Chapter 13 Death and Dying

Question 1

Irreversible cessation of brain function that can be determined by prolonged absence of spontaneous cardiac and respiratory functions

Answer 1

technical definition of death

Question 2

period during which organisms loses its vitality

Answer 2

definition of dying

Question 3

Commonalities in physical changes of death

Answer 3

asleep lots
disoriented
breathing weird
hallucinations
blindness
n ot peeing
mottled skin
cool to touch
warm trunk
excessive excretion of bodily fluids

Question 4

Why is it hard for doctors to diagnose if a patient in dying?

Answer 4

different variations of dying process.

Question 5

Is there a way to help doctors pin point dying processes

T or F

If T what helps

Answer 5

T

dying trajectory: temporal pattern of the disease process leading to death

Question 6

Four types of dying trajectories

Answer 6

Sudden death, terminal illness, organ failure, frailty

Question 7

Bethanny was a healthy individual and died immediately due to a car crash

what type of dying trajectory is this

Answer 7

Sudden death

Question 8

Mark was healthy. He went to the doctor and got diagnosed with cancer.

Soon his bodily functioning ceased to work and died 2 year later.

what dying trajectory is this?

Answer 8

Terminal illness

Question 9

Jen’s kidney is starting to fail. She has times of being better but eventually succumbs to death.

What dying trajectory is this?

Answer 9

organ failure

Question 10

Jane has late stage alzheimer as was already frail. She died from an acute illness that was too much for her already weak body to handle.

What dying trajectory is this.

Answer 10

Frailty

Question 11

Jane dosen’t want to eat her favourite dinner anymore and has lost size in her biceps and quads.

what syndrome does she have?

Answer 11

Anorexia-cachexia syndrome

Question 12

why is it important to look at age-standardized death rate

Answer 12

death rates are calculated to eliminate impact of population growth.

better to see the actual growth or decline of deaths

Question 13

what is the leading cause in older deaths compared to younger deaths?

Answer 13

Older: stroke, cancer, heart disease

Younger: accidents, suicides, cancer

Question 14

Are deaths high for younger age groups

Answer 14

no but need to prevent heart disease later and prevent accidents for now

Question 16

who has lower life expectancy in canada

Answer 16

indigenous ppl and ppl living in territories

Question 17

where are mortalities highest in the world and why?

Answer 17

low income countries, higher death in younger population

more spread of disease and less access to health care

Question 18

how do education and occupation play into mortality

Answer 18

more money less stress, healthier habits(less drinking and smoking)

Question 19

how do lonliness and mortality interplay>

Answer 19

ppl with social networks and spouses predicted lower mortality

emotionally isolated and lonliness = higher mortality

Question 20

why does hip fracture lead to higher mortality?

Answer 20

some ppl get system septic

Question 21

john is an evening person, he tends to drink and smoke, and eat late

what is his mortality rate likely and what is he?

Answer 21

high

evening chronotype

Question 22

In Canada iot is common to bury the dead in a casket or creamate them.

this is part of canada’s ____

Answer 22

death ethos

Question 23

preserving the body so it can be a host for the spirit

Answer 23

mummification

Question 24

a viewpoint that death is familiar and simple, just transition to the after life

Answer 24

tamed death

Question 25

the dying retreat from family and die in hospital

Answer 25

invisible death

Question 26

dying becomes a non-person by family or health care workers spending final months in facility

Answer 26

social death

Question 27

what was kubler-Ross important point that families should let the dying do

Answer 27

be able to talk openly abt dying, do not push reaslity away.

Question 28

period of dying should not subject individual to extreme physical dependency

Answer 28

death with dignity

Question 29

autonomy in making decisions abt type of site and duration of care at end of days

Answer 29

good death

Question 30

how may ppl use identity assimilation and balance to cope with dying

Answer 30

assimiliation = denial balance = face reality

Question 31

Bob is dying and looks back at his job and all the good he has done to change the community. what is Bob doing

Answer 31

legitimization of biography

Question 32

Jill has lived passed the age of when her mother died and really starts thinking about death. what is Jill experiencing

Answer 32

awareness of finitude

Question 33

dying person attempts to reconcile with past mistakes that can no longer be made up for

Answer 33

ego integrity

Question 34

Ellen has been thinking about death. She decided to start to start eating healty, focus on being a better person, and reach out to a long time friend. What is Ellen showcasing

Answer 34

Terror management theory

Question 35

why does personality matter with terror management theory?

Answer 35

ppl who lack the ability may experience higher anxiety and lower well-being

Question 36

Kelly writes a document stating the ways she wants health care administered incase of an illness that prevents her from stating her choices What is the document called?

Answer 36

advance directive

Question 37

Martha put a Do Not Resuscitate order in her advance directive. However, nurses ended up resuscitating her anyways. what is this called?

Answer 37

Overtreatment

Question 38

Why don't ppl get advanced care?

Answer 38

Lack of klnowledge abt it

Question 39

What are the two ways MAiD is administered

Answer 39

1) directly by doctors into patients body 2) Doctors give drug to the patient to do themselves

Question 40

what are the historical cases of MAiD?

Answer 40

Rodrigeuz vs BC Carter v. Canada

Question 41

MAiD eligibility

Answer 41

1] Gov-funded health insurance 2] 18+ 3] grievous and irremediable condition 4] no external pressure 5] consent after exhausting all options

Question 42

problems staff has with maid

Answer 42

1) nurses' blurry legal limits 2) lack of collab 3) irremediable being hard to define 4) pressure to provide against morals

Question 43

hollistic person-centre end of life care

Answer 43

hospice palliative care

Question 44

Process during which ppl cope with the death of another person

Answer 44

bereavement

Question 45

How is bereavement a biopsychosocial process

Answer 45

B= short of breathe, stress worsening immune system C= attention affected, risk of accidents S= financial burdens,

Question 46

what loss causes the most bereavement

Answer 46

loss of a child

Question 47

Child loss effects what in parents

Answer 47

mothers more likely to be effected mortality rate is higher 8-20 years after

Question 48

Lucy starts going to therapy to prepare for the death of her dad What is she doing?

Answer 48

anticipatory grief

Question 49

Jessica has been told it time to get over and move on from her friends death

Answer 49

conventional and professional wisdom of bereavement

Question 50

Sarah's dad had died 2 years ago. She still had his fav suit to hold onto and thinks about the time he taught her to drive. what view is this?

Answer 50

attachement view of bereavement

Question 51

James has started to date after the death of his girlfriend. But still thinks about her deeply what model is this and what are the two dimensions that are happening

Answer 51

dual process model of coping with bereavement restoration/loss

Question 52

what traits will help with to cope with loss

Answer 52

flexible adaption optimism maintain continuity

Question 53

How does identity process theory tie into grief?

Answer 53

Assimilation = avoid grief, still hold onto pre-death identity accommodation = create a new identity after death