Week 9

Question 1

Attitudes towards death and dying

Answer 1

-we live in a death-avoidant society with little death literacy

Question 2

How dying has changed since 1900s

Answer 2

-most people used to die in their homes but now 65% of people will die in a facility

Question 3

WHO palliative care definition

Answer 3

-approach that improves the quality of life of patients and their families facing the problems associated with life threatening illness

Question 4

Hospice palliative care ontario definition

Answer 4

-holistic care - comfort, meaning, and support for people facing the end of life and their families

Question 5

Palliative care components

Answer 5

-compassion
-upholds patients right to die with dignity
-provides relief from pain and other distressing symptoms
-affirms life and regards dying as a normal process
-intends neither to hasten or postpone death

Question 6

Where do people receive palliative care

Answer 6

-at home
-in community
-in hospitals
-in long term care
-in residential hospices

Question 7

Who is on a palliative care team

Answer 7

-family physician
-palliative nurses
-physiotherapists
-pharmacists
-nutritionists
-chiropractors
-occupational therapists
-religious/spiritual coaches

Question 8

What does dying look and feel like socially

Answer 8

-social withdrawl
-hallucinations
-excessive fatigue and sleep
-temporary dramatic improvement

Question 9

What does dying look and feel like digestive

Answer 9

-less interest in food
-odd cravings
-no longer eating and drinking
-incontinence

Question 10

What does dying look and feel like muscular

Answer 10

-loss of movement, muscle tone, and sensation
-jaw drops, mouth stays open
-face looks peaceful and relaxed

Question 11

What does dying look and feel like circulatory

Answer 11

-pulse is fast, weak, and irregular
-blood pressure falls
-skin is mottled or bluish
-cold hands and feet

Question 12

What does dying look and feel like respiratory

Answer 12

-cheyne stokes breathing
-gurgling sound

Question 13

Signs of death

Answer 13

-absence of pulse, respiration, and blood pressure
-fixed, dilated pupils

Question 14

What care does a dying person need

Answer 14

-listening
-gentle touch
-compassion
-pain relief
-physical comfort
-vision support
-hearing support

Question 15

What happens after someone dies

Answer 15

-postmortem care
-death is certified
-body disposition

Question 16

Postmortem care

Answer 16

-positioning body before rigor mortis
-personal care
-rituals

Question 17

How is death certified

Answer 17

-healthcare provider pronounces death
-physician completes a medical death certificate
-death is registered

Question 18

Body disposition

Answer 18

-get burial permit
-body is transported
-cremation
-aquamation
-standard burial etc

Question 19

2SLGBTQIA+ demographics

Answer 19

-more likely to be single
-less likely to have children that will take care of them
-less likely to be in contact with family
-more likely to be socially isolated
-more likely to experience mental health issues

Question 20

2SLGBTQIA+ factors that negatively impact healthcare

Answer 20

-discrimination or stigma
-chosen family may be not respected as next of kin
-increased pressure on caregivers

Question 21

What does this stigma look like in practice

Answer 21

-misgendering
-multiple partners aren’t respected
-gendered facilities
-patient isnt out to all of their family members

Question 22

Historical considerations for 2SLGBTQIA+

Answer 22

-traumatic causes of death in the community
-lack of trust in the medical system
-lack of elders to turn to

Question 23

Community care for 2SLGBTQIA+

Answer 23

-alternative care when health systems fail us
-alternative spiritual practices when religion shuns us
-more caregivers for friends

Question 24

Social isolation of 2LGBTQIA+

Answer 24

-sometimes have to be recloseted in long term care homes
-fellow queer friends are dying
-lack of resources aimed at seniors
-pressure of compulsive heterosexuality

Question 25

Funeral considerations of 2LGBTQIA+

Answer 25

-burial clothes
-gendered washrooms
-funeral home staff

Question 26

What does a death doula do

Answer 26

-psychosocial support
-spiritual and religious support
-legacy project work
-caregiver respite
-ritual design and faciliatation