Death, Dying and Bereavement Flashcards

1
Q

death: clinical death

A
  • period during which vital signs are absent
  • resuscitation is still possible
  • presumably, near death experiences occur in this state
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2
Q

brain death

A
  • absence of vital signs (includes brain activity)
  • resuscitation is no longer possible
  • person is considered legally dead
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3
Q

social death

A
  • point to which family and medical personnel treat the deceased person as a corpse
  • family and friends must begin to deal with the loss
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4
Q

end of life: hospital care

A

majority of deaths occur in hospitals (in Canada)

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5
Q

end of life: hospice palliative care

A
  • hollistic approach to care for terminally il
  • emphasizes individual and family control
  • emerged in the 60s
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6
Q

death with dignity

A
  • more likely if the dying person is at home
  • more contact with family and friends at home
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7
Q

hospice care philosophy

A
  • death should be viewed as normal
  • patient and family should be encouraged to prepare for the death
  • medical care should be primarily palliative care - not cure
  • refer to Notebook Shema
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8
Q

hospice care philosophy: care is aimed at satisfying _____

A
  • physical needs
  • emotional needs
  • spiritual needs
  • psychological needs
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9
Q

hospice care philosophy helps families to ____

A
  • prepare for and manage self-determined life closure and dying process
  • cope with loss and grief
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10
Q

controversial topics about death: assisted suicide and euthanasia

A
  • refer to concepts from this chapter
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11
Q

meaning of death: the 3 aspects

A
  • death is irreversible
  • death is inevitable
  • death means the cessation of all function
    this varies with beliefs and religion
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12
Q

children understanding death: 4 years old (preschool)

A
  • no understanding of death
  • often explained to children in other abstract terms
  • do not have cognitive and emotional knowledge
  • begin to understand the sadness related to it
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13
Q

children understanding death: 5 years old

A
  • understand death is sad
  • understand adults fear death
  • may begin to fear death themselves
  • may have many questions about death
  • how we talk about death can result in guilt or shame
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14
Q

children understanding death: 7 years old

A
  • understanding death is permanent, irreversible, happens to everyone
  • may personify death in other forms (angels, ghosts)
  • states of change
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15
Q

children understanding death: 9 years old

A
  • most seem to understanding permanence and universality of death
  • teaching them about the nature of biological life
  • knowledge helps understand what causes death and why it is irreversible
  • creates better coping
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16
Q

having a pet in childhood

A

strongly correlated with understanding death

17
Q

controversy: How do I tell my child that they are dying?

A
  • many cultural perspectives
  • influenced by social environment
18
Q

teens understanding death

A
  • have good understanding of death and grief
  • may have unrealistic beliefs about death
  • go through unique invulnerability
19
Q

development of psychological approaches to death

A

increase in various perspectives as people get older

20
Q

unique invulnerability

A
  • belief that bad things only happen to others
  • egocentrism in adolescence
21
Q

challenging unique invulnerability

A
  • sudden loss of a loved one shakes younger adults and teens
  • especially impacted by death of young public figures
  • look for reasons for death
22
Q

adults understanding death

A
  • death changes roles
  • brings permanent changes in social systems
  • switch: “time since birth” to “time till death”
  • middle-aged adults stuck in the past = more anxious and fearful of death
23
Q

death as loss

A
  • most pervasive meaning of death
  • younger adults: “I could have done this”
  • older adults: “I should have done this”
24
Q

fear of death

A

stems from existential uncertainties
- annihilation anxiety of fear of non-existence
- fear of pain and loneliness
- fear of failing and complete life work
- finality of death
- ultimate loss
- uncertainty of what follows next

25
Q

finality of death

A
  • no reversal, no remedy, no tmr
  • cessation of all hope with respect to this world
26
Q

uncertainty of what follows

A

uncertainty coupled with finality can create terror

27
Q

annihilation anxiety

A
  • concept of non being = scary
  • goes against strong innate conviction that life should not be reduced to non-being
28
Q

ultimate loss

A
  • forced to lose everything we have ever valued
  • strong attachments = fear death the most
  • loss of control over death affairs
  • loss of ability to care for dependents
29
Q

fear of pain and loneliness

A

afraid of manner of death

30
Q

failing to complete life’s work

A