Wednesday, January 14, 2015

Facing Death Frontline video

What did you think about this video? What surprised you? What would you want done at the end of life? Was there a particular story/person/situation which moved you or in which you would have acted differently?

16 comments:

  1. I thought this video was very emotional but also very educational. I was surprised at some of the choices some people in the video made, especially the daughters that decided to keep their mother alive by giving her a tracheotomy and keeping her on a ventilator for a year. That kind of upset me because that woman had no quality of life for that year. I understand that it would be extremely painful to let your mother go, but I think after that long of a time being on a ventilator it starts to become selfish to keep someone on one.

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  2. The video was a great representation of the extensive process and the real life decisions patients and families and medical professionals face when death is the expected outcome. Being in the field currently as a nurse, the different cases presented did not surprise me and it brought back personal memories of patients that I have taken care of in the past and how their experiences and choices were similar and different. Personally, I would not want any extensive life sustaining measures. Quality of life is the key and most families and patients go through the what if stage to prolong life even if it is just for another day. I do admire the will to fight but when its is time nothing can stop it. Medicine is a blessing but this video also shows that it is not always the cure all and does not provide us with the positive outcomes we so desire. I agree with Katie in that the women in her 80's should of died peacefully and on her own terms. She did not want any life sustaining measures yet shockingly her family members being an RN and an MD still decided to put her through the unneeded procedures just to keep her breathing. This is a classic example of why family providers need to separate their own personal wants and needs for their loved ones and respect what they request. As we saw, she was placed in a ventilator for a year?? She has no quality of life and or function. This video was a great introduction to the types of situations we are faced with and the emotions we feel deep inside that we did not know existed.

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  3. This video was hard to watch for me, but I think viewing these types of videos will prepare me for the field of nursing. The video gave an accurate depiction of what it is like at the end of someone's life, and the types of decisions that need to be made at that time. I was surprised mostly by the decision of the two daughters to keep their mother on life support. I believe that was a selfish decision. Their mother had no quality of life at that point and their decision made the experience harder on all parties involved. At the end of my life, I would rather no extensive circumstances were taken to keep me alive, not only because of the unnecessary medical bills, but I also think watching someone be kept alive on life support is devastating for the family, and I would not want my family members to experience this. It is easy to make plans for these types of situations and to predict how we would act, but when actually faced with something like this, emotions come into play and can make what we thought were clear cut decisions into something much more difficult.

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  4. I’ve never really watched a video whose main topic was solely based on death. I liked the video overall, but it was just kind of difficult to watch. I really felt for all of the families who were going through such terrible times in their lives. It was really surprising to me how strong some of the patient’s families were. I don’t think that I would be able to hold my emotions together as well as they did on camera. If I was at the end of my life and the only thing that could save me was to be put on a machine, I would ask that they just let me pass. I would never want to live with the help of a machine, I feel like that’s not truly living. The story with the ex-correctional officer moved me the most. Something about that man reminded me of some of my family members and it made me so upset thinking about one of them being in such a terrible situation. Seeing his condition in the video compared to pictures shown of him when he was healthy shows how life can change so quickly and death can come so suddenly.

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  5. Having Biomedical Ethics before Death and Dying gave me the chance to watch the video a second time. The first time watching it I felt mostly for the patients because they were the ones that were not only losing their whole families, they were losing their life and were experiencing the treatment and illnesses firsthand. The second time watching it, while still feeling for the patients, I realized that for the patients in certain situations, simple planning of their advanced directives would have made this time a lot less stressful for themselves and other family members. This would make it better by not making the family and patient make these types of decisions at this point of their life where there is so much stress and where there are so many emotions already. The family of the dementia patient who was aspirating on her own body secretions I feel made the wrong decision by intubating her in the first place. While she breathed on her own after discontinuing this treatment, the docs warned that they may have to re-intubate her or put a tracheotomy in, but this would just put them in the same situation as before and make her suffer that much longer. The family, I feel selfishly went with their gut and had them put a tracheotomy in, for her to die the next day. For myself, I will be sure to have advanced directives set to make sure that, while families have the best intentions, I will not be put in the same situation as the dementia patient if I ever got that physically or mentally ill.

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  6. Many situations can occur when facing death and sickness, as portrayed in the Frontline video. As a person is given the fatality card, they either have a choice to accept it or allow death to take over. I thought this video was very interesting to me because I was able to see different scenarios and outcomes for these patients. As a nursing major, I will be seeing this frequently in the hospital, but what surprised me the most was some of the choices families made for their dying loved one. Some people (or families) chose to keep fighting for life when there was clearly nothing left to fight for. The mother who was on a ventilator for a year, by the daughters’ decisions, seemed excessive to me. I do not understand the act of prolonging life when there is no life left in a person. Personally, I would have let my mother pass peacefully because there was no sign of recovery in her condition. If I was looking into the eyes of sickness or fatality, I would chose to fight and if I could not win, I would want to go peacefully. I do not believe in living due to a life support machine; assisted living, no recovery, and wasting away in a bed is not living at all, it is torcher and pain for the patient. Muscle mass will decrease, brain functioning will stop, and the person you love will turn into a non-functioning, non-recovering body. Although emotions will play into these decisions, I believe unnecessary sustained life is not morally correct.

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  7. This video was difficult for me to watch. I do not like to see people suffering, like most others I'm sure. It is hard to put myself in their shoes because I have not experienced what it is like to have one of my loved ones on life support, but I think it would be extremely difficult to see them like that and not knowing if they're in pain and what they're experiencing. The main thing that surprised me the most was the decision that the two sisters, who were both in the medical field, and one of the granddaughters made. I think it would be very difficult to put someone through the process of putting in a trach after they have struggled so much and they have lived a long life, especially since it is a very extensive and supposedly very painful process. In my family, everyone has written out their wishes of what they would want done in certain situations, so I think that it is helpful. At the end of my life, I would not want to be kept alive solely by machines, especially if I was older and had lived a happy, healthy life. Too much damage can occur to one's body by being kept alive via machines and I would not want that to effect the type of person I was beforehand. Personally, if I were to get cancer, I would fight as long as I could. The moment I would need a machine to breath for me, I would enter hospice care. The quality of life diminishes an extensive amount and you become a person who is unrecognizable to your family. I would not want my family to remember as a person that I wasn't. The story within this video that moved me personally was the younger man who had gone through two BMT's and was still suffering from complications from them. If I had a patient like him, it would be very difficult to deal with emotionally. He seemed like such an optimistic person who had young children and a supportive wife. It would be very hard to watch anyone go through such a hard time in their life.

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  8. The first word that comes to mind when I think about Frontline’s Facing Death video is raw. It shows the unfiltered lives of the patient and family as they struggle to make the most difficult decision of their lives. It does a marvelous job portraying not only the emotions of the family but the thoughts and emotions of the patient as they face the end of their lives. The way Frontline was able to portray the footage from an unfiltered vantage point is what surprised me. I have heard about these decisions and have had members of my family struggle through the same thing, but never have I witnessed the emotions inside the hospital room. If I were in the shoes of one of the patients being held alive by a machine, I would want my family to evaluate my current situation. If I was brain dead beyond the shadow of a doubt, I see no reason to prolong my life and I’d prefer to be taken off life support. The person that moved me most was the man who had been relegated to the hospital for the last nine months of his life. His emotions and genuine fear of leaving his family and life behind were feelings that I could envision experiencing myself, like a nightmare come to life. The only difference being that I know where I am going when I die and I can rest comfortably knowing that I will spend my eternal life with Christ.

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  9. I really enjoyed this video. What surprised me is how many situations there are like these. I never really realized that there are many people in every ICU who are dealing with what to do at the end of life. It almost made me a bit uncomfortable. One story that really stuck out was the family that was keeping the older woman, I think it was a grandma, alive with the machines when there was no hope of recovery. I don't know what I would do in this situation. I want to say that keeping her on the machines is costing a lot of money especially since they are leaving her on for years. Also, it is just becoming increasingly painful for the family. They are getting so used to having her around but they have to realize she can't stay on the machines forever. Which is where I get conflicted. As a family member and also due to my religion, I wouldn't want to take her off of the machines either. But it has to be done. At the end of my life, I would like to be left on the machines for a month or two after they decide that there is no hope for recovery. That way my family can get everything figured out and say goodbye to me before having to see me go so suddenly. But I definitely wouldn't want to be left on machines for years. It seems to just make everything worse.

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  10. I really enjoyed this video. What surprised me is how many situations there are like these. I never really realized that there are many people in every ICU who are dealing with what to do at the end of life. It almost made me a bit uncomfortable. One story that really stuck out was the family that was keeping the older woman, I think it was a grandma, alive with the machines when there was no hope of recovery. I don't know what I would do in this situation. I want to say that keeping her on the machines is costing a lot of money especially since they are leaving her on for years. Also, it is just becoming increasingly painful for the family. They are getting so used to having her around but they have to realize she can't stay on the machines forever. Which is where I get conflicted. As a family member and also due to my religion, I wouldn't want to take her off of the machines either. But it has to be done. At the end of my life, I would like to be left on the machines for a month or two after they decide that there is no hope for recovery. That way my family can get everything figured out and say goodbye to me before having to see me go so suddenly. But I definitely wouldn't want to be left on machines for years. It seems to just make everything worse.

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  11. This video was very eye-opening to me. I definitely did not realize how many people were in ICUs in hospitals and how many people really did have to make these kind of decisions. The video did a great job at showing the reality of death and illness that leads to death. If I were a patient nearing the end of my life, I would just want to be assured that my family is going to be taken care of when it's my time to leave. I would also just want to be as comfortable as possible. I wouldn't refuse treatment until it proved no longer effective. One situation that surprised me was the family that left their mother on life support for over a year. That, to me, is extreme and makes it harder to say good bye. I could understand prolonging her life to get the funeral situation figured out and say final good byes but holding onto to something that will never improve makes it too hard for me.

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  12. I was just reading over my notes from the video and realized why I found the video to be so shocking. Many movie I watched growing up ended with a possible death but there would always be a positive lesson or a "happy ending" as one could say. This video was real and raw; everyone just died at the end. I was expecting at least one person to make it out of the hospital alive, but that was not the case. It gave me a rude awakening to the "real world" so to speak. We all die in the end and this video gave me a glimpse at how unmerciful death is and how anyone could die at any time. After watching this, I realized that if I would only want to be hooked up to machines if my condition was reversible. This video gave me the urge to talk to my mom about how she would want to be treated if she was extremely injured and couldn't talk for herself. Overall, this video was eyeopening.

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  13. This video was really intense and sort of heartbreaking. It is difficult to watch people in the final stages of their lives, especially when they're out cold in a vegetative state, strapped to machines to live. And for what? personally i would never want to be hooked up to those machines for years as my family watches me slowly disintegrate. Past a certain point i believe it is necessary to just move on, however hard that may be.

    This video did call to mind an episode of south park that originally aired around the time of the Terry Shaivo case. In the episode, Kenny is being kept alive on life support and Cartman is exploiting it to try to get something he wants. Whatever it was is unimportant. The reason i bring up this episode is because i the very end, it was a lesson about broadcasting someone in such a terrible state all over the news for the world to see and how it wasn't fair for her because she had no say. Matt Stone and Trey Parker would be ashamed of the people in this show because that is exactly what they are doing to their dying "loved ones"

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  14. I thought that this video was very interesting. It’s strange to think about death and watch other people make end of life decisions. I was surprised that I didn’t get more upset by the video. While I was watching I was trying very hard to understand the decisions that were made, and I was analyzing very deeply into the quality of life vs length of life discussion. I was also surprised by a statement made by one of the staff members. She said people will do anything to make their lives longer. No matter what the risk or survival rate, they will do it. I was shocked by this statement. This was purely because my opinion is so different. I would never subject myself to a procedure to lengthen my life if the quality would significantly decrease. I would also never want to live for longer than a month on a respirator or feeding tube. Also, if I had no higher brain activity, I would not want my body to remain functioning with the help of machines. I would have acted differently in a few situations. One woman was being kept alive on machines only, and lived that way for years. I thought this was selfish of the family. I think they kept her alive only because they weren’t ready to let her go, even though it was time.

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    Replies
    1. I agree with Sami. I think that it was a very hard video to sit through and watch family make these painful life decisions. However, I believe it is a video that everyone needs to watch. When I left class I could not stop thinking about what I had just watched. When I got home I immediately asked my family members what they would want if something like that were to happen to them. I know I wouldn't want tons see anyone in my family being kept alive by a machine. However, I have never had to make the choice to take them off of one when they had already been placed on one. Either way it is a tough decision to make and I understand for anyone it would be a difficult time in their lives.

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  15. This video was very eye opening for me. Just watching how hard it was for people to let go and do the right thing for their loved ones, also watching people try to keep hope alive that one day their loves ones will recover. I would say that most surprising part of the video for me was how the doctors tend to take blame for how a patient does. when the doctors gives the patient and family suggestions that are supposed to help them,but in turn ends up making the problem and worse where that person won't be able to recover. That shows me that though doctors are just doing what they think it is right they still have remorse for what the end results may be sometimes. At the end of my life, if there was no chance that I could live my life as I use to; if were to be put in the hospital then take me off live support, because I won't be able to live my life full of happiness and life like I would want. I would hope my family would respect my wishes.

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