Saturday, February 6, 2016

Wisdom Of The Week

For thousands of years, the dreams and visions of the dying have captivated cultures, which imbued them with sacred import. Anthropologists, theologians and sociologists have studied these so-called deathbed phenomena. They appear in medieval writings and Renaissance paintings, in Shakespearean works and set pieces from 19th-century American and British novels, particularly by Dickens. One of the most famous moments in film is the mysterious deathbed murmur in “Citizen Kane”: “Rosebud!”

Even the law reveres a dying person’s final words, allowing them to be admitted as evidence in an unusual exception to hearsay rules.

In the modern medical world, such experiences have been noted by psychologists, social workers and nurses. But doctors tend to give them a wide berth because “we don’t know what the hell they are,” said Dr. Timothy E. Quill, an expert on palliative care medicine at the University of Rochester Medical Center. Some researchers have surmised that patients and doctors avoid reporting these phenomena for fear of ridicule.

Now a team of clinicians and researchers led by Dr. Kerr at Hospice Buffalo, an internist who has a doctorate in neurobiology, are seeking to demystify these experiences and understand their role and importance in supporting “a good death” — for the patient and the bereaved.

These events are distinct from “near-death experiences,” such as those recalled by people revived in intensive care units, said Pei C. Grant, the director of the research team. “These are people on a journey towards death, not people who just missed it.”

Hospice Buffalo, in Cheektowaga, N.Y., cares for 5,000 patients a year, mostly with visits to private homes and nursing facilities. After doctors, nurses, social workers or chaplains ask patients, “How have you been sleeping?” they often follow up with, “Can you recall any dreams?”


- A New Vision for Dreams of the Dying

No comments: