Chapter 14: Dying, Death, and Bereavement Flashcards
Social death
Refers to the perception or behaviour of others that indicates that they perceive or treat a person as if physically dead when the physical body has not yet died
Trajectory of dying
The pattern or course of dying over time, for example, sudden death or slow decline
Life review
A dying person looks over his or her life, seeks a conviction that one’s life has had meaning and purpose, ties up loose ends, achieves acceptance of the life lived, and prepares for death
Ego integrity
The acceptance of the notion that one’s life cycle is something complete and unique
Disenfranchised grief
Defined by society as illegitimate grief and therefore unacknowledged because society defines the relationship between the grieving person and the deceased as insignificant
Morbid grieving
Also known as complicated or pathological grieving, refers to a pattern or duration of grieving that society considers abnormal and problematic
Advance directives
A precise statement of the desired treatment and care, including what medical actions are to be taken under what conditions, and a declaration of who has the right to decide in the situation where the writer of the advance directive is no longer able to express his or her wishes
Do-not-resuscitate (DNR) orders
A person may request that if dying from a terminal disease, resuscitation not be attempted if the dying person’s heart stops; this request may lead the dying person’s physician to place a do-not-resuscitate (DNR) order on the patient medical care chart
Power of attorney
A legal document that gives someone, usually a lawyer, adult family member, or friend, the right to make decisions on behalf of the ill person if the person loses his or her mental capacity
Hospice
A place or program of care designed to meet the special needs of dying patients
Palliative care
Directed toward improving the quality of life for the dying, including symptom control and spiritual support as well as bereavement support, and education for the family members of dying patients
Passive euthanasia
Withholding or ceasing treatment of someone who is ill or injured and not expected to recover