Death and Bereavement Flashcards

1
Q

What is imperialist intervention?

A

People are deprived of their traditional vision of what constitutes health and death.

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2
Q

What is closed awareness?

A

Where only staff are aware that a patient is dying.

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3
Q

What is mutual deception?

A

Where both the staff and the patient know the patient is dying but do not talk about it.

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4
Q

What is open awareness?

A

Where both the staff and the patient know the patient is dying and discuss this openly.

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5
Q

What does ‘gradual slant’ mean?

A

Long, slow decline.

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6
Q

What does ‘downward slant’ mean?

A

Rapid decline.

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7
Q

What does ‘peaks and valleys’ mean?

A

Remission and relapse.

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8
Q

What does ‘descending plateaus’ mean?

A

Periods of decline and stabilisation.

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9
Q

Which 5 stages do people at the end of life typically go through?

A

1 - Denial.

2 - Anger.

3 - Bargaining (with god, or others).

4 - Depression.

5 - Acceptance.

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10
Q

What is the hospice movement?

Who founded it?

A
  • An umbrella term for the growth of end of life and palliative care services in the UK.
  • Founded by Cicely Saunders.
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11
Q

What is the difference between a biological death and a social death?

A
  • Biological death - the end of the biological organism.

- Social death - the end of the person’s social identity (as seen by others).

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12
Q

List 3 things that might be seen in a person undergoing social death.

A

1 - Ceasing full membership in active society (e.g. on retirement).

2 - Loss of autonomy (e.g. moving into institutional care).

3 - The dying person is avoided or avoids others.

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13
Q

List 2 functions of the death ritual.

A

1 - May help acceptance by making the death visible.

2 - Alleviates feelings of guilt for survivors.

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14
Q

List 2 qualities / behaviours that a bereaving person might show.

A

1 - Withdraws from the external world.

2 - Other people may find it difficult to interact with the bereaving person.

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15
Q

List 5 conditions or behaviours that and / or bereaved people are at a greater risk of.

A

1 - Depression.

2 - Social isolation.

3 - Alcohol misuse.

4 - Use of prescribed and OTC drugs.

5 - Self-harm.

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16
Q

What are Worden’s 4 tasks of mourning?

A

1 - Accept the loss.

2 - Work through grief.

3 - Adjust the environment (from which the deceased is missing).

4 - Emotionally relocate the deceased (and move on with living).

17
Q

List 6 roles of the doctor in today’s health service.

A

1 - Symptom control.

2 - Facilitating care.

3 - Counselling.

4 - Drugs management.

5 - Maintaining hope.

6 - Preparation for the future.

18
Q

To whom are death certificates addressed after being signed for by the treating doctor?

A

The local registrar of births, deaths and marriages.