Week 11: Dying and Death Flashcards
True or False: after taxes death is one certainty in life
True
Death is
An inevitable of life
viewed as a distant event (even in old older adults)
True or False: Most deaths occur in old age (<1% in young children)
True
True or False: most deaths follow a fast trajectory
False: SLOW
Palliative Care
Providing a relief from the symptoms, pain, physical, and social distress of a terminal diagnosis
Goals of palliative care
-to improve quality of life for both the person and the family
Palliative care is…
-Part of the medical model, a specialized medical care
-No matter the diagnosis or stage of the disease/offered alongside curative or other treatments
-Traditionally, too much focus on pain and other physical symptoms/signs
-The wholistic approach is increasing being adopted
Palliative care according to WHO
“a component of comprehensive care throughout the life course
What is a good death
Natural Death
Quick, painless
At home
With loved one
During old age, prepared
Meaningful, expected, accepted
True or false: Many deaths occur in a hospital or long-term care facilities
True
Whats wrong with dying in a long term care facilities
Expensive
Focus on keeping the person alive rather than improving the quality of life
Against the ‘aging in place’ philosophy
What is place of death
The traditional place people with severe diseases go and for the end-of-life care
Where does death happen for cancer, dementia
Cancer: home
Dementia: nursing home/hospital
5 staged of psychological reactions: BAADD
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
True or false: people may ‘skip’, go back and forth or overlap the stages
True
Grief
Sense of deep sorrow after a loss
Mourning
expression of grief in public
Bereavement
the state of having recently experienced grief
- complex and usually personal processes, can start before the death
-sometimes never ends, though decreases in intensity
Anticipatory grief
Grief starts before and in anticipation of the death
Common in partners of older adults with a fatal disease
Disenfranchised grief
Deemed illegitimate and therefor unacknowledged
Insignificant relationship between the grieving person and the deceased
Complicated grief
Long and severe
Inability of recovering and resuming their life
Loss of a (partner , family, friend) in Old Age May result in
-social isolation
-financial problems
-depression (various patterns)
For some people Loss of a (partner , family, friend) in Old Age may be a relief of
- unpleasant marriages
-long and stressful period of caregiving
Example of ethical issues
-share of information
-right to die
-cease of care vs assisting in death
-assisted suicide/euthanasia
Assisted suicide
asking for a lethal medicine, but take it yourself
Active voluntary euthanasia
The healthcare professional administers the medicine
Medical assistance in dying (MAID)
either assisted suicide, active voluntary euthanasia
