Case study

By: Rakyrah Simpson

Healing Environments Case Study

The healing environment for this patient would look a little different but will still involve a lot of the same practices if the patient was not dying. I would still show compassion, Handled any spirtual adn reglious request the patient needs. Make sure he is as comfortable as possible. Help assist the family in caring for the patient.

-This case study will follow the end of life care for a 65 year old hospice patient who practices Buddism - The case study will display all healing practices from the health care workers involved

• Buddhist believe that the spirit continues afdter death and may be reborn.
• To them death can be be an opportunity for liberation from the cycle of life, death and rebirth.4
• Buddist find this as a time to celebrate.
• US health care workers can find a way to help the paitent see the positivy in their death.
• We can help the child celebrate instead of being sad.
• We could assist with them completing their special prayers also known as The Mahayana (Chan/Zen, etc.)

Celebrate life with family and patient Help child understand what is happening Say special prayers

• Buddist teachings view life as a continuum
• Spirt beyond death
• Reborn

• Buddist tradition is to offer specific meals to their loved one's before death. These things consits of
• Vegetarian food, fruits, and vegetables.
• They believe this is what someone should have when they enter the rebirth process.
• As their health care worker I would make sure they have all od ther dieatry needs.

FINAL MEALS

Tibetan teachers have provided specific clarification and protocols for this section and clarification has been given for other traditions based on feedback received. In the Tibetan tradition awareness may be retained for up to three days. The manner in which the body is treated is very important so that the spirit is allowed to leave correctly. Respecting the patient wishes by handleing them they way they need to be handled to help their spirti move on would heavliy be apart of creating a healing environment.

• Final prayers and teachings

• Clarify requirements with a spiritual contact

• Precise beliefs surrounding death vary among Buddhist traditions.

• In most hospice settings patients are in private rooms.
• This patient would be no different.
• I would make sure the patient and family has all the privacy they need to conduct any religious practices.
• I would also allow them to bring any items necessary for a peaceful passing for them.

• Unwanted guest/ people
• Loud noisy enviroment
• Crowed room

• A private area.
• Family
• Calm Atmosphere
• shrines, pictures, prayer beads

What I would include

Things I would not include

Some patients will request to reduce medication that clouds the mind and will want to be fully involved and consulted at all stages. This is to help them completely be in-tuned with what is happening. For buddhist practices, healthcare workers are expected to encourage their patients to focus on their minds rather than their physical complaints, even if they are suffering from incurable diseases.

Clear state of mind Assist with total awareness

- When the body has to be moved it should be done with care and gentleness. - Some Buddhist teachers have requested that the head of a Buddhist is not touched at any time during the post clinical death process by healthcare staff. - A healthcare worker not touch the head at any time unless given permission to do so by a spiritual adviser, and then under guidance given by the adviser or another Buddhist. These practices should and would be apart of providing a healing environment for both the patient and their family.

• Delay moving the body
• Tap crown
• Only spirtiual leader can touch the head
• Do not wash the body

After death !!

Buddhists are likely to request that a postmortem be carried out only if required on compelling medical or legal grounds. In such circumstances a postmortem should be delayed until awareness has left the body - . In the Tibetan tradition interment takes place after three and a half days while the time varies across other traditions. - The traditional Tibetan practice involves a forty-nine day prayer ritual during which the spirit moves through the afterlife and decisions are made regarding rebirth. - Some of these practices won't be carried out in the hospital setting but I would make sure to assits with anything that needs to be done in the hospital.

Bereavement

Interment Ritual

Postmortem

In conclusion, I would give my patient the up most respect in any final request theyb may have. I would make sure to be mindful of any reglious things and try to follow them to the best of my professional ablity. Sometimes creating a healing invornment looks different when dealing with a termally ill patient.

• Be respecyful
• Assist with final wishes from patient and their family
• Allow privacy

Conclusion

• Gentry, J. (2016, February 16). The Culture Connection: Buddhist End-of-Life Practices – Healthcare Professionals Blog. Www.crossroadshospice.com. https://www.crossroadshospice.com/hospice-palliative-care-blog/2016/february/16/the-culture-connection-buddhist-end-of-life-practices/

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• HSE. (2016). Care of the Dying - Buddhism - HSE.ie. HSE.ie. https://www.hse.ie/eng/services/publications/socialinclusion/interculturalguide/buddhism/care-dying.html

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