Originally Posted by IRISHPOOH
Could the reason (or at least "a" reason) so many people appear to deny the supernatural and the passing on to eternal life be because they are being taught the theory of evolution to be "fact" in the public school system? If you believe you came from sludge (primordial ooze) and you will return to that same state after death with no deity behind it nor a purpose for it all then it would make sense to try and find some excuse like hallucinations to rationalize away the "phenomenon" many dying people seem to experience.
irishpooh, i just do not know the answer to your question.
spiritual phenomena has certainly been discussed to great depths, but only among a few contributors.
there are too many hospice nurses we haven't heard from.
why doesn't anyone like to talk about spiritual events?
i honestly don't think that the theory of evolution has been taught in many school systems.
but i do think that med and nsg schools, have taught their best attempts of eol care, and how it manifests.
it's a feasible theory to state that multi-organ failure can/will cause hallucinations, as the brain shuts down.
or, if there is ca, then it has likely has mets to the brain.
in other words, our schooling teaches us to find something palpable, something tangible.
that is why "terminal agitation" is r/t a sequelae of insults, yet i've never heard it to be equated with spiritual distress.
and so, the predictable doses of haldol, ativan are administered, to quiet our pts down.
not all pts present with this.
but for those who are vocal, restless, agitated....it will benefit the pt tremendously, to try and discovery "why".
but meds are so much more convenient.
to clarify, i totally support the use of meds.
but i do not believe in trying to quiet a pt when they have something that needs to be said.
but we're a quick-fix society.
whatever works...as long as it's easy and effective.
so, who knows why spirituality is seemingly so repressed in eol care?
certainly, religion is not.
an effective chaplain will address religious and spiritual concerns.
a hospice nurse who isn't afraid to "go there", is equally, if not more, impactful when sharing these visions.
it's a fascinating journey to take w/your pt.
if you do go into hospice, please, take their hand and go for the ride.
it is unlike any other experience you've encountered as a nurse.
best of everything.
leslie