Chap 16 - Death & Dying

Question 1

Define end of life from a medical perspective

Answer 1

A period within which death is expected is usually days to month.

Question 2

What are the 5 stages of death as defined by Kübler Ross?

Answer 2

• Denial
• Anger
• Bargaining
• Denial
• Acceptance.

Question 3

Rigor Mortis

Answer 3

The natural stiffening of the body that starts approximately 15 min after death and lasts about hours

Question 4

Advance health care directive

Answer 4

A document in which wishes with regard to health care to be enacted in the event the person is unable to make decisions.

Question 5

Coroner’s case

Answer 5

death that requires investigation and autopsy

Question 6

Cultural competence

Answer 6

The ability to provide support and care to individuals of cultures and belief system different from one’s own.

Question 7

DNAR

Answer 7

Do not attempt resusciate

Question 8

DNR

Answer 8

Do not resuscitate

Question 9

Heart beating cadaver

Answer 9

• A cadaver maintained on cardiopulmonary support to provide tissue perfusion.
• This is done to maintain viability in organs for donors.

Question 10

Non-heartbeating cadaver

Answer 10

• 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.

Question 11

Kübler-Ross, Elisabeth

Answer 11

•Developed in 1960’s. A swiss psychiatrist who proposed a theory of development or psychological stages of the dying experience.

Question 12

Living will

Answer 12

Specifies the exact nature of palliative care that they accept.

Question 13

Postmortem care

Answer 13

Physical care of the body to prepare it for viewing by the family and for mortuary procedures.

Question 14

Required request law

Answer 14

Requires medical professionals and other caregivers to ask the family for permission to recover organs from patient.

Question 15

Rigor mortis:

Answer 15

The natural stiffening of the body that starts approximately 15 min after death and lasts about hours .

Question 16

Repression

Answer 16

Blocking of threatening material from conscious.

Question 17

Death in the OR

Answer 17

Relatively rare event

Question 18

Brain Dead

Answer 18

When the entire brain ceases to function with out life support mechanism in place.

Question 19

Self-determination

Answer 19

The right of every individual to make decisions about how they live and die.

Question 20

Assisted suicide

Answer 20

Intentional harm on a person, at their request to promote death or cause death

Question 21

Liver Mortis

Answer 21

After death body begins to fill with fluid around the ears and cheeks and turn purple or red.

Question 22

Sentinel event

Answer 22

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.

Question 23

Process of recovery is administered thru

Answer 23

Donors, Register, Recipients, Organized recover.

Question 24

Stage theory

Answer 24

Is considered by some to be too constricting and does not allow for individualism in the experience of death.