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DEATH, DYING AND BEREAVEMENT: DEATH AND DYING
Death, dying and bereavement are areas not normally associated with physiotherapy practice, yet the physiotherapist is often confronted with death. As Purtillo (1972) points out, a patient may die or his family may wish to discuss death-related topics. On a personal basis, the physiotherapist may suffer the death of a loved one. Death and dying are of universal concern (Feifel, 1990).
The secularist and consumerist societies of the late twentieth century have attempted to deny death in many ways. Euphemistic language describes how the deceased has 'passed away' or has 'gone to sleep', in such terms no one has died. The art of the mortician ensures that many dead people look better than they did when alive. In many instances coffins are not committed to the earth in the presence of mourners but are rested on grass-like mats used to cover the grave, with burial taking place later when the bereaved have departed. Behaviour such as this is a vain attempt to deny the reality of death. Why death became a taboo subject in recent history is not readily explicable, for by its very nature it is a totally natural event. The more sophisticated ordering of our society, with improved nutrition and health care, has prevented many untimely deaths, but death itself cannot be prevented.
Historically death and dying were dramatic events which took place in the family arena. Death was a common and natural occurrence for both adults and children. A person was born and died as a member of the multi-generational family and was dependent upon the resources available within that unit. With this type of inter-generational living, birth and death were both viewed as natural aspects of the life cycle. This type of family structure has disappeared in modern, industrialized and urbanized societies and death no longer impinges so closely on people's lives.
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