Final- Chapter 11 Flashcards

1
Q

What are the 4 meanings of death?

A

1) deaths as an organizer of time
2) death as a punishment
3) death as a transition
4) death as a loss

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3
Q

What is death as a punishment?

A

Children think of death as bad and common in adulthood

Strengthened by religious teaching that emphasize a link between sin and death

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4
Q

What is death as a transition?

A

People with strong belief of after life

Transition from life to some sort of life after death or to nothingness

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5
Q

What is death as a loss?

A

Death seen as a loss

Haven’t been able to complete plans for life

Changes throughout life

Young adults- loss of experiences and relationships

Older adults- more concerned for loss of time to complete themselves as people

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6
Q

What is death anxiety?

A

Fear of death strongly linked to the view of death as a loss

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7
Q

True or false: middle aged adults have the biggest fear of death and older adults the least

A

True

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8
Q

What is religiosity?

A

Degree of ones religious or spiritual beliefs

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9
Q

What is extrinsic religiosity?

A

Use of religion for social purposes or for doing good deeds

Positively to death anxiety

More fear of death for those who express religious beliefs in an extrinsic way

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10
Q

What is intrinsically religiosity?

A

Use of religion to seek meaning in ones life

Internal concept of spirituality

Less death anxiety

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11
Q

Those with high levels of self esteem/ higher purpose in life have more or less fear of death?

A

Less

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12
Q

Do men or women have higher death anxiety?

A

Women

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13
Q

What is death as an organizer of time?

A

“Time until death” may be important for a person trying to organize their life

Do what they want to do before they die

Death defines the endpoint of life

Ex: life insurance, wills

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14
Q

What are the 5 stages of grief?

A

1) denial
2) anger
3) bargaining
4) depression
5) acceptance

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15
Q

What is denial (as part of the 5 stages of grief)?

A

A valuable, constructive first defense

Gives the patient a period of time in which to marshal strategies of coping with the shock

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16
Q

What is anger?

A

Patient resents those who are healthy and becomes angry at whatever fate put him or her in this position

Outbursts

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17
Q

What is bargaining?

A

Patient tries to make deals with doctors, nurses and with God

18
Q

What is depression?

A

Patient becomes depressed

Mourning for the loss of ones life

19
Q

What is acceptance?

A

Quiet understanding

Readiness for death

20
Q

What are 3 key issues identified by Kubler- Ross?

A

1) the dying are still alive and unfinished needs they may want to address
2) we need to listen actively to the dying and identify with their needs to provide effectively for them
3) we need to learn from the dying to know ourselves better and our potential for living

21
Q

What is finitude?

A

Coming to terms to ones eventual death

Occurs overtime

Different levels

22
Q

What is the importance of farewell?

A

Important to say goodbye

Done in different ways

Facilitating farewells through OT

23
Q

What is the variable process?

A

Process of dying varies from each person

Some are gradual while others are instant

24
Q

What is the emotional effect of physics processes?

A

The way each person handles the process emotionally

Some fight while other accept it and struggle no further

25
Q

What are Greer et al (1991) 5 groups?

A

1) denial
2) fighting spirit
3) fatalism
4) helplessness/ hopelessness
5) anxious preoccupation

26
Q

What is denial (as part of Greer et al’s group)?

A

Patient rejects the diagnosis and evidence presented to them

27
Q

What is a fighting spirit?

A

Patient shows optimism and actively searches for more info about diagnosis

Desire to fight disease

28
Q

What is fatalism?

A

Patient acknowledges the diagnosis but doesn’t seek to further inform and continues normal life

29
Q

What is helplessness/ hopelessness?

A

Patient is overwhelmed be the diagnosis and considers themselves gravely ill and without hope

30
Q

What is anxious preoccupation?

A

Patient responds to the diagnosis with extreme anxiety and interprets additional info pessimistically

Interprets all body sensations as possible recurrence

31
Q

What is hospice care?

A

Care focused on pain relief, emotional support and spiritual comfort for the dying person

Death is inevitable here

Physician, nurses, social workers, therapists and chaplains

32
Q

In a study form by Joan Teno et all 1500 families were surveyed, what were the results?

A

1/3 died at home

2/3 died in an institution

Critics difference is quality of care

33
Q

What was the biggest concern from families about last place of care?

A

Lack of emotional supporting

34
Q

What is physician assisted suicide?

A

Physicians are allowed to assist patients to obtain medication that will end their lives

Patient must request it voluntarily, terminally ill and mentally competent

35
Q

What is a ritual mourning?

A

A set of symbolic rites and ceremonies associated with death

What someone should wear, who should be notified etc

36
Q

What are Bowlbys stages of processing grief?

A

Numbness

Yearning

Disorganization

Despair

Time of reorganization

37
Q

What is the most common reaction to grief?

A

Resilience- the maintenance of healthy function after a potentially traumatic event

38
Q

What is the percentage of the 5 distinct patterns of grief?

A

Resilience- 46%

Chronic grief- 16%

Common grief- 11%

Depressed improved- 10%

Chronic depression- 8%

39
Q

True or false: Our understanding of death, attitude towards it and the way we come to terms with it affect how we choose to love our lives though adulthood, it can help us give meaning to life

A

True

40
Q

What is the result of grief work?

A

The bereaved adjust to the loss and resume their lives