Death and Dying Flashcards
% people who die gently
20%
Amount of deaths that are sudden
1/4– 80% heart attacks
Amount of long, drawn out detahs
3/4– life saving medical technology
Agonal phase
Suffering in first moments body can no longer support life
Clinical death
Heart, breathing, brain stopped but can still resuscitate
Mortality
Permanent death
Brain death
All activity in brain and brain stem have stopped– irreversible
Persistent vegetative state
Activity in cerebral cortex has stopped but brain stem still active
5 attitudes towards death
Permanence Inevitability Cessation Applicability Causation
Gender with more death anxiety
women
Individual variation
Personal philosophy of death
Consistency of religious practices and beliefs
Symbolic immortality
Kubler Ross Stages
Denial Anger Bargaining Depression Acceptance
Appropriate death
Makes sense with person’s patetrn of living, preserves significant relationships and free of suffering
4 coping styles
Dying as imprisonment
Mandate to live life even more fully
Part of life’s journey
Experience to be transformed
Countries that withhold diagnosis
Eastern europe, south america, asia, midle east
% that die in hospitals
40%
% that die in longterm care
20%
Amount of people that die at home
1/4
Nursing home
Emphasizes rehabilitation rather than terminal care
Hospice
Comprehensive support for dying and their families
Euthanasia
Ending the life of a person suffering from an incurable conditon
Voluntary passive
Withdraw treatment– advance medical directives
Living will
People specify the treatments they would want in case of terminal illness, coma or near death situation
Durable power of attorney
Appointment of another person to make health care decisions on one’s behalf