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• Spiritual

• Physical

• Intellectual

• Emotional

Missing:

• Social

• Cultural

Senescence refers to the “wearing out” of organs as a result ofvarious aging processes.Our physical bodies are limited.Death is a normal event at theend of a long life (Chappell, 1992;Fries, 1980)

Despite the chronic nature of many diseases, death is still oftenunexpected (as with strokes, accidents, and suicides)

A death is considered premature if it occurs before the age of 70(Canadian Institute for Health Information).The large majority of deaths in Canada occur in old age