Week 11: Dying and Death

Question 1

True or False: after taxes death is one certainty in life

Answer 1

True

Question 2

Death is

Answer 2

An inevitable of life
viewed as a distant event (even in old older adults)

Question 3

True or False: Most deaths occur in old age (<1% in young children)

Answer 3

True

Question 4

True or False: most deaths follow a fast trajectory

Answer 4

False: SLOW

Question 5

Palliative Care

Answer 5

Providing a relief from the symptoms, pain, physical, and social distress of a terminal diagnosis

Question 6

Goals of palliative care

Answer 6

-to improve quality of life for both the person and the family

Question 7

Palliative care is…

Answer 7

-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

Question 8

Palliative care according to WHO

Answer 8

“a component of comprehensive care throughout the life course

Question 9

What is a good death

Answer 9

Natural Death
Quick, painless
At home
With loved one
During old age, prepared
Meaningful, expected, accepted

Question 10

True or false: Many deaths occur in a hospital or long-term care facilities

Answer 10

True

Question 11

Whats wrong with dying in a long term care facilities

Answer 11

Expensive
Focus on keeping the person alive rather than improving the quality of life
Against the ‘aging in place’ philosophy

Question 12

What is place of death

Answer 12

The traditional place people with severe diseases go and for the end-of-life care

Question 13

Where does death happen for cancer, dementia

Answer 13

Cancer: home
Dementia: nursing home/hospital

Question 14

5 staged of psychological reactions: BAADD

Answer 14

1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance

Question 15

True or false: people may ‘skip’, go back and forth or overlap the stages

Answer 15

True

Question 16

Grief

Answer 16

Sense of deep sorrow after a loss

Question 17

Mourning

Answer 17

expression of grief in public

Question 18

Bereavement

Answer 18

the state of having recently experienced grief
- complex and usually personal processes, can start before the death
-sometimes never ends, though decreases in intensity

Question 19

Anticipatory grief

Answer 19

Grief starts before and in anticipation of the death
Common in partners of older adults with a fatal disease

Question 20

Disenfranchised grief

Answer 20

Deemed illegitimate and therefor unacknowledged
Insignificant relationship between the grieving person and the deceased

Question 21

Complicated grief

Answer 21

Long and severe
Inability of recovering and resuming their life

Question 22

Loss of a (partner , family, friend) in Old Age May result in

Answer 22

-social isolation
-financial problems
-depression (various patterns)

Question 23

For some people Loss of a (partner , family, friend) in Old Age may be a relief of

Answer 23

• unpleasant marriages
  -long and stressful period of caregiving

Question 24

Example of ethical issues

Answer 24

-share of information
-right to die
-cease of care vs assisting in death
-assisted suicide/euthanasia

Question 25

Assisted suicide

Answer 25

asking for a lethal medicine, but take it yourself

Question 26

Active voluntary euthanasia

Answer 26

The healthcare professional administers the medicine

Question 27

Medical assistance in dying (MAID)

Answer 27

either assisted suicide, active voluntary euthanasia