social and helath understanding of dying Flashcards
What is the macro, mezzo and micro model for approaches to dying and death
macro: contains complex values and power dynamics
mezzo: different cultural values
micro: caring for the dying are interactional, relational and moral occasions
what does a good death focus on
location, care & support, financial costs, family burdens, quality of dying and death
what is a good death
relationship of ideas between quality and quantitiy of life left
why is important to predict death in palliative patients
patients who are unaware of their prognosis:
- more likely to prefer aggressive treatment
- more likely to recieve aggressive treatmemt
- have a worse QoL
what are the issues surrounding predicting death in palliative patinets
- never accuarte
- important to remember to communicate uncertainity
what is a social death
when the body is considered to have died and ceased functioning for life
what are examples of social deaths
- loss of social identitiy
- loss of social connectedness
- loss of taking part in daily activites
- loss of social relationships
- loss of moral entitlement
why was the death toll in the UK for covid so high and unequal
- governemance and political culture
- widening inequalities in power, money and resources
- governemnt policies of austerity
- health had stopped improving
which group of people had a poor quality of life during the lockdowns
clinically extremely vulnerable
what does palliative care include
helping with physical symptoms, mental distress, social problems, spiritual issues
what are the key tensions within palliative care
medical: focus on pain and symptom management
holistic: concern for phsyical, personal, spiritual and psychological issues
medical: emphasises role of specialist doctors and ‘medical model’
hollistic: diffuse needs will require multiple approaches to care and support
what is a network-centred approach
aims to mobilse local social networks of the dying person rather than impose those needs through palliative care
looks to address ‘network poverty’ - those who do not have a social support system
what is a network-centred approach
aims to mobilse local social networks of the dying person rather than impose those needs through palliative care
looks to address ‘network poverty’ - those who do not have a social support system
