You are caring for James, a 60-year-old retired teacher who has lived with his partner, Peter, for 30 years. Although they have no children of their own, they are supported by nephews and nieces and a wide circle of friends. James was first diagnosed with prostate cancer a year ago, and although initial treatment indicated a good prognosis, a CT scan indicates the presence of metastatic bone disease. James was referred to palliative care for symptom management and supportive care. James’ condition has gradually deteriorated over the last week and it now appears that he is dying.
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1. How would you recognise and acknowledge death?
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Correct answer:
The multi-disciplinary team is in agreement that James is dying and that care should now focus on comfort, ensuring James will die with dignity with Peter and his family in attendance. It is important that Peter and the wider family be kept informed about what to expect and that any communication is clear and understandable. Open communication will allay fears and ensure that Peter and the family are prepared for the events which will mark James’ dying.
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2.How would you care for the body at the time of death?
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Correct answer:
After James has died, it is important that his body be treated with respect and dignity. The body should be handled in accordance with James’ beliefs. As death needs to be certified by a registered physician, it is important that Peter and the family are made aware of this procedure and the care that James’ body will receive once death has occurred.
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3. What is the aim of a post-mortem or coroner’s inquest?
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Correct answer:
The main aim of a post-mortem requested by a coroner is to find out how someone died and decide whether an inquest is needed. An inquest is a legal investigation into the circumstances surrounding a person’s death. In certain circumstances, the partner or relative of the patient may request a post-mortem to find out more about the cause of death. It is important that family is made aware of the need and reasons of a post-mortem.
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4. How can he funeral director help families and relatives?
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Correct answer:
In some cases. the provision of written information regarding the process of engaging the services of a funeral director can be helpful for bereavement family and relatives. Funeral directors can assist with arrangements for funeral or memorial services depending on preference. It is important that James’ wishes, if they are known, regarding arrangements for his funeral service are adhered to; however, if his wishes are not known then his partner, Peter, will be assisted by the funeral directors to make all necessary arrangements.
