educational council that provides programs tailored to meet the needs of laypersons and professional caregivers coping with the problems of terminal care. It also is the source of the Living Will and addresses legal and medical issues related to death and dying. Their mailing address is Partnership for Caring, 1620 Eye Street NW, Suite 202, Washington DC 20006, and their Internet web site is http://www.partnershipforcaring. org. Their telephone numbers are 202-296-8071 and 800-989-9455.
dyingGeneral medicine A poorly understood phenomenon characterized by a gradual systemic shutdown, followed by an absence of criteria that define life; dying and death eventually occur in the elderly, even without identifiable disease. See Brain death, DNR, Hospice.
Patient discussion about dying
Q. God! I want to die! First of all I would like to thank you all for this website - and for all your posts - it´s very supporting. Now, my story... I have Bipolar II I´ve always had been a sort of depressed / concerned during my childhood. When I was about 14 I felt something different: I felt sort of high - I was no longer shy - I did well at school and I was so happy with a great self-confidence. After two year that changed and I got depressed – school results became poorer. Got other physical illnesses - I was diagnosed chronic inflammation of the eyes - no treatment helped. Shifted to a new country was happy for a while but again started depressing. Inflammations of the eyes got better. I was happy and I was sad and so on... My father could see a strange activity in my eyes and irritability combined with deep depression. It’s Bipolar disorder. After 2 years I felt good so I stayed away from med. God! I really want to die. Thank you for your patience to hear this patient!
Q. What causes fibromyalgia? Is fibromyalgia a deadly disease?
Q. feel like im dying want to quit smoking and drinking want help