Death and dying Flashcards
cessation of all vital functions suchas heart beat and respirations
somatic
flat EEG, no movements or responces
Brain
Apperance of death signs on physical exam before pronouncement
cardiac
cessation of cellular activity
biological
task of self preperation, The grieivng process is necessary to cope with the loss of their life
intrapsychotic
task of disengaging from personal realtionships and eventually say goodbye
interpersonal
Stage one Denial NO not me it not true
acts as a buffer
allows the patient time to collect thought
how imformation is presented at this stage is important
Stage two anger why me
evidence were denial no longer maintained
feelings of rage rensentments
everyone uncomfortable because anger becomes displaced
stage three bargaining if only i can before i die
an attempt to postpone death
wishing
aids in the emotional process of comeing to terms with one finality
Stage 4 depression whats the use
occure when previous feeling give away
impending loss of everything and everbody
allow for expression and sorrow
sense of low and control is overwhelming
Stage 4 acceptance
contemplation of the coming end with a certain degree of quiet expectation disengages from social interactions difficult for family will begiin to making plans for death touch is often most effective
not aware that he dying but the family and staff are
closed awareness keeping the secret
has a suspicion that death may occure but cannot obtain suffiecnt information
suspicion awareness
aware of the active dying process, but the ritual of pretence is carried out by all
mutal pretence awareness
active dying process and demonstrate their awareness in action, communicationm and taking care of unfinshed business
open awareness
is the gradual decrease of the body temperature after death
algor mortis
What happens during algor mortis
decrease is due to decrease in circulation of the blood and hypothalamus stops functioning
body temperture falls about 1 dgree until about room temp
skin loose elesticity and can be easily brooken down
is the discoloration of the lower most or dependent parts of the bodys skin
liver mortis
what happens during liver mortis
skin becomes discolored due to red blood cells braking don and releasing hemoglobin into the surrounding tissue
is the stiffening of the body that occure 2-4 hours after death
rigor mortis
what happens during rigor mortis
body stiffens when muscle contract relaxation occure after 96 hours
Immenent death
is near death of hours or mins awat dilated or fixed pupils inability to move loss of reflex weak pulse cheynes strokes noisy breathing eyes gloss over
Impending death
time up to were impending signs are present loss of muscle tone decreased circulation (mottling of skin) change in VS sensory changes (sudden alertnes)
