Death, Dying and Bereavement

Question 1

Four ultimate Concerns ( Irv Yalom)

Answer 1

• Death
• Freedom
• Isolation
• Meaninglessness

Question 2

What are the criteria for establishing Death?

Answer 2

1-Unreceptivity/ unresponsiveness, even to intense painful stimuli
2-NO movement/ Spontaneous respiration x 3 minutes after removal of Respirator
3-Absence of REFLEXES (Tendon and Central)
4-Flat EEG x 10min
5-All above test repeated after 24 hr -> NO change
6-No Hx of Hypothermia/CNS depressants before onset Coma.

Question 3

Elizabeth Kubler-Ross Stages of Dying

Answer 3

1- Denial (not me)
2-Anger (Why me?)
3-Bargaining (More time)
4-Depression (Lost of things)
5-Acceptance (calm and peace)

Question 4

Bereavement

Answer 4

Suffering the Death of a loved one

Process begins with Grief

Question 5

Grief

Answer 5

Clinical syndrome. Acute psych and physiological reaction to a loss

Question 6

Mourning

Answer 6

• Grief initial stage
• Complex intrapsychic process in which person withdraws attachment from lost object
• Lonliness, sadness, anger, despair, Rx depression

Question 7

Bereavement and heart disease

Answer 7

heart disease 3/4 of bereavement-associated early mortality