Chap 16 - Death & Dying Flashcards
Define end of life from a medical perspective
A period within which death is expected is usually days to month.
What are the 5 stages of death as defined by Kübler Ross?
- Denial
- Anger
- Bargaining
- Denial
- Acceptance.
Rigor Mortis
The natural stiffening of the body that starts approximately 15 min after death and lasts about hours
Advance health care directive
A document in which wishes with regard to health care to be enacted in the event the person is unable to make decisions.
Coroner’s case
death that requires investigation and autopsy
Cultural competence
The ability to provide support and care to individuals of cultures and belief system different from one’s own.
DNAR
Do not attempt resusciate
DNR
Do not resuscitate
Heart beating cadaver
- A cadaver maintained on cardiopulmonary support to provide tissue perfusion.
- This is done to maintain viability in organs for donors.
Non-heartbeating cadaver
- Tissues from a non-heart beating cadaver are restricted to those that do not need perfusion to sustain viability for later transplant.
- This includes the cornea, blood vessels, heart valves, bone and skin.
Kübler-Ross, Elisabeth
•Developed in 1960’s. A swiss psychiatrist who proposed a theory of development or psychological stages of the dying experience.
Living will
Specifies the exact nature of palliative care that they accept.
Postmortem care
Physical care of the body to prepare it for viewing by the family and for mortuary procedures.
Required request law
Requires medical professionals and other caregivers to ask the family for permission to recover organs from patient.
Rigor mortis:
The natural stiffening of the body that starts approximately 15 min after death and lasts about hours .
Repression
Blocking of threatening material from conscious.
Death in the OR
Relatively rare event
Brain Dead
When the entire brain ceases to function with out life support mechanism in place.
Self-determination
The right of every individual to make decisions about how they live and die.
Assisted suicide
Intentional harm on a person, at their request to promote death or cause death
Liver Mortis
After death body begins to fill with fluid around the ears and cheeks and turn purple or red.
Sentinel event
An unexpected incident resulting in serious physical injury, psychological harm or death. The near miss of injury or harm is also considered a sentinel event.
Process of recovery is administered thru
Donors, Register, Recipients, Organized recover.
Stage theory
Is considered by some to be too constricting and does not allow for individualism in the experience of death.
