Death & Dying Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Hospice

A

an organization that treats dying patients by focusing on palliative care rather than curative treatment

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2
Q

Palliative Care

A

treatment focused n the relief of pain and suffering, not on a cure

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3
Q

Euthanasia

A

the purposeful taking of life to relieve suffering

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4
Q

Voluntary Euthanasia

A

the intentional ending of life as a result of a competent, informed person having made a personal decision to have assisted death

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5
Q

Non-Voluntary Euthanasia

A

the intentional ending of the life of a person who has not expressed his or her preference in terms of an assisted death

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6
Q

Involuntary Euthanasia

A

the intentional ending of life of a person who made an informed choice and expressed his or her refusal to have an assisted death

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7
Q

Assisted Dying

A

a self-inflicted death as a result of someone intentionally providing the knowledge or means to die by suicide

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8
Q

Terminal Sedation

A

the practice of relieving distress in the last hors or days of life with the use of sedatives

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9
Q

Living Will

A

a document, prepared when a person is well, that outlines the person’s desires concerning medical care should he or she become incapacitated or unable to speak for him/herself

it can provide directives for healthcare providers to terminate life-sustaining treatment

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10
Q

Bereavement

A

the state of deprivation brought about by the death of a family member or close friend

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11
Q

Grief

A

emotional suffering resulting from a death

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12
Q

Mourning

A

customary methods of expressing grief

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13
Q

Disenfranchised Grief

A

grief that is not acknowledged by society

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14
Q

What is death and mortality?

A

extremely influenced by our religious, cultural and personal beliefs

denial of death is embedded in Canadian culture

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15
Q

What is the First Nation, Metis, and Inuit approach to death?

A

family takes care of preparations

conduct community based ceremonies

death feasts, making traditional caskets, star blankets, and “giveaways” to commemorate the death of a loved one

rituals help with the transition

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16
Q

What is children’s understanding of death?

A

preschoolers believe death can be reversed and that death people can still breathe and feel

but direct experience with death can speed their understanding

understanding seems to increase with learning about the biology of human bodies

by school age, children seem to have grasped the permanence and universality of death but they still think they can avoid it

cultural concepts of surviving death renders death less permanent and less frightening to many children

focusing in the concrete aspects can scaffold understanding and coping

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17
Q

How can experiencing death shake a child’s sense of security and well-being?

A

may feel guilty (wishing = causing death)

may display aggressive behaviors (anger)

may display regressive behaviors

may fear death when learning about it

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18
Q

What is the meaning of death for adolescents?

A

understands the universality, permanence, and inevitability of death

however, still underestimate their own changes of death (personal fable)

adolescents who attempt suicide seem to think that death is a pleasurable experience

personal experience with death of someone close affects their perspective

if terminally ill might feel angry and cheated

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19
Q

What is the meaning of death in early adulthood?

A

sense of unique invulnerability, time in life when people feel ready to begin their own lives

come up with reasons of why someone died early (near-sainthood)

loss of opportunities experiencing new things and loss of family

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20
Q

What is the meaning of death in middle and late adulthood?

A

beyond simple understanding of universality, permanence, and inevitability of death, but does not make it easy to accept

a death changes their role in their family and relationships

loss of time to complete inner work

may fear disability/discomfort nearly as much as death

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21
Q

What is the fear of death?

A

religious beliefs frames death as transition rather than an end

people with sense of purpose in life are less fearful

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22
Q

What existential uncertainties does fear of death stem from?

A

the finality of death

the uncertainty of what follows

annihilation anxiety or fear of nonexistence

the ultimate loss

fear of pain and loneliness in dying

fear of failing to complete life work

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23
Q

What is the Kubler-Ross theory of stages of dying?

A

denial, anger, bargaining, depression, and acceptance

critiques: just talking about terminal illness, not other causes of death

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24
Q

What are alternative views to stages of dying?

A

type and extent of organic cerebral impairment

pain and weakness

the time or phase of the person’s life

the person’s philosophy of life (and death)

prior experiences with crises, react like earlier in life when experienced threat, failure, stress

25
Q

What is hospital care?

A

70% of Canadians die in hospitals, but 75% would rather die at home

curative, treat the disease, emphases on length of life

some think might be their best change to keep alive

26
Q

What is hospice palliative care?

A

whole-person end-of-life care

spiritual and existential needs

grief support for caregivers

mostly happen at home

palliative not curative care, quality of life versus length

challenging for indigenous populations

27
Q

What are ways to support a dying person?

A

gift of availability

listen actively

respect their social-cultural or religious beliefs and practices

know about the condition

show compassion

give practical support and help

keep in contact, communicate

how are you coping?

28
Q

What is euthanasia?

A

voluntary euthanasia: patient decision

non-voluntary euthanasia: person has not expressed preference

involuntary euthanasia: person has expressed preference

29
Q

What is assisted dying?

A

different from medically assisted dying

providing the means/knowledge to die by suicide

30
Q

What is terminal sedation?

A

relieving distress in last moments

31
Q

What is medically assisted dying in Canada?

A

be at least 18 years old and mentally competent

have a grievous and irremediable medical condition (excluding mental illness)

make a voluntary request for MAID that is not the result of outside pressure or influence

give informed consent to receive MAID

physician or nurse practitioner directly administers a substance that causes death or provides/prescribes a drug that the eligible person takes themselves

32
Q

What is terminal decline?

A

decline in overall cognitive function

gradual but accelerated

over the course of roughly 6 years

those near to death become more docile, conventional, dependent and non-introspective

33
Q

What are living wills?

A

instruction directive (e.g. DNR)

specific is more followed than general guidelines

health-care proxy

34
Q

What is clinical death?

A

heart and breathing stopped, no brain function

resuscitation is still possible

35
Q

What is brain death?

A

flat EEG recording

whole-brain death: cessation of activity in the brain stem too

36
Q

What is social death?

A

someone signs a death certificate

also a legal matter

37
Q

What do you do when someone dies?

A

call family doctor, police, or 911

need death certificate with cause of death

autopsy might be performed

38
Q

What is involved in making arrangements after a person dies?

A

burial, cremation, or placement in a mausoleum

can be extremely expensive, average traditional burial in Canada costs $11, 500, should not be planned out of guilty

legal and financial matters, should seek legal counsel, estates, inheritance, outstanding debts, insurance, amount owed for funeral expenses

39
Q

What are the psychosocial functions of death rituals?

A

tied to religious custom and cultural traditions

grant closure

helps family and friends to manage their grief, tell them exactly what to do and how

can strengthen family ties

shared milestone for family member, organizer of past experiences and present ones

40
Q

What is bereavement?

A

emotional state of longing and deprivation

feelings of grief

41
Q

What is grief?

A

involve combinations of emotions

depression, loneliness, feelings of emptiness, disbelief and numbness, apprehension about the future, guilt, anger, relief that the deceased person is no longer suffering

42
Q

What is mourning?

A

similar to grief over the death of a person

but encompasses culturally appropriate way to display grief

43
Q

How does coping with loss require time?

A

heightened awareness of one’s own mortality

can compromise well-being

people grieve in different ways, early experiences of the non-acceptance of loss as the best predictors

supportive social network is important

grief counselling may also be useful

grief might never end though

44
Q

What is LGBTQ2S+ disenfranchised grief?

A

invisible grief, not seen by society

stigmatized, seen as “less than” or not legit

access, privileges, and rights throughout terminal illness, dying, and death can be lower

45
Q

What is bereavement and grieving in children?

A

express grief like many adolescents and adults will

sad facial expressions

crying

loss of appetite

anger

46
Q

What is bereavement and grieving in adolescents?

A

more likely to experience prolonged grief

tendency to engage in “what if” thinking

47
Q

How does the mode of death affect bereavement and grieving?

A

rational explanations allow grieving and protects from loner-term depression

sudden and violent deaths evoke more intense grief responses, due to inability to find meaning in the event

suicide is associated with feelings of rejection and anger, complicated by guilt feelings related to possibility of having prevented it

48
Q

What are Bowlby’s stages of grief?

A

was the first to propose stages

shock-numbness, yearning-searching, disorganization-despair, reorganization

49
Q

What is Kubler-Ross’ theory of the terminally ill?

A

adapted Bowlby’s theory

has become generally accepted, informs any kind of loss

50
Q

What is Jacob’s stage theory of grieving?

A

adapted Kubler-Ross’ theory

numbness-disbelief, separation distress (yearning-anger-anxiety), depression-mourning, recovery

51
Q

What is Greenberg’s critique of stage models of grief?

A

against stage model for grieving

it makes erroneous assumptions: grief follows a specific pattern, experience of grief if finite, grief occurs in stages, prolonged grief is abnormal

people grieve in all different kinds of ways: regulate their emotions differently, depends on closeness of relationship

52
Q

What is widowhood?

A

as general rule, the most difficult death to recover from, immediate and long effects on immune system

mental health: changes are more pronounced in the year following death

53
Q

What is the widowhood effect?

A

death of a spouse is soon followed by the other

appears worldwide and is not influenced by cause of death

risk is higher especially within 6 months of spousal death

risk is somewhat decreased by remarriage

54
Q

What is prolonged grief?

A

yearning for and/or preoccupation with a decreased loved one plus intense emotional pain for more than 6 months

but, cultural differences on “how to properly grief” should be considered

55
Q

How do you support a grieving person?

A

encourage them to take care of themselves

encourage them feel their loss

encourage the individual to join a bereavement support group or seek counselling

reassure the individual that it takes time to come to terms with loss

don’t worry about what to say, simply be there

56
Q

What is Corr’s task-based approach to the stages of dying?

A

satisfying body needs and minimizing physical distress

maximizing psychological security, autonomy, and richness of life

sustaining and enhancing significant interpersonal attachments

identifying, developing, or re-affirming sources of spirituality energy, fostering hope

57
Q

What is thanatology?

A

scientific study of death, grief, and loss from different perspectives (physical, ethical, spiritual, medical, sociological, and psychological)

death education should be part of everyone’s schooling

58
Q

What are types of death education programs?

A

crisis intervention education

routine death education

death education for helping professionals