{"id":10680,"date":"2017-06-13T08:00:55","date_gmt":"2017-06-13T06:00:55","guid":{"rendered":"http:\/\/semmelweis.hu\/english\/?p=10680"},"modified":"2017-06-07T12:02:28","modified_gmt":"2017-06-07T10:02:28","slug":"dr-katalin-hegedus-one-of-the-preconditions-of-passing-away-well-is-having-sincere-conversations","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/english\/2017\/06\/dr-katalin-hegedus-one-of-the-preconditions-of-passing-away-well-is-having-sincere-conversations\/","title":{"rendered":"Dr. Katalin Heged\u0171s: One of the preconditions of \u201cpassing away well\u201d is having sincere conversations"},"content":{"rendered":"<p>According to Dr. Katalin Heged\u0171s, Deputy Director of the Institute of Behavioural Sciences at Semmelweis University, having sincere conversations and open communication are the factors that contribute to \u201cpassing away well\u201d. In her recently published book, Dr. Heged\u0171s compiled her experiences from the past two and a half decades related to the assistance of those who are dying and those who are mourning; she indicated the results of several recent research\u00a0works\u00a0in her new book.<\/p>\n<p><a href=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62475_IMG_2330-scr.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-10683\" src=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62475_IMG_2330-scr-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" srcset=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62475_IMG_2330-scr-200x300.jpg 200w, https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62475_IMG_2330-scr.jpg 500w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a>From what exactly do those health care professionals gain strength who are taking care of dying people? Among other things this was one of the questions that Dr. Heged\u0171s was examining in cooperation with\u00a0the members of\u00a0her research group. According to their research results those people who are persistent enough and stay in this field, all have special personality traits: they are more flexible, they have a so called sense of coherence (coordination, harmony), they can cope with difficult situations more easily and they generally have a positive personality. It helps a lot if they receive a positive reinforcement from the patients and relatives, this strengthens their combat strategy. Dr. Heged\u0171s also examined what helps ameliorating\u00a0the communication between physicians\/health care professionals and dying patients the most. On the basis of her findings, instead of lectures, smaller training courses and conversations are more helpful.<\/p>\n<p>The third research that can be read in the book entitled \u201cDoes good death exist?\u201d is based on the diaries written by mourning people. As Dr. Heged\u0171s explained, writing the emotions down in a diary helps in the process of mourning, she often recommends this to her clients. The analysis of the diaries collected during several years clearly shows that the certain stages of the mourning process is very similar for different people, independent of their age and gender. Many people write down in the diaries that urging the mourners is nowadays very typical: he\/she should stop mourning as soon as possible. Dr. Heged\u0171s emphasizes that here is a lack of empathy and patience surrounding the mourners after one or two months, even if the process of mourning is a lot longer.<\/p>\n<p>As Dr. Heged\u0171s explained, even if the question of death is more and more becoming a priority issue due to the extension of the expected life expectancy, essentially it is still considered as a taboo in\u00a0our\u00a0current society. People do not talk about it with their family members, and patients having a serious illness die at hospitals and at care homes for the elderly. Generations grow up without ever seeing a person dying, they cannot mourn as they lost the rites supporting the mourning process. Dr. Heged\u0171s highlighted that unpreparedness and\u00a0buck passing\u00a0reinforce the fear of death of the current society.<\/p>\n<p><a href=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62479_IMG_2291-scr.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-10681\" src=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62479_IMG_2291-scr-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62479_IMG_2291-scr-300x200.jpg 300w, https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62479_IMG_2291-scr-450x300.jpg 450w, https:\/\/semmelweis.hu\/english\/files\/2017\/06\/RS62479_IMG_2291-scr.jpg 950w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Based on the more than 25-year professional experience of Dr. Heged\u0171s, only few people have the chance to \u201cpass away well\u201d. The essential reason for this is the fact that death is still a taboo and there is no open communication either with the health care staff, or between the patient and the relatives. There is a general myth according to which people think the patient, unless being told so, does not know how serious his\/her status is. However, this is working just the other way round: the patients are in general entirely aware of their exact state, even if they do not talk about it. But without sincere conversations the patients are left alone with their fears, anxieties and this way both parties are deprived of the opportunity to say goodbye properly.<\/p>\n<p>Dr. Heged\u0171s recommends being natural in such a situation: relatives should not change the way they talk to the patient.<\/p>\n<p>\u201cMany people, even medical students of my Thanatology course, turn to me with the question how such a conversation should be started. I recommend the simplest questions for them: how the patient feels at that moment, whether he\/she has any pain or complaints, whether he\/she is afraid of anything, if there is anything that would do good for him\/her, what exactly he\/she envisages related to the future. On the basis of the answers to these questions it soon turns out how open the patient is for deeper conversations. It is important that his\/her wish should be the guiding line in the conversation.\u201d, said Dr. Heged\u0171s.<\/p>\n<p>According to Dr. Heged\u0171s, one should not mystify the end of life, because then one gets far away from the person who is dying or mourning. She also added that we can be of real assistance for patients being in the most serious state if we are not afraid of having a sincere conversation with them.<\/p>\n<p>P\u00e1lma Dobozi<br \/>\n Photo: Attila Kov\u00e1cs, Semmelweis University<br \/>\n Translation: Katalin Romh\u00e1nyi<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to Dr. Katalin Heged\u0171s, Deputy Director of the Institute of Behavioural Sciences at Semmelweis University, having sincere conversations and open communication are the factors that contribute to \u201cpassing away well\u201d. In her recently published book, Dr. Heged\u0171s compiled her experiences from the past two and a half decades related to the assistance of those &hellip;<\/p>\n","protected":false},"author":101126,"featured_media":10682,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,17],"tags":[],"class_list":["post-10680","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-semmelweis-world"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/10680","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/users\/101126"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/comments?post=10680"}],"version-history":[{"count":3,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/10680\/revisions"}],"predecessor-version":[{"id":10690,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/10680\/revisions\/10690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/media\/10682"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/media?parent=10680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/categories?post=10680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/tags?post=10680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}