T5D3

Question 1

Socioemotional selectivity theory

Answer 1

Older people have less time left so they are looking for emotional satisfaction

• closer relationships are more important than having many friends
• ignore negative information, focus on positive information

Question 2

Define Ageism

Answer 2

Prejudice against others because of their age, especially against older adults

Question 3

Define Grey Panthers

Answer 3

Started by Maggie Kuhn, fighting for the rights of older adults

Question 4

7 things that Make You Live Longer

Answer 4

Exercise
Eat greens
Stay mentally challenged
Think positive
Have positive social relationships
Be spiritual
Have sex

Question 5

What 3 things related to death are due to medical science

Answer 5

We live a lot longer
We die a lot slower
We die out of sight in hospitals or nursing homes

Question 6

Uniform Determination of Death Act, UDDA (law applied in most states) says what

Answer 6

An individual who has sustained either:
irreversible cessation of circulatory and respiratory functions, or
(2) irreversible cessation of all functions of the entire brain, including the brain stem,
is determined dead.

Question 7

Discuss Terri Schiavo Case

Answer 7

Persistent Vegetative State:

Brainstem is still working, cerebrum is not. Some responses are possible.

Question 8

Define Passive euthanasia

Answer 8

Withholding potentially life-saving interventions.

Legal with advance directives

Question 9

Define Active euthanasia

Answer 9

A deliberate medical intervention that helps a patient die. Legal only in The Netherlands, Belgium Luxemburg and Colombia.

Question 10

Define Physician-assisted suicide

Answer 10

The physician can prescribe medications that the patient can take to end their life

Question 11

Where is physician assisted suicide legal worldwide

Answer 11

Legal in Switzerland, Germany, Japan and Canada

Question 12

Where is physician assisted suicide legal in the US

Answer 12

In the US, legal in Oregon Montana, Washington State, Vermont, California Colorado.
←Dr. Jack Kevorkian

Question 13

Define Advance directive

Answer 13

Any written document with regard to life-prolonging treatment when irretrievably ill and cannot communicate their wishes

Question 14

5 Types of advance directives

Answer 14

Advance directives:

• Living will
• Durable power of attorney for health care
• Do not resuscitate order (DNR)
• Do not hospitalize order (DNH)
• POLST: new, more specific advance directive

Question 15

Care for dying individuals diagram

Answer 15

% focus on verticle axis, time on horizontal axis, moves left to right from curative care, palliative care, hospice, to death and bereavement

Question 16

Kübler-Ross’s Stage theory of dying

Answer 16

Denial
Anger
Depression
Bargaining
Acceptance

Not everybody goes through these stages, eg acceptance

Question 17

Effective strategies for communicating with a dying person.

Answer 17

If the person who is dying is not in denial, the family should not force it on them.
If the person accepts they’re dying, don’t take it away from them*

Establish presence
Eliminate distraction
Dying are frail and have little energy
Don’t insist that the dying accept
Allow the dying to express guilt or anger
Encourage memories, access to people, talking
Respect dying person

Question 18

Define Continuing Bonds Theory

Answer 18

Finding ways to stay connected to a loved one who has passed

Question 19

What is a POLST

Answer 19

a new, more specific advance directive

Question 20

Summary of class poll on priorities for death

Answer 20

One person for everything except for dying at hospital or home. Everyone has different priorities including family’s priorities

Question 21

Summary of class poll on if person dying or family should decide how to die

Answer 21

Class split 6-7 in favor of family having a say too

Question 22

Worden:

Four tasks of grief

Answer 22

• Accept reality of loss
• Work through the pain of grief
• Adjust to an environment in which the deceased is missing
• Find an enduring connection while embarking on a new life