15: Death and Dying Flashcards
landmark theory developed by psychiatrist Elizabeth ___-___, that people who are terminally ill progress through five stages in confronting death - denial, anger, bargaining, depression, and acceptance
Kubler-Ross’ stage theory of dying
the idea that terminally ill people can know that they are dying, yet at the same time not completely grasp or come to terms emotionally with that fact
middle knowledge
AKA chronic grief - controversial diagnosis in DSM-5, in which a bereaved person still shows intense symptoms of mourning, or an increase in symptoms, six months to a year after a loved one’s death
persistent complex bereavement-related disorder
the fact that hospital personnel make projections about the particular pathway to death that a seriously ill patient will take and organize care according to that assumption
dying trajectory
courses in medical and nursing schools devoted to teaching healthcare workers how to provide sensitive care to dying people
end-of-life care instruction
a medical service or unit that is devoted to providing comfort care at the end of life or in the face of a serious illness
palliative care service
providing sensitive care to dying patients outside of hospitals by giving families the support they need to care for terminally ill people at home
home hospice
any written document spelling out instructions for life-prolonging treatment if people become irretrievably ill and cannot communicate their wishes
advance directive
a type of advance directive in which people spell out their wishes for life-sustaining treatment if they become permanently incapacitated and unable to communicate
living will
a type of advance directive in which people designate a specific surrogate to make health-care decisions if they become incapacitated and are unable to make their wishes known
durable power of attorney for health care
a type of advance directive filled out by surrogates (usually a doctor in consultation with family members) for impaired people, specifying that if they go into cardiac arrest, efforts should not be made to revive them
Do Not Resuscitate (DNR) order
a type of advance directive in the charts of impaired nursing home residents, specifying that, in a medical crisis, patients should not be transferred to a hospital for emergency care
Do Not Hospitalize (DNH) order
withholding potentially life-saving interventions that might keep a terminally ill or permanently comatose patient alive
passive euthanasia
a deliberate health-care intervention that helps a patient die
active euthanasia
a type of active euthanasia in which a physician prescribes a lethal medication to a terminally ill person who wants to die
physician-assisted death
