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Foundations of Human Behavior: 1 > Death and Dying > Flashcards

Death and Dying Flashcards

1
Q

Sense of satisfaction that lifes productive

A

Integrity

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2
Q

Loss of hope and sense that life has no purpose

A

Despair

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3
Q

Knowing the true doctor-patient relationship

A

acceptance that death is part of life and doesn’t shy away from emotional pain of loss

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4
Q

Death is where:

A

Philosophy
Spirituality
Medicine

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5
Q

Free from avoidable distress and suffering for pts, family and care givers

A

Good death

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6
Q

Study of Death and Dying

A

Thanatology

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7
Q

Dr. Kubler -Ross studied

A

Stages of dying

  • reactions of patients with terminal illness and pts seldom and follow a regular series of responses
  • no sequences of stages established
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8
Q

Five stages

A 
Denial
Anger
Bargaining
Depression
Acceptance
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9
Q

Death is to be avoided, not natural, death is failure of medical care and is negative reflection on doctor

A

Physician Barrier

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10
Q

What makes up a good death

A

no prolongued
pain and symptoms controlled
not a burder to others
control over decision making and strengthening relatioships

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11
Q

People want to die where:

end up dying?

A

prefer home but most end up dying in hospital and some nursing home. NO one wants to die in a nursing home

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12
Q

intentional, unintentional, subintentional

A

circumstnces of dying

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13
Q

A pts choice about end of life care

A

advance directive

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14
Q

Advance directive is legally binding

A

yes

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15
Q

Includes

A

living wills, health care proxy, DNR

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16
Q

What do hospitals use w/out advance directives

A

ethics committee

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17
Q

Is AMA okay with euthanasia?

A

nope

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18
Q

Legal and ethical to provide medically needed analgesia to terminally ill pt even if it shortens life

A

Euthanasia

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19
Q

Findings of death with dignity law

A

physcians more involved
no flood of people to die
people did so bc wanted control and independence
36% didn’t even fill prescription

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20
Q

Pallative care is/not hospice

A

NOT

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21
Q

Goals of pallitive care

A

provide RELIEF from suffering
comfort
pain management
CAN and SHOULD co-exsit with life prolounging interventions

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22
Q

Hospice

A

as person is nearing end of life
helps make decisions how and where to die
forgoes life prolonguing tx in favor of quiality

23
Q

Necessities for hospice admission

A

recommendation of personal physician
left expectancy of 6 months or less
no longer seeking cure
desire to stay out of hospital

24
Q

Goals of hospice

A

provide physical, emotional, social support
support familiy and loved ones
assit pts to live with dignity and comfort as they cope with end of life issues

25
Q

Changes weeks/days before death

A

tired, refuse food and drink, decreased reserve for activity, change vitals, change in cognition, “last hoorah’

26
Q

Unresponsive, bluish with cold hands and feet, decreaesd blood pressure, decreased breathing, “Death Rattle”

A

final hours of life

27
Q

Lack of reflexes so swallowing reflex is less

A

death rattle

28
Q

Two ways to Grieve

A

laughter and crying

29
Q

Normal grief lasts

A

12-24 months

30
Q

FEELING of loss

A

Grief

31
Q

PROCESS of resolving grief

A

Mourning

32
Q

the STATEof mourning the death of a loved one

A

Bereavement

33
Q

well defined syndrome w/ known etiology and predictable symtoms
Causes distress and dysfunction associated with complications

A

Grief

34
Q

State of being deprived
State of Mourning loss of loved one
Seems interchangable with mourning

A

Bereavement

35
Q

Causes loss of loved one to be more painful

Grief is the price we pay

A

Attachment Theory

36
Q

T/F grief is multifaceted

A

T

37
Q

How long does shock/denial last

A

2-3 months

38
Q

how long does intense concern last

A

6 months - 1 yr and cant focus on stuff

39
Q

Includes anger, guild, sadness, anxiety

A

Despair/Depression

40
Q

When you reorganize thoughts… accomidation and assimilate information

A

Recovery

41
Q

Numb, cyring, sighning, sense of unreality, denial disbelief… which stage?

A

Denial/Shock

Phase 1

42
Q

Anger/Sadness/Guilt/Dreams/Insomnia/anorexia/anhedonia/weak/fatigued

A

Phase 2: preoccupation with deceased and intense concern

43
Q

Can think about past with pleausure, regain interest in activites and forms new relationships

A

Phase 3: Resolution

44
Q

% that go on to complicated grief

A

10-20%

45
Q

can treat prolounged grief as…

A

PTSD

46
Q

When does complicated grief occur?

A

follows sudden or tragic death and survivors get stuck in phase of grief

47
Q

men/women more at risk

A

men..young men

48
Q

PGD

A

prolounged grief disorder

49
Q

symptoms of PGD

A

extreme focus on loss
intense longing for what is lost
numb/withdrawn/life is meaningless/irritable
lack of trust/ trouble accepting loss

50
Q

Increased risk for these with PGD

A

depression, anxiety, substance abuse, mortality rate

51
Q

2 months of depression is major predictor of:

A

Cardiac problems and impaired immune response
increased suicide and accidents
poor self care

52
Q

Grief is normal and has how many phases

A

3
Denial/shock
intense concern/preoccupation/
Resolution

53
Q

What occurs in final hours of life

A

loss of swallow and cough reflexes

Foundations of Human Behavior: 1 (7 decks)

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