consumers have increased and there for also the alcohol problems. It is difficult to reach the high consumers and there for there is a big amount of users that not show in the statistics. In Finland the limit of alcohol portion for high consumers 24 for men and 16 for women per week. (Sulander 2009, s. 157). References: Sulander, T. (2009). Alkoholi maistuu yh useammalle ikntyneelle ihmiselle. Gerontologia 3/2009, 157-162. Kirkevold, M., Brodtkorb, K. & Hylen Ranhoff, A. (2010). Geriatrisk omvrdnad God omsorg till den ldre patienten. Stockholm: Liber. Heiskanen, T., Salonen, K, Kitchener, B. & Jorm, A. (2002). Ksikirja- Mielen terveydest ja ensiavusta. Suomen mielenterveysseura. http://groups.stakes.fi/NR/rdonlyres/18174ABF-4E61-47E68654EBCD8714C386/0/Kasikirja_Mielenterveydesta_ja_ensiavusta_2_paino s.pdf (hmtat: 15.12.2010). Kaitsaari, T. Ikntyneiden mielenterveys. http://www.vanha.soc.utu.fi/socpol/socger/sosiaaligerontologia/alue3/miele nterveyden_hairiot.pdf (hmtat: 14.12.2010).
When the death is getting closer a lot of feelings can occur. When you know that you only have a limited time left to live there is five stages of feelings that you can go through. Its the biggest crise of your life, because you cant find a solution. You havent got any experiences to rely on, you have to look your own death in the eye. You can deny the situation, feel angry, bargain, feel depressed and at last you accept it. You have to be allowed to feel these different feelings and react. You can never demand a person in sorrow to pull togheter. (Jahren Kristoffersen a.o. 2005, s. 285-286). A person which is dying can wish to die at home, but in a situation like that it demands a relative that can take part in the caring process. As soon as possible you have to arrange the details concerning the care and wishes of the persons death with the care stuff. The relatives and the patient have to be able to contact the nursing stuff around the clock. There have to be a place in the hospital or institution where the dying person can be transmitted if the situation gets worse. The close relative that takes care of the dying person needs a lot of guidance, support, appreciation and encouragement to have the energy to care for the dying patient at home. The costs for this solution cannot be a obstacle. The family has to be able to prepare for the incoming death. The relative who takes care of the dying patient have to have written advice of whom to call when the death
has appeared. There is a good nursing praxis to have a meeting with the relative afterwards. (ETENE, s. 12-13).
References: Jahren Kristoffersen, N., Nortvedt, F. & Skaug E A. (2005). Grundlggande omvrdnad, del 3. Stockholm: Liber. bo och St: Karins kyrkliga samfllighet. Sjlavrd och frbn. http://www.turunsrk.fi/portal/se/forsamlingen/abo_svenska_forsamling/sjal avard___forbon/ (hmtat: 14.12.2010). Evangeliska- Lutherska kyrkan i Finland. Bikt och sjlavrd. http://evl.fi/EVLsv.nsf/Documents/80904A78481F029DC22570B8006F406C ?OpenDocument&lang=SV (hmtat: 14.12.2010). Etenes Vrd i livets slutskede- Promemoria utgiven av riksomfattande etiska delegationen inom hlso och sjukvrd (ETENE). http://www.etene.fi/c/document_library/get_file? folderId=17885&name=DLFE-601.pdf (hmtat: 14.12.2010).