Death And Dying Flashcards
Cultural views of death
www.Countrynavigator.com/blog/death-and-dying-how-different-cultures-view-the-end
Stages of Grief
1) Shock–>cannot believe it is occurring
2) Denial–>will look for evidence it is not true
3) Anger–>recognize things are different
4)Bargaining–>telling their story, struggling to find meaning
5)Depression –> “I dont care anymore”
6) Acceptance
4 domains of end of life occupation
1) Continuing life: doing things that matter, tx wheelchair fit to attend life events such as wedding/graduation
2)Preparation for death: getting everything in order, communicating final wishes
3) waiting: “takes too long to die” instruct caregivers on positions of comfort in bed/turning
4)death/after death: assisting caregivers in honoring loved one
Hospice
increased QOL for those with terminal conditions
less than 6 months to live
Focus symptom mgmt for comfort
Palliative Care
increase QOL for those with life threatening conditions
Can receive at any point in D/S process, may have curative treatment in attempt to prolong life
Role of OT in End of Life
ECT
Caregiver body mechanics
Compensatory ADL strategies
Educated on symptom mgmt
Establish daily routines
Educate on positioning
Symbolic/creative outlets: increases outcomes for coping, increasing existential awareness of past present, and future
Assisting caregivers transitioning out of caregiver role
involving caregiver/family in palliative and hospice process increased favorable outcomes; occupational engagement necessary to recovery after loss
1) quality of support system: family, friends, hospice/bereavement care, online support groups
2)social/cultural influences: norms/expectations, roles and responsibilities
3)spiritual/religious influences: leads to belonging, community, beliefs, and values
4) fostering occupations connecting them to loved one
5) person project/goals
6) restorative occupations such as sleep, meditation, health promoting
