Death and End of Life

Question 1

what is thanatophobia?

Answer 1

fear of death

Question 2

What are the five stages of grief?

Answer 2

Denial
Anger
Bargaining
Depression
Acceptance

Question 3

Can the five stages of grief occur in any order or must they occur in the order listed?

Answer 3

They can happen in any order

Question 4

Can people repeat certain stages of grief?

Answer 4

Yes, you can cycle back through several times

Question 5

What stage is most common in health care providers?

Answer 5

Denial

Question 6

Grief, failure, guilt, blame, and frustration are all emotions experienced by the (doc/pt) during a loss

Answer 6

doc

Question 7

T/F: Normal grief can involve symptoms of a major depressive episode

Answer 7

true

Question 8

In the DSM-IV, how long can normal grief last before it becomes pathological?

Answer 8

2 months

Question 9

After 2 months of symptoms of MDE after loss and noncharacteristic symptoms including Suicidal ideation (other than wishing to be with the deceased), marked functional impairment, morbid preoccupation with worthlessness, hallucinations (other than transient images or sounds of the deceased), marked psychomotor retardation
what is this called?

Answer 9

pathological grief

Question 10

does the expression of “normal” grief change from culture to culture?

Answer 10

Yes, symptoms in our culture that are abnormal (hallucinating interactions with the dead) are normal in other cultures

Question 11

When do we as docs suffer with our patients?

Answer 11

when our patients:
Relapse
Get worse or die – despite or because of our treatment
Are unable to attain or sustain the goals we have all agreed upon

Question 12

What can physicians do to deal with their grief?

Answer 12

Learn to tolerate and accept our own emotions.
Share or express emotions.
Self-care for physicians (Kearney et al., 2009).
Create meaning and purpose in the loss
Religion and spirituality