LEADER 04040nam 2200661 450 001 9910810219403321 005 20200520144314.0 010 $a0-231-54023-X 024 7 $a10.7312/renz17088 035 $a(CKB)3710000000473240 035 $a(EBL)4414127 035 $a(SSID)ssj0001530046 035 $a(PQKBManifestationID)12628794 035 $a(PQKBTitleCode)TC0001530046 035 $a(PQKBWorkID)11522995 035 $a(PQKB)11632889 035 $a(StDuBDS)EDZ0001285113 035 $a(MiAaPQ)EBC4612413 035 $a(DE-B1597)458477 035 $a(OCoLC)922528374 035 $a(OCoLC)979575194 035 $a(DE-B1597)9780231540230 035 $a(Au-PeEL)EBL4612413 035 $a(CaPaEBR)ebr11319019 035 $a(CaONFJC)MIL828523 035 $a(EXLCZ)993710000000473240 100 $a20170104h20152015 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aDying $ea transition /$fMonika Renz ; translated by Mark Kyburz with John Peck 210 1$aNew York, [New York] :$cColumbia University Press,$d2015. 210 4$dİ2015 215 $a1 online resource (175 p.) 225 1 $aEnd-of-Life Care 300 $aDescription based upon print version of record. 311 $a0-231-17088-2 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tCONTENTS -- $tAcknowledgments -- $tIntroduction: In Search of Inner Experiences of Dying -- $t1. Dying and the Transformation of Perception -- $t2. The Three Stages of Transition and Dignity -- $t3. What Is Primordial Fear? "The 'I' Dies into a 'Thou' " -- $t4. Other Hearing: Beyond Space and Time -- $t5. Metaphors of Transition -- $t6. The Sites of Transition: Fear, Struggle, Acceptance, Family Processes, Maturation -- $t7. Dying with Dignity: Indication-Oriented End-of-Life Care -- $tEpilogue -- $tAppendix -- $tNotes -- $tReferences -- $tIndex 330 $aThis book introduces a process-based, patient-centered approach to palliative care that substantiates an indication-oriented treatment and radical reconsideration of our transition to death. Drawing on decades of work with terminally ill cancer patients and a trove of research on near-death experiences, Monika Renz encourages practitioners to not only safeguard patients' dignity as they die but also take stock of their verbal, nonverbal, and metaphorical cues as they progress, helping to personalize treatment and realize a more peaceful death. Renz divides dying into three parts: pre-transition, transition, and post-transition. As we die, all egoism and ego-centered perception fall away, bringing us to another state of consciousness, a different register of sensitivity, and an alternative dimension of spiritual connectedness. As patients pass through these stages, they offer nonverbal signals that indicate their gradual withdrawal from everyday consciousness. This transformation explains why emotional and spiritual issues become enhanced during the dying process. Relatives and practitioners are often deeply impressed and feel a sense of awe. Fear and struggle shift to trust and peace; denial melts into acceptance. At first, family problems and the need for reconciliation are urgent, but gradually these concerns fade. By delineating these processes, Renz helps practitioners grow more cognizant of the changing emotions and symptoms of the patients under their care, enabling them to respond with the utmost respect for their patients' dignity. 410 0$aEnd-of-life care. 606 $aDeath$xPsychological aspects 606 $aTerminally ill$xPsychology 615 0$aDeath$xPsychological aspects. 615 0$aTerminally ill$xPsychology. 676 $a155.937 700 $aRenz$b Monika$f1961-$01222827 702 $aKyburz$b Mark 702 $aPeck$b John 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910810219403321 996 $aDying$94049470 997 $aUNINA