The End Stages of Life Flashcards

1
Q

factors influencing attitudes about dying

A
  • personal experiences
  • culture (fear of death, others look forward to/accept death)
  • religion
  • age (children view death as temporary)
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2
Q

thanatology

A

-the study of dying, death, and bereavement

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3
Q

bereavement takes many forms

A
  • grief
  • disenfranchised grief
  • mourning
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4
Q

mourning

A
  • is expression of the bereaved person’s sadness
  • cultural construct
  • a person mourning may not feel grief
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5
Q

bereavement

A

is the loss of deprevation experienced by a survivor when a loved one dies

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6
Q

grief

A

is a state of mental distress that occurs in reaction to significant loss

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7
Q

disenfranchised grief

A

-a person experiences a loss that cannot be openly acknowledged, publicly mourned, or socially supported

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8
Q

acute grief syndrome often includes..

A
  • periodic waves of physical distress lasting 20 mins to an hour
  • a feeling of tightness in the throat
  • choking and shortness of breath
  • a frequent need to sigh
  • a feeling of emptiness in the abdomen
  • a sensation of muscular weakness
  • intense anxiety
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9
Q

what is death?

A
  • process of decline in body functions
  • final cessation of vital functions
  • uniform determination of death act 1981
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10
Q

brain death

A

is the irreversible cessation of all functions of the entire brain system

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11
Q

who is elizabeth kubler-ross?

A
  • psychiatrist that interview 200 dying patients to understand the psychological aspects of dying, grief, and bereavement/mourning
  • found that people pass through stages when they die
  • stages help guide clients to cope with loss
  • similar to individuals adjusting to a disability
  • hope persists
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12
Q

5 emotional stages

A
  • denial
  • anger
  • bargaining
  • depression
  • acceptance
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13
Q

denial

A
  • short lived stage
  • distorts reality
  • may avoid discussion of death
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14
Q

anger

A
  • requires patience

- often directed at those who are closest

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15
Q

bargaining

A
  • attempt to “buy more time”
  • frustration and anger dissolve into depression
  • turn to religious and spiritual beliefs
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16
Q

depression

A
  • reactive (comes from past losses, guilt, hopelessness, and shame)
  • preparatory (guilt about leaving, seek reassurance about those they are leaving)
17
Q

acceptance

A
  • person it too tired or weak to feel
  • calm and subdued interest in life
  • helps loved ones accept death
  • “ive had a good life”
18
Q

common physical changes

A
  • sleeping
  • loss of interest in food and fluids
  • coldness
  • changes in skin color
  • rattling sounds in lungs and throat
  • bladder and bowel changes
  • disorientation and restlessness
  • surge of energy
  • breathing pattern changes
19
Q

emotional changes

A
  • withdrawal
  • vision like experiences
  • permission to let go
  • need to say goodbye
  • family and friends need to express love and gratitude
  • choosing the setting
20
Q

moment of death

A
  • no breathing
  • no heartbeat
  • eyes fixed and slightly open, w/ enlarged pupils
  • jaw relaxed, with mouth slightly open