This will be long: apologies!!!
As an HCP, I've cried (after shifts!)/been sad for elderly patients (and their families) who have died. Ditto for the younger patients who have died. I look at it the same. When you see families who are not used to having loved ones die, begging you to try and fix their loved one, to make them better (i.e. get them to fit/healthy etc) it's really bloody hard when you know that prognosis is poor no matter what you do. You want to save everyone, make them all better, get them fit and healthy again etc etc....but that won't happen for everyone, and often it is the wrong thing to do. So many times, people look at what we can do, but we must think of what is the right thing to do for the individual. When a patient of mine dies, I'm equally sad for them/their families, whether they are young or elderly.
I was more stoic (but also heartbroken - I love and miss them very much) when my parents (aged 74 and 86) died, and when my grandparents died. Both my parents used to tell me that they did not want to be resuscitated (I come from a family of HCPs, so we do know the score), and that they didn't want to "linger", or be bedbound and needing all care etc etc etc. I remember my mum used to say that she prayed that when her "time" came, she'd go peacefully and quickly. My dad would say similar. They told us not to grieve for them, but be glad that they both had wonderful lives.
My mum died v quickly of cancer. Actually we didn't know she had cancer (she'd complained of feeling a bit tired and a small amount of unplanned weightloss. 3 months of thorough tests, including a PET scan a month before she died, were negative/NAD). She suddenly stopped being able to walk (she was a fit, healthy lady, BMI 20, non-smoker, rarely drank alcohol, no co-morbidities, fully independent etc), admitted to hospital for investigation and then within ten days of that, they'd found small cell carcinoma of the lungs (on day 10 of the admission) and she died. From my point of view, yes tragic and very sad (I adored my parents), but I squared that away with the fact that she was in her 70's, she didn't "linger" or suffer for a long time, she'd seen her children grow up, she'd seen her grandchildren. She'd had a wonderful life and had kept her health and independence all the way through to the time that she was admitted to hospital. She died as she had wished to die, if that makes sense. And that gives me/my siblings comfort. Now, she could have been kept alive for maybe some days/weeks beyond but that would have involved ventilation (within the ten days she was in, she ended up in ITU on NIV, having haemofiltration as her organs failed) and continuing ITU care. It would have been utterly wrong, inappropriate, cruel and going completely against what she would have wanted. It would have prolonged the inevitable and merely served to just keep her alive. It wouldn't have cured the underlying problem (small cell ca) or changed her prognosis.
Likewise with my dad. He was in his 80's: fit, healthy, independent. He'd gone on a 2 month hiking trip with a load of his old RAF mates only 2months before he died. He fell and sustained a bleed on the brain, never recovered consciousness and died 4 days later. Again, I was heartbroken and miss him very much....but I took comfort in the fact that he'd remained independent up to the point of that fall (as he wanted to).
Maybe I'm more accepting and at peace (ditto, my family) about my parents dying because we knew their wishes and also (most of us being HCPs) knew the score re: what would be appropriate treatment/care for them?
This year, 4 of my friends died from cancer. Sounds nuts, but that almost hit me more than my parents dying. I think, because of their ages and the fact that each left behind young families.
Anyway, I've wittered on long enough!!! Hopefully I am making sense!!