NEW REVISED VERSION

“Death is not the opposite of life, but part of it.”
~Haruki Murakami~

WHAT YOU WILL LEARN IN THE BASIC INTERMEDIATE COURSE:

Section 1: Introduction and general information
Section 2: Death Doulas for the dying
Section 3: Birth of a Death Doula
~ Becoming a Death Doula
~ What do Death Doulas do?
~ Do you need a medical background to become a Death Doula?
~ Who becomes a Death Doula?
~ Does a Death Doula charge a fee?
~ Thinking of your own needs as a Death Doula
~ Caring for yourself while caring for others
~ Taking care of yourself
~ Emotional support for yourself
~ Looking after yourself
~ Being gentle with yourself
Section 4: Death Doulas will change how we are handling end-of-life care
~ What is the difference between an End-of-Life doula, Death Doula and a       Mourning Doula?
~ End-of-Life Doula
~ The Death Doula
~ The Mourning Doula
Section 5: Talking to the family members or patient that you are caring for
~ A wide range of emotions
~ Aggression and loss of control
~ Confusion and forgetfulness
~ Feelings of other family members and friends
Section 6: Therapeutic Communication
~ Using broad opening statements and open ended questions
~ Using general leads
~ Reflecting
~ Sharing Observations
~ Acknowledging the patient’s feelings
~ Using silence
~ Giving information
~ Clarifying
~ Verbalizing implied thoughts and feelings
~ Exploring
~ Present reality
~ Voicing doubt
~ Suggesting collaboration
~ Validating
Section 7: End-of-Life disease and emotional support
~ Emotions in terminal illness
~ What is emotional distress?
~ How can I assess someone’s emotional needs?
~ How can I provide emotional care?
~ What other help is available?
~ Emotional care for family and friends
~ Supporting a terminally ill person
~ How do you help someone who’s in denial about their pending death?
~ When is denial harmful?
~ Is it important to keep a vigil while the patient is near death?
~ Is it appropriate to tell the person dying that it is alright to let go?
~ What do you tell people who are struggling with guilt?
~ What advice should you give to those who are grieving?
~ ‘Permission to die’ and ‘The good death’
Section 8: Keeping the dying in mind
Section 9: Accepting death
Section 10: Some positive attitudes towards dying
Section 11: Saying goodbye to a life
Section 12: Supportive therapies for the dying
~ Guidance by the dying
~ General points on therapy
~ Aromatherapy and massage
~ Reiki
~ Reflexology
~ Physiotherapy
~ Keeping up comfort and appearance
Section 13: Nursing the dying body
Section 14: When death occurs
~ Physical
~ Emotional/spiritual/mental ‘letting go’
~ Signs and symptoms of the final stage of life:
   Coolness
   Sleeping
   Disorientation
   Incontinence
   Congestion
   Restlessness
   Urine Decrease
   Fluid and food decrease
   Breathing pattern change
~ Normal emotional, spiritual and mental signs and symptoms with the     appropriate responses:
   Withdrawal
   Vision-like experiences
   Restlessness
   Fluid and food decrease
   Decreased socialization
   Unusual communication
   Giving permission
   How will you know when death has occurred?
Section 15: Support for children
Section 16: Reprocessing and grief
~ Wrap up
Section 17: Reflections
Section 18: References
Section 19: Assignment and multiple choice exam