When a dead body does not look good - a funeral director's perspective
In this commentary, Abi Pattenden considers whether, how and why funeral directors should facilitate visits to their Chapel of Rest when the body of a deceased person does not look as good as bereaved visitors perhaps hope. You might also be interested in another commentary that considers who should be permitted to view a deceased person's body and why.
Traditions and preferences vary relating to the visiting of the bodies of people who have died. Funeral directors are used to facilitating these visits when clients request them, but there are several ways in which a body's appearance might cause concern to a bereaved person. These include:
- Visible evidence of traumatic causes of death or other injuries;
- Ongoing evidence of illnesses that the person experienced while they were alive;
- Visible evidence of post-mortem intervention;
- The body not looking as fresh, clean or in as good 'condition' as the bereaved person expected;
- The body not looking as peaceful as the bereaved person expected or hoped; and
- The body not looking 'like' the person (differing in some important respects from how the bereaved person remembers them).
People's reactions to experiencing any of these can vary greatly and are not entirely predictable. A bereaved person's expectations of what they will see and how they will feel may be at least partly subconscious, and so cannot be clearly articulated and managed in advance.
Funeral directors and others who prepare and support people who have been bereaved to visit the body of someone who has died, usually try to do what they can to reduce shock, distress, and disappointment. For funeral directors, this involves taking good care of the body, including when preparing for viewing, and communicating with bereaved people ahead of a visit so they have some sense of what to expect. Funeral directors do these things both as matters of care and because, whether justified or not, poor experiences when viewing bodies may lead people to question the skill and professionalism of those caring for them, which may cause reputational damage. Many bereaved people have little or no familiarity with what happens to bodies after death, so even with the best of care, their expectations may not be met, and their experiences of viewing may be challenging and distressing.
Different perspectives on a body's appearance
In the case story, Sean has been under the care of the coroner. This suggests that the manner of his death and/or a post-mortem examination could have affected the condition and appearance of his body. It is harder to embalm someone after a post-mortem, so it is also less likely that this method of preservation was used in this case.
As mentioned above, the comparison between how a deceased person looks in the Chapel of Rest and how they looked when alive can be important for bereaved people. For funeral directors who often have not known the deceased person in life, it may be the inability to make such comparisons that causes difficulties. When preparing someone for their funeral, photos can be useful guides, but may not reflect the person's recent appearance, especially if they have been unwell for a long time. More generally, funeral professionals who have regular exposure to deceased people tend to assess the appearance of a deceased person in comparison with the condition of other deceased people. Some in the industry who have 'seen it all' may forget the impact on others of the more extreme sights to which they have become accustomed. But even when funeral directors remain sensitive to these issues, and someone's appearance is objectively 'good', especially in the circumstances, they can be surprised and perhaps upset by an expression of disappointment on behalf of visitors. Conversely, funeral directors sometimes find that someone whose appearance causes them concern is responded to well by visitors.
Supporting mourners who might want to view a body
If a body has been seriously damaged or has deteriorated, especially in the facial area, I would expect a funeral director to consider discouraging mourners from viewing - or encouraging them to think carefully about why and whether in the circumstances they wanted to. I would also expect a funeral director to be able to discuss these issues, and any work that has been or might be done to care for the person who has died, with sensitivity to the situation and the people they are talking to. It is important to recognise that many clients will be unfamiliar with how funeral directors care for the bodies of the deceased, and I think we should use factually accurate explanations and avoid euphemism in our choice of language. If a company has employees whose specific role is to care for deceased people (trained embalmers, for example), then clients with specific and perhaps technical queries should be able to access that expertise.
The inability of the funeral professionals in the case to convey the issues relating to visiting Sean's body in ways that make sense to Jules are below my expectations of how these conversations should proceed. There is a training need for clear language and good communication here, and all funeral directing businesses should be trying to ensure their teams are well placed to have these conversations.
Particular practical challenges for preparatory communication can arise when a small number of people are involved with arranging a funeral, but a larger number may wish to spend time with the person who has died. Sometimes visits are limited to a smaller circle who have been fully briefed and are determined to proceed. Sometimes one person who is thought to be particularly suitable to the task is nominated to make the first visit to assess the person's appearance and use their knowledge of both the person who has died and those who might wish to visit to help assess and discuss how positive this experience might be. Funeral directors need to be able to explain these alternatives - and reasons for considering them - clearly, appropriately, and professionally. They also need to be able to advise of the potential burdens on the people involved. If decisions are made against viewing a body in an open coffin, other options might be considered. An option to sit with a closed coffin, as mentioned in Sean's case, is one. Another might be an invitation to place articles in the coffin.
Some people believe that understanding that someone has died is vital to 'moving through' grief, and that seeing their body is one way that this understanding is achieved. This suggests that funeral directors should be wary of preventing bereaved persons from seeing someone who has died. However, there is also a need for careful consideration of the appearances of deceased people, and their 'suitability' for viewing. Funeral directors need to be able to explain the issues clearly and to have difficult conversations in appropriate ways. The question of exactly what is appropriate is, of course, value laden and contestable. It is a question that funeral professionals and diverse client representatives need to continue to reflect on.