week 6

Question 1

1. deliberate act of killing oneself, self imposed sudden and often violent death
2. statistics
3. what % is with notes
4. red flags

Answer 1

1. suicide
2. 1 suicide in every 17 minutes ; 30k per year; 1 in 4 deaths is suicide
   - men are more successful , although women try more
   - elderly males have highest rate
3. 25 to 30% are accompanied with note
4. hopeless, agitated, giving away possession

Question 2

special losses we will examine

Answer 2

1. suicide
2. sids, miscarriage, and stillbirth
3. euthanasia
4. hospice

Question 3

French sociologist
-published a book in 1897 called Suicide
-the sociological model of suicide
-findings;
suicide rates were higher in men than women
-S.R higher for singles rather than married
-w/o children
-higher in prodestants rather than catholics
-higher in educational levels,

Answer 3

emile Durkheim

Question 4

Durkheims types of suicides (4)

–found strong connection between loneliness and suicide

Answer 4

1. Altruistic
2. Egoistic
3. fatalistic
4. Anomic

Question 5

honorable, done for the greater good, selfless acts of suicide

• examples
• soldiers
• Terrorists

Answer 5

Altruistic

Question 6

one who has few ties to others (suicide)

-great sense of loneliness

Answer 6

egoistic

Question 7

choose suicide because of a fatal illness or a loss of freedom

• example
• terminal ill patient
• sentenced to life in prison and offing yourself before you go

Answer 7

fatalistic

Question 8

society itself is disconnected and chaotic, feel alienated and anxious,
anomie means lawless

Answer 8

Anomic

Question 9

the psychological model of suicide

-freud believed suicide derives from overwhelmed defense mechanisms causing ambivalence-

Answer 9

• suicide is the result of ones mental health and emotional life converging and being in conflict
• pervasive feelings are hopelessness and ambivalence
• those who attempt suicide report fantasizing about being alive after the attempt
• dyadic in nature
• depression (or other mental health disorders) one of major causes for suicide

Question 10

a disorder of varying severity; accompanied by shifts in mood, energy and ability to function
-higher propensity for suicide attempts
-also have a bit of alcohol problem
-hereditary
-explanation-
-manic phase
joy, happiness, delusions, sheer and utter bliss (no amount of tragedy can affect happiness)
-depressive phase
-deep level of sadness, loss of activities, fatigue, thoughts of suicide
-common treatment with medication and therapy

Answer 10

Bipolar manic depression

Question 11

-extrmely debilitating condition that can occur after exposure to a terrifying event or ordeal in which harm occurred or was threatened
-symptoms-
-trigger of original event
-flashbacks
-nightmares
-detached, depression
-survivors guilt
-outburst of emotions
-diagnosis-
experienced symptoms more than a month
-treatment-
-behavioral therapy
- exposure therapy
-medication
-service animals

Answer 11

PTSD (post traumatic stress disorder)

Question 12

-sudden and unexpected death of an apparently healthy infant which remains unexplained after a complete autopsy and review of circumstances surrounding the death
-background and statistics-
-between 2 and 6 months , more common in male children
-prevention-
-place back to sleep and tummy to play
-crib; never in bed
-avoid soft bedding materials
-after death; investigation
-how can FD help-
acknowledgment of the loss, support, allow family to hold child

Answer 12

SIDS

Sudden infant death syndrome

Question 13

–commonly associated with disenfranchised grief
-1. spontaneous loss of a child before the 20th week of pregnancy
-2. loss of a child due to natural causes after the 20th week of pregnancy
-common reasons-
occurring due to placental problems, birth defects, infections, umbilical cord accidents, or trauma that happens to mom while pregnant
-statistics-
6million pregnancies ; 4 million result in live birth; 2 million women experience pregnancy loss (including abortion); most are prior to 12 weeks
-myth surrounding loss
-short grief period
-another pregnancy will offset the loss
-parents won’t be happy for other people having children

Answer 13

1. Miscarriage

2. Stillbirth

Question 14

means the good death in Greek. The act of painlessly but deliberately causing the death of another who is suffering from an incurable/painful disease/condition

Answer 14

Euthanasia

Question 15

types of euthanasia

Answer 15

1. voluntary
   - suffering from incurable condition
2. non voluntary
   - to incompacitated
   - mercy killing
3. involuntary
   - conducted against the will of the individual
   - murder, death penalty

Question 16

euthanasia methods (2)

Answer 16

1. active
   - death brought on by action
   - lethal injection or doctor prescribing medication knowing it will end life
2. passive
   - DNR

Question 17

a physician providing medications or other means to a patient with the understanding that the patient intends to use it to commit suicide

Answer 17

Physician assisted suicide/physician aided death

Question 18

specialized healthcare program that holistically serves patients with terminal illnesses during the last days of their lives
-diagnosed by a doctor as having less than 6 months to live

Answer 18

hospice

Question 19

history of hospice

Answer 19

• began in Middle Ages to take care of the poor and sick travelers
• care for the mind, body and spirit

Question 20

in 1966 brought back the idea of the hospice concept from the Middle Ages
-opened St. Christophers hospice in london

Answer 20

-Dr. Cicely Saunders;

Question 21

modern philosophy of hospice (6)

Answer 21

1. to control the symptoms rather than to cure the disease ; pain managment
2. care given at home or home like atmosphere taking out the hospital setting and having more relaxed rules
3. attending to the emotional, spiritual, physical, and social needs of the patient and the family
4. patient autonomy
5. offer palliative care
6. NOT practicing euthanasia

Question 22

allow the patient to make the choices for care and once they are incapable; the family will decide

Answer 22

patient autonomy

Question 23

relieving pain and promoting comfort

Answer 23

offer palliative care (more of a children’s term)

Question 24

types of hospice

Answer 24

1. separated ward
2. integrated
3. free standing
4. home care

Question 25

separate wing for the terminally ill; can occur in the hospital or nursing facility

Answer 25

separated ward

Question 26

integrated throughout the hospital or nursing home; no separation

Answer 26

integrated

Question 27

stand alone; operated as its own entity; many close because of the high operational costs

Answer 27

free standing

Question 28

treatment provided in the home; most commonly prescribed

-families involvement is critical for successful hospice

Answer 28

home care

Question 29

• characterized by the presence of grief in anticipation of death or loss; usually hinged on the knowledge of an incurable illness/disease/condition
• grief work done to loosen the bonds to the dying
• common emotion to experience is ANXIETY
• concerns with this type of grief
• prematurely detach from loved one making loved one feel abandoned
• a time for rehearsal

Answer 29

anticipatory grief